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目的了解住院手术患者手术部位感染率升高的原因,为有效控制手术切口感染率提供依据。方法通过目标性监测方法,分析并解决某医院住院手术患者术后切口感染病例异常增高原因。结果 2014年手术切口感染率为0.51%,明显高于2013年的0.12%,差异有统计学意义(χ~2=36.38,P<0.01);干预后2015年手术切口感染率为0.22%。调查发现一次性使用换药包灭菌方法与碘伏包装材料使用不当,是造成感染率增高的主要原因。结论目标性监测是及时发现感染隐患的有效措施,监督部门应加强对一次性灭菌物品生产流程和产品质量的监管。
Objective To understand the reasons for the rising infection rate of surgical site in patients undergoing inpatient operation and provide basis for effectively controlling the incision infection rate. Methods By means of targeted monitoring, the causes of abnormal incision infection in hospitalized patients after operation in a hospital were analyzed and resolved. Results The infection rate of surgical incision in 2014 was 0.51%, which was significantly higher than that of 2013 (0.12%) (χ ~ 2 = 36.38, P <0.01). The infection rate of surgical incision in 2015 was 0.22% after intervention. The survey found that one-time use of dressing change sterilization method and improper use of iodophor packaging materials, is the main reason for the increased infection rate. Conclusions Targeted monitoring is an effective measure to find out the hidden dangers of infection in a timely manner. Supervision departments should strengthen the supervision over the production process and product quality of disposable sterilized articles.