Analysis on the Monitoring Results of Orthopedic Surgery Incision Infection_West China Medical Journal

Authors：

 XIANGLi-jia ,  ZENGYong , CAOFang , LUOTing , WANGMin , ZHENGXiao-hong

Department of Nosocomial Infection Management, the Second People's Hospital of Chengdu, Chengdu, Sichuan 610021, P. R. China;

Corresponding author：

ZENGYong, Email: zysh2929@163.com

Keywords：

Hospital infection; Surgical site infection; Orthopedic surgery

DOI：

10.7507/1002-0179.20150139

Video：

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Objective To study the present situation of hospital orthopedic surgery incision infection, in order to provide the basis for further intervention. Methods Prospective investigation combined with retrospective investigation method was adopted in our study to perform a statistical analysis on orthopedic surgery incision infections among 545 patients in our hospital between January and December 2012. Results During the one year of follow-up, there were 10 cases of surgical incision infection among all the 545 patients, with an infection rate of 1.83%. The infection rate of class-Ⅰ incision was 0.46%, of class-Ⅱ was 5.13%, and of class-Ⅲ/Ⅳ was 12.12%, and the Cochrane-Armitage trend chi-square test showed significant trend among them (χ²=28.273, P<0.001). Based on different operation risk index, patients with index 1, 2, 3 had a surgical site infection rate of 0.82%, 2.60%, and 18.75%, respectively. The higher the index, the higher the surgery incision infection rate, and the trend was statistically significant (χ²=12.916, P<0.001). The infection rate was 1.43% for elective surgical procedures, and was 3.15% for emergency surgery, but there was no significant difference (P>0.05). Conclusion Orthopedic surgery has a high-risk surgical site infection rate, and incision classification and surgical risk index have statistical correlation with the incidence of hospital infection. In order to ensure the security of patients and reduce medical disputes, we should pay close attention to orthopedic surgery infection.

Citation： XIANGLi-jia, ZENGYong, CAOFang, LUOTing, WANGMin, ZHENGXiao-hong. Analysis on the Monitoring Results of Orthopedic Surgery Incision Infection. West China Medical Journal, 2015, 30(3): 492-495. doi: 10.7507/1002-0179.20150139 Copy

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11.	宋昭君, 张为, 倪卫东. 骨科无菌手术切口感染原因分析与对策[J]. 重庆医学, 2011, 40(35):3636-3637.
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13.	廖泽飞, 陈一杰, 吴淼, 等. 腹部手术切口感染原因分析[J]. 临床军医杂志, 2007, 35(2):219-221.
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1. 黎庆莲. 骨科手术中感染的预防及护理管理[J]. 国际医药卫生导报, 2005, 11(4):118-119.
2. 魏全珍, 钟馥霞, 刘丽华, 等. 超广谱β-内酰胺酶细菌检测及耐药性分析[J]. 中华医院感染学杂志, 2006, 16(2):221-223.
3. Thomas R, Wood AM, Waston J, et al. Delay in diagnosis of neck of femur stress fracture in a female military recruit[J]. J Royal Naval Med Serv, 2012, 98(2):27.
4. 中华人民共和国卫生部. 医院感染诊断标准(试行)[J]. 中华医学杂志,2001, 81(5):314-320.
5. 中华人民共和国卫生部. WS/T 312-2009医院感染监测规范[S]. 北京:人民卫生出版社, 2009.
6. Martone WJ, Jarvis WR, Culver DH, et al. Incidence and natures of endemic and epidemic nosocomial infections[M]//Bennett JV, Brachman PS. Hospital infections. 3rd ed. Boston:Little, Brown and Co, 1992:577-596.
7. 李红, 王洪源, 赵爱民. 骨科手术部位感染分析[J]. 中华医院感染学杂志, 2008, 18(10):1384-1386.
8. 张菊, 苏维, 李刚. 成都市某二级甲等医院发生术后医院感染现状及相关因素研究[J]. 华西医学, 2014, 29(3):440-444.
9. 盛希, 蒋维连, 蒋丽. 骨科手术切口感染相关危险因素分析[J]. 中华医院感染学杂志, 2014, 24(17):4314-4316.
10. 张洪凤, 赵力, 李青, 等. 980例膝关节镜术切口感染的预防[J]. 中华医院感染学杂志, 2010(22):3492-3493.
11. 宋昭君, 张为, 倪卫东. 骨科无菌手术切口感染原因分析与对策[J]. 重庆医学, 2011, 40(35):3636-3637.
12. 龚平. 骨科手术中如何预防和减少感染[J]. 中外医疗, 2009, 28(2):41-42.
13. 廖泽飞, 陈一杰, 吴淼, 等. 腹部手术切口感染原因分析[J]. 临床军医杂志, 2007, 35(2):219-221.
14. 黎沾良. 外科临床中预防性和治疗性应用抗生素的区别和原则[J]. 中国实用外科杂志, 2001, 21(1):4.

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West China Medical Journal

Analysis on the Monitoring Results of Orthopedic Surgery Incision Infection

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