手术部位感染目标性监测（Surgical site infection, target monitoring）.docVIP

手术部位感染目标性监测（Surgical site infection, target monitoring） Surgical site infection, target monitoring 1 monitoring patients, including appendicitis, thyroidectomy, and hernia surgery (including all elective and emergency surgery). 2 monitoring content 2.1 basic information Monitor month, hospital number, Department, bed number, name, age, date of investigation, disease diagnosis, type of incision (cleaning incision, cleaning - pollution incision, pollution incision, infection incision). 2.2 surgery related data The date of surgery, surgery, standard for evaluation of risk factors (see Table 1), including the duration of operation time, incision Cleanliness classification, the American Society of anesthesiologists (ASA) score (see Table 2); perioperative use of antibacterial drugs, surgery. 2.3 surgical site infection data Date of infection and diagnosis, pathogen. 3 monitoring methods 3.1 adopt active monitoring method to combine hospital monitoring and discharge monitoring. 3.2 each patient should fill in the registration form of surgical site infection (including infected patients and non infected patients). Table 1 criteria for risk factors Risk factor Scoring standard Score Operative time (H) = 7 thousand and 500 percentile Zero 7 thousand and 500 quantile One Incision cleanliness Clean, clean - pollution Zero contaminated One ASA score I, II Zero III, IV, V One Table 2 ASA scoring table Classification Score standard I One Healthy。 In addition to local lesions, there is no systemic disease. Inguinal hernia, such as good overall condition. II Two Have mild or moderate systemic disease. Such as mild diabetes and anemia, neonatal and elderly people over the age of 80. III Three Have serious systemic disease, limited daily activities, but not lost work ability. Severe diabetes. IV Four Life-threatening severe systemic illness has lost its capacity to work. V Five The condition is critical, it is urgent rescue operation. Such as aortic aneurysm rupture, etc.. 4 data ana