标准化感染比在开颅手术患者手术部位感染监测中的应用

发布时间：2018-05-03 04:13

本文选题：标准化感染比 + 开颅手术　；参考：《中华医院感染学杂志》2017年18期

【摘要】：目的通过计算标准化感染比(SIR),分析医疗机构开颅手术患者手术部位感染(SSI)的情况,为有效预防控制SSI提供依据。方法收集医院光谷院区2016年7月-2017年6月期间开颅手术(CRAN)患者262例,同时收集某大型综合性医院2016年7月-2017年6月开颅手术患者852例;采用开颅手术患者手术部位感染的基线数据,建立感染风险模型,通过模型分别求得两所医院的期望感染数,再计算各自的标准化感染比。结果医院CRAN手术部位感染的SIR为0.83,低于某大型医院CRAN手术部位感染的SIR 1.64;两所医院开颅手术患者的年龄分布以及手术时长差异均有统计学意义(P0.01)。结论标准化感染比调整了最主要的影响因素,可用于不同医疗机构手术部位感染情况的比较及评价,并能预测SSI的发生风险。
[Abstract]:Objective to analyze the infection of surgical site in patients undergoing craniotomy in medical institutions by calculating the standard infection ratio (SIRI), so as to provide the basis for the effective prevention and control of SSI. Methods 262 patients with craniotomy were collected from July 2016 to June 2017 and 852 patients from July 2016 to June 2017 in a large general hospital. Based on the baseline data of surgical site infection in patients undergoing craniotomy, an infection risk model was established. The expected infection numbers of the two hospitals were calculated by the models, and their standardized infection ratios were calculated. Results the SIR of CRAN site infection in hospital was 0.83, which was lower than that of CRAN site infection in a large hospital, and the age distribution and the length of operation were significantly different between the two hospitals. Conclusion the standardized infection ratio adjusts the most important influencing factors and can be used to compare and evaluate the infection status of surgical sites in different medical institutions and to predict the risk of SSI.
【作者单位】：华中科技大学同济医学院附属同济医院医院感染管理科;
【基金】：国家自然科学基金资助项目(71473098)
【分类号】：R651.1

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