Leissner K H
Acta Chir Scand. 1976;142(6):433-9.
The frequencies of postoperative wound infection in clean operations have been registered at a county hospital (Falun, Sweden) during a 15-year period (1958-1972). A total of 64,000 operations were done and about 32,000 of these have been registered as clean operations. In 1968 the wards were transformed from 12-bed rooms to 5-bed rooms and the operating theatres were rebuilt. All premises were equipped with high pressure air ventilation including lock system. Furthermore, a new intensive care unit and a new awakening unit were built. The overall postoperative wound infection (sepsis) rate during this 15-year period was 1.7 percent. The infection rates in the 5-year period before and in the 5-year period after opening of the new buildings were the same: 1.6 percent. After adding postoperative infections (sepsis) and postoperative inflammatory reactions, the total rates were almost the same: 4.1 percent before and 4.2 percent after. A slight rise in staphylococcal infections has been registered. This rise might suggest that the expected positive effects of the new buildings have been counteracted by other exogenous and endogenous factors. Some of these factors have been discussed (rise in mean age etc.). On the basis of this investigation it seems likely that the management (in all respects) of the surgical patients is still of the greatest importance, regardless of fine new buildings.
在瑞典法伦的一家县级医院，登记了15年期间（1958 - 1972年）清洁手术的术后伤口感染发生率。总共进行了64,000例手术，其中约32,000例被登记为清洁手术。1968年，病房从12人间改为5人间，手术室进行了重建。所有场所都配备了包括锁系统在内的高压空气通风设备。此外，新建了一个重症监护病房和一个苏醒室。在这15年期间，总体术后伤口感染（败血症）率为1.7%。新建筑启用前的5年期间和启用后的5年期间感染率相同：均为1.6%。将术后感染（败血症）和术后炎症反应相加后，总发生率几乎相同：之前为4.1%，之后为4.2%。已记录到葡萄球菌感染略有上升。这种上升可能表明新建筑预期的积极效果被其他外源性和内源性因素抵消了。已对其中一些因素进行了讨论（平均年龄上升等）。基于这项调查，无论新建筑多么精良，手术患者的管理（在各方面）似乎仍然最为重要。
