监测在住院期间和出院后发生的手术部位感染:一项多中心研究
Sharad Srivastav1, Surbhi Khurana1, Chiranjay Mukhopadhyay2
1Department of Laboratory Medicine, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
The Indian journal of medical research
|December 31, 2024
概括
出院后的监测对于检测手术部位感染 (SSIs) 至关重要,66%的病例在出院后被发现. 组合手术显著增加了SSI的风险.
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) 是常见的医疗相关感染 (HCAI),导致显著的发病率和增加的医疗保健成本.
- 关于放免后SSI的数据很少,特别是在低收入和中等收入国家 (LMICs).
- 印度缺乏一个全面的SSI监控系统,涵盖放电后的时期.
研究的目的:
- 估计印度在住院期间和出院后发生的SSI的比例.
- 在印度人口中识别与SSI相关的风险因素.
- 评估释放后监控对SSI检测的影响.
主要方法:
- 在印度三家医院进行了一项多中心SSI监控研究.
- 监测遵循疾病控制和预防中心 (CDC) 的指导方针,覆盖出院后的30天至6个月.
- 用于数据输入的本土数据库,用于风险因素识别的后勤回归分析.
主要成果:
- 整体SSI发生率为5.2% (3090名患者中有161名).
- 与截肢,ORIF或CRIF相结合的脱皮手术具有最高的SSI率 (54.2%).
- 清洁,受污染的伤口类别和超过120分钟的手术显著与增加SSI风险有关.
结论:
- 释放后的监测发现了66%的SSI病例,强调了其重要性.
- 组合手术被确定为SSI发展的重要风险因素.
- 这些发现强调了需要加强LMICs的SSI监控系统.
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