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对手术部位感染及其风险因素及其与NNIS风险指数相关性的前性研究
Ravi Meena1, Sumit Chakravarti1, Suhas Agarwal1
1Department of Surgery, ESI PGIMSR, New Delhi, India.
Journal of the West African College of Surgeons
|March 7, 2024
概括
手术部位感染 (SSI) 随着NNIS得分,年龄,BMI和手术前住院时间的提高而增加. 吸烟和并发症等因素也会增加腹部手术患者的SSI风险.
科学领域:
- 外科手术感染.
- 鼻腔感染 鼻腔感染
- 公共卫生 公共卫生
背景情况:
- 手术部位感染 (SSI) 是一种严重的医院感染,导致大量的术后发病率.
- 病房内感染占所有病房内感染的10-40%,这构成了重大挑战,特别是在监测有限的地区.
研究的目的:
- 在接受腹部手术的患者中确定SSI率.
- 分析与CDC NNIS风险指数相关的SSI风险.
- 评估BMI,血糖状况,吸烟和手术前住院对SSI发展的影响.
主要方法:
- 一项涉及300名接受选择性和紧急腹部手术的患者的研究.
- 使用CDC NNIS风险指数对SSI率的分析.
- 评估患者的因素,包括BMI,血糖状况,吸烟和手术前住院.
主要成果:
- 在300例腹部手术中,60例 (20%) 被诊断为SSI.
- 在增加NNIS得分和更高的SSI率之间发现了显著的相关性.
结论:
- 较高的NNIS分数,年龄增加,BMI,血糖指数和较长的手术前住院时间与SSI的风险增加有关.
- 吸烟和并发性疾病也会增加手术部位感染的风险.
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