评估腹部手术后手术部位感染的危险因素

R. Roat, Mahendra Damor
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引用次数: 0

摘要

目的:手术部位感染是住院患者发病和死亡的重要原因。本研究旨在分析在三级医疗中心进行腹部手术后SSI的发生率,并评估SSI的危险因素。材料与方法:本研究是一项前瞻性研究,于2018年1月至2019年1月在拉贾斯坦邦邓格普尔医学院和医院普外科进行,为期1年。本研究共纳入100例选择性和急诊腹部手术病例。结果:男性76例,女性24例。患者年龄15 ~ 70岁,平均52.2岁。在100个手术中,38个是紧急手术,62个是选择性手术。研究期间共发生ssi 11例。剖腹探查是与ssi相关的最常见手术(4例),其次是肠切除术(3例)和胆囊切除术(2例)。结论:术后手术部位感染的发生率和死亡率显著增加,同时也增加了医疗费用。精细的手术技术,尽量缩短手术时间,适当的消毒,卫生的手术室和病房环境是一些可以减少ssi风险的习惯。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of risk factors for surgical site infection following abdominal surgeries
Objective: surgical site infections (SSIs) are substantial cause of morbidity and mortality among the hospitalized patients. The present study was performed to analyze the incidence of SSIs and to evaluate the risk factors for SSI following abdominal surgeries at a tertiary healthcare centre. Material & Methods: The present study is a prospective study carried out in the Department of general surgery, Dungarpur Medical College & Hospital, Rajasthan during the period of 1 year from January 2018 to January 2019. A total of 100 elective and emergency cases of abdominal surgeries were included in the study. Results: 76 patients were male and 24 were female. Age of the patients ranges from 15 to 70 years with the mean age of 52.2 years. Out of 100 procedures, 38 were emergencies and 62 were elective procedures. 11 cases of SSIs were encountered during the study period. Exploratory laparotomy was the surgery most commonly associated with SSIs (4 cases), followed by bowel resection (3 cases) and cholecystectomy (2 cases). Conclusion: Post operative surgical site infections causes substantial increase in morbidity and mortality associated with the disease and also increase the healthcare cost. Meticulous surgical techniques, minimizing the duration of operation, proper sterilization, hygienic operation theatres and ward environments are few of the habits which can reduce the risk of SSIs.
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