神经外科手术患者目标性监测分析与持续改进.docVIP

精品论文 参考文献 神经外科手术患者目标性监测分析与持续改进 （泰安市中心医院感染管理科，山东 泰安 271000） 摘要：目的　研究神经外科手术患者医院感染情况，为制定医院感染控制措施提供理论依据。方法　采用目标性监测方法，对430例神经外科手术患者发生医院感染进行调查。结果　430例手术患者发生手术部位感染25例，感染率为5.81％，感染部位以器官腔隙感染为主；手术相关性感染83例，感染率19.30%，感染部位主要是下呼吸道感染；危险指数等级不同感染率不同，危险指数0、1、2级感染率分别为2.46%、6.01%、20.00%。结论　神经外科手术患者手术部位感染危险因素多，危险指数等级越高、手术时间越长的患者越容易发生手术部位感染，需采取综合措施才能有效控制感染。 关键词：神经外科；手术患者；手术部位感染；目标性监测；持续改进 Target detection analysis and continuous quality improvement　of surgical site infection In patients undergoing surgery in department of neurosurgery Lan Shengmei ( Taian City Central Hospital department of infection management，Taian，Shandong 271000,China) Abstract：OBJECTIVE To investigate surgical site infections in the patients undergoing the neurosurgical surgery and provide the theoretical bases for the control of nosocomial infections．METHODS a total of 430 cases of patients undergoing surgery in department of neurosurgery were investigated by using the targeted monitoring method．RESULTS Totally 25 of 430（5.81％）patients occurred with surgical site infection，the main infection site was Organ lacunar infection；infections related Operation were 83 patients，infection rate was 19.30%，the main infection site was lower respiratory infection；There are different infection rate with different Danger index level, zero level was 2.46%、one level was 6.01%、two level was20.00%。CONCLUSION　There are many risk factors for surgical site infections in the patients in the neurosurgical department，so the comprehensive measures should be taken to effectively Control the infections. Key words：Neurosurgical department; Patients undergoing surgery；surgical site infection；Target detection ； continuous quality improvement　 手术部位感染（surgical site infection，SSI）在住院接受手术的患者中发病率为2%-5%；在美国每年约有16万-30万例SSI病例；目前SSI是HAI中最常见的、经济花费最高的感染。神经外科手术视野小而深，持续时间长，各种致病菌极易从血循环或开放性通道进入脑组织和脑脊液而形成感染［１］。国内几项回顾性研究报道，颅脑手术部位感染率为3.26%～9.40%［２］。我院对神经外科手术病人进行手术部位感染目标性监测，了解手术部位感染率，分析不同危险指数等级SSI率及手术医师感染专率等，并根据监测结果制定相应的预防和控制措施，有效预防手术部位感染,现报道如下。 1监测对