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.
China Preventive Medicine