东南大学学报(医学版)2024,Vol.43Issue(5) :771-776.DOI:10.3969/j.issn.1671-6264.2024.05.018

骨科Ⅰ类切口手术部位感染情况及危险因素探讨:基于1∶1匹配的病例对照研究

Surgical site infection and risk factors of type Ⅰ incisions in orthopedics:a 1∶1 matched case-control study

张燕 郑大伟 孙磊 朱迪 韩晴 何燕
东南大学学报(医学版)2024,Vol.43Issue(5) :771-776.DOI:10.3969/j.issn.1671-6264.2024.05.018

骨科Ⅰ类切口手术部位感染情况及危险因素探讨:基于1∶1匹配的病例对照研究

Surgical site infection and risk factors of type Ⅰ incisions in orthopedics:a 1∶1 matched case-control study

张燕 1郑大伟 1孙磊 1朱迪 1韩晴 1何燕2
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作者信息

  • 1. 徐州仁慈医院感染管理科,江苏徐州 241004
  • 2. 南京鼓楼医院感染管理办公室,江苏南京21008
  • 折叠

摘要

目的:探讨骨科Ⅰ类切口手术部位感染危险因素,为制订感染防控措施提供参考.方法:收集徐州仁慈医院2017年4月1日至2023年9月30日骨科Ⅰ类切口手术患者资料,填写自编式《骨科Ⅰ类切口手术患者感染监测调查表》,统计手术部位感染的发生情况,感染组与非感染组按照科室、性别、年龄±3岁的原则进行1∶1匹配,采用Logistic回归模型分析骨科Ⅰ类切口手术部位感染的危险因素.结果:共纳入33 584例骨科Ⅰ类切口手术患者,其中147例发生手术部位感染,感染发生率0.44%.多因素分析结果显示,糖尿病、植入物、手术时长≥2 h、手术风险分级(NNIS)评分≥1分和BMI≥25 kg·m-2是骨科Ⅰ类切口手术部位感染的独立危险因素.结论:骨科Ⅰ类切口手术部位感染存在诸多危险因素,应采取针对性防控措施以降低感染发生风险.

Abstract

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.

关键词

骨科/Ⅰ类切口/手术部位感染/危险因素

Key words

orthopedics/type Ⅰ incision/surgical site infection/risk factors

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基金项目

徐州市推动科级创新专项资金资助项目(KC21232)

出版年

2024
东南大学学报(医学版)
东南大学

东南大学学报(医学版)

CSTPCD
影响因子:1.374
ISSN:1671-6264
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