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1Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, China; Department of Infectious Control, West China Hospital, Sichuan University, Chengdu, China.
The Journal of hospital infection
|June 14, 2023
概括
手术部位感染 (SSI) 是中国患者安全的一个重大问题,发病率因手术类型而异. 解决SSI需要改进监测和有针对性的干预措施,以减少患者的伤害和医疗保健成本.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 外科手术的结果
背景情况:
- 手术部位感染 (SSI) 是一种流行的医疗相关感染类别.
- 了解中国SSI的流行病学对于患者安全至关重要.
研究的目的:
- 从2010年以来发表的研究中审查和综合中国大陆SSI的发病率.
- 分析不同手术过程中SSI率的变化.
- 确定常见的病原体和SSI对患者结果和医疗保健经济学的影响.
主要方法:
- 一个全面的文献综述,涵盖了自2010年以来在中国大陆进行的231项符合条件的研究.
- 纳入标准要求研究至少包括30名术后患者.
- 数据提取的重点是整体SSI发生率,特定地点发生率,致病微生物,死亡率,停留时间和经济负担.
主要成果:
- 总体上,SSI发生率为2.91% (中位数) 或3.18% (共计).
- 根据手术部位,SSI发生率有很大差异,从1.69% (甲状腺) 到12.54% (结肠直肠) 之间.
- 肠杆菌和葡萄球菌被确定为常见的病原体;SSI与增加的死亡率,长时间住院和更高的成本有关.
结论:
- 在中国,SSI对患者安全构成重大和持续的威胁.
- 需要一个全国性的SSI监控网络,使用统一的标准和信息学.
- 定制的,数据驱动的干预措施对于减轻SSI的影响至关重要.
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