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目标性监测对四肢骨折患者切口感染的防控研究

The effect of targeted monitoring on the prevention of incision infection of patients with limb fractures
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摘要 目的探究目标性监测对四肢骨折患者切口感染的防控效果。方法选取2018年1-4月,温州医科大学附属第二医院接受骨折手术患者980例进行目标性监测。结果 980例四肢骨折患者,感染13例,感染率1.33%。检出病原菌51株,其中革兰阴性杆菌44株(86.28%);革兰阳性球菌6株(11.76%),真菌1株(1.96%)。手术切口类型、患者围术期是否合理使用抗生素以及患者手术时手术间人数均会对患者术后切口感染产生影响,差异均有统计学意义(P<0.05)。结论对四肢骨折患者进行目标性监测,能够在监测过程中发现影响患者切口感染的危险因素,降低感染发生率。 Objective To discuss the effect of targeted monitoring on the prevention of incision infection in patients with limb fractures. Methods 980 patients who underwent limb fracture surgery in Second Affiliated Hospital of Wenzhou Medical University from January to April 2018 were enrolled into the study and the targeted monitoring was conducted. Results Incision infection occurred in 13 cases with the overall infection rate of 1.33%.A total of 51 strains of pathogenic bacteria were detected in the surgical infected incisions,including 44 strains of Gram-negative bacilli(86.28%),6 strains of Gram-positive cocci(11.76%)and 1 strain of fungi(1.96%).The type of incision,the proper use of antibiotics during the perioperative period and the number of people in the operating room were the factors affecting the infection of incision after surgery,and the difference was statistically significant(P<0.05). Conclusions The targeted monitoring for patients with limb fractures can find the risk factors of incision infection which is helpful to provide more accurate and effective prevention and control measures for health care workers to reduce the infection rate.
作者 金密密 董佩泓 王琼玏 JIN Mi-mi;DONG Pei-hong;WANG Qiong-le(Department of Operating Theatre,Second Affiliated Hospital of Wenzhou Medical University, Wenzhou ,Zhejiang 325000,China)
出处 《中国预防医学杂志》 CAS CSCD 2018年第12期924-927,共4页 China Preventive Medicine
基金 浙江省自然科学基金项目(2979278).
关键词 目标性监测 骨折 切口感染 护理 Target monitoring Fracture Incision infection Nursing
作者简介 通信作者:金密密,本科,护师,主要从事骨科研究,E-mail:yuruizhi420@163.com.
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