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手术部位感染的发展时间及其与患者和手术特征的关联
1King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdulaziz Medical City (KAMC), Ministry of National Guard Health Affairs (MNGHA), Riyadh, Saudi Arabia.
Journal of infection and public health
|March 28, 2025
概括
大多数手术部位感染 (SSI) 发生在医院出院后,强调需要强有力的出院后监测. 早期发病的SSI与女性性别和出院前的检测有关.
科学领域:
- 传染病流行病学 传染病流行病学
- 手术结果研究研究.
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 了解手术部位感染 (SSI) 的时间和风险因素对于有效预防至关重要.
- 这项研究旨在分析SSI发展的术后期,并确定相关的患者和程序特征.
研究的目的:
- 为了确定手术后发生手术部位感染 (SSI) 的典型时间框架.
- 描述与早期与晚期SSI相关的患者和程序相关因素.
主要方法:
- 从2014年到2023年,对322个手术部位感染 (SSI) 事件进行前性监测,涉及15个手术程序.
- 基于15天的中位数,SSI的分类为早期发病 (<中位数持续时间) 和晚发病 (≥中位数持续时间).
- 分析患者的人口统计,手术类型和检测时间 (住院患者与出院后).
主要成果:
- 到SSI发展的中位时间为15天,最频繁的发生在10天.
- 大多数SSI (66.6%) 在患者出院后被检测出来.
- 早期发病的SSI与女性性别 (OR=2.29) 和出院前检测 (OR=8.06) 有关.
结论:
- 退院后SSI检测的高率强调了医院出院后继续监测的重要性.
- 出院后的监测可以作为感染控制的有价值的质量指标.
- 将标准SSI随访期从90天缩短到60天不太可能显著影响检测率.
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