Surgical site infection and risk factors of type Ⅰ incisions in orthopedics:a 1∶1 matched case-control study
Objective:To explore the risk factors of surgical site infection in orthopaedic type Ⅰ incision surgery,and to provide reference for infection prevention and control measures.Methods:The data of patients undergoing orthopedic type Ⅰ incision surgery in Xuzhou Renci Hospital from April 1,2017 to September 30,2023 were col-lected.A self-made infection monitoring questionnaire of patients undergoing orthopedic type Ⅰ incision surgery was compiled to analyze the incidence of surgical site infection.The infected group and non-infected group were matched 1∶1 according to the principles of department,gender and age±3 years.Conditional Logistic regression model was used to analyze the risk factors of surgical site infection of type Ⅰ incisions in orthopedics.Results:A total of 33 584 patients with orthopedic type Ⅰ incision surgery were included in this study,of which 147 had surgi-cal site infection,with an infection incidence of 0.44％.Multivariate analysis showed that diabetes,implants,oper-ation duration ≥2 h,National Nosocomial Infections Surveillance(NNIS)score ≥ 1,and BMI≥25 kg·m 2 were independent risk factors for surgical site infection in orthopedic type Ⅰ incisions.Conclusion:There are many risk factors for surgical site infection of orthopedic type Ⅰ incision,and targeted prevention and control measures should be taken to reduce the risk of infection.
orthopedicstype Ⅰ incisionsurgical site infectionrisk factors
万方数据
维普
