腹股沟疝手术部位感染与抗菌药物预防性使用的相关性分析.docVIP

精品论文 参考文献 腹股沟疝手术部位感染与抗菌药物预防性使用的相关性分析 曾莉怡 余静 曾欣荣 王娅 易美玲 　　株洲市中心医院 湖南株洲 412000 　　【摘 要】目的探讨普外科腹股沟疝一类切口手术部位感染与抗菌药物预防性使用的关系，以提供此类手术预防性使用抗菌药物的参考。方法2013年开始进行围术期预防性使用抗菌药物的管理，并进一步加强《外科手术部位感染预防与控制技术指南》各项措施的落实。采用前瞻性调查与回顾性调查相结合的方法对2012年本院收治的122例腹股沟疝一类切口手术病例以及2013年本院收治的132例腹股沟疝一类切口手术病例进行回顾性调查，统计分析手术部位感染率、抗菌药物预防性应用率以及相关危险因素，采用SPSS19.0软件对数据进行统计分析。结果2012年的122例病例中抗菌药物使用率为17.21%感染率为1.64%，2013年132例病例中抗菌药物使用率为3.03%感染率为1.51%。结论在严格执行手术部位感染预防与控制措施的前提下，普外科腹股沟疝一类切口手术抗菌药物预防性使用与术后感染无明显相关性，此类手术不应常规预防性使用抗菌药物。 　　【关键词】腹股沟疝；手术部位感染；抗菌药物预防性使用；围术期 　　[Abstract] objective to explore the general type of incision inguinal hernia surgical site infection and the relationship between the preventive use of antimicrobial drugs，to provide such an operation reference of preventive use of antimicrobial agents. Methods since 2013，the management of perioperative prophylactic use of antimicrobial agents，and further strengthen the guide for surgical site infection prevention and control technology measures of implementation. Using prospective and retrospective survey of 2012 in our hospital were analyzed with the methods of 122 cases of incision inguinal hernia surgery and 2013 in our hospital treated 132 cases of inguinal hernia type of incision surgical cases were retrospectively investigation，statistical analysis of surgical site infection，prophylactic utility ratio of antimicrobial agents and related risk factors，using SPSS19.0 software for statistical analysis of data. Results 2012 of 122 cases of antimicrobial drug use is 17.21% infection rate was 1.64%，2013，132 cases of antimicrobial drug utilization rate of 3.03% infection rate was 3.03%. Conclusion in the strict enforcement of surgical site infection prevention and control measures under the premise of general type of incision inguinal hernia surgery preventive use of antimicrobial drugs and no obvious correlation between postoperative infection，this kind of surgery should not be routine prophylactic use of antimicrobial agents. 　　[Key words] inguin