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《Chongqing Medicine》 2017-04
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Related factors and countermeasures of surgical site infections for department of general surgery in Chengde Medical Hospital in 2015

Chi Shuijing;Wang Ying;Zhang Liguo;Zhao Kaifeng;Zhang Jiageng;Zhao Lihua;Jiang Miaomiao;Yang Yue;Department of Infection Branch,the Affiniated Hospital of Chengde Medical School;  
Objective To assess the impact factors of surgical site infection(SSI)in the department of general surgery,the improve the quality of the target of monitoring,provide clinical theoretical basis for reducing the incidence of SSI.Methods In2015,920 patients who underwent general surgery was took in the targeted monitoring of SSI.SPSS19.0software was used to analyzing the data.Results The infection rate was 4.35%;Surgical site infection rate was rising,with the increase of NNIS.17 pathogens were isolated,including 11 Escherichia colis which was the most.The incidence of the SSI was 2.40% between two groups in the patients who underwent the elective surgeries 10.85%,in the patients who underwent emergency surgery.there was significant difference between two groups(χ2=27.997,P0.05).The type Ⅱsurgical incision was smain type in the department of general surgery,the incidence of the typeⅡsurgical incision was 2.27%,the incidence of the typeⅢ surgical incision was 21.90%,no SSI occurred in the typeⅠsurgical incision;SSI incidence of surgery time which was more than 3h was 7.27%,less than 3h was3.71%,there was significant difference between two groups(χ2=4.136,P0.05);the SSI incidence of the incision length≥10cm was 13.11%,less than 10 cm was 1.82%,the difference was statistically significant(χ2=48.966,P0.05).Conclusion NNIS score,wound type,type of surgery,duration of surgery may become the risk factors SSI.
【CateGory Index】: R619.3
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