Raka Lul, Krasniqi Avdyl, Hoxha Faton, Musa Ruustem, Mulliqi Gjyle, Krasniqi Selvete, Kurti Arsim, Dervishaj Antigona, Nuhiu Beqir, Kelmendi Baton, Limani Dalip, Tolaj Ilir
National Institute for Public Health of Kosova, Prishtina, Kosova. ; SCHOOL OF MEDICINE, PRISHTINA UNIVERSITY, PRISHTINA, KOSOVA
World Hosp Health Serv. 2008;44(2):32-6.
Abdominal surgical site infections (SSI) cause substantial morbidity and mortality for patients undergoing operative procedures. We determined the incidence of and risk factors for SSI after abdominal surgery in the Department of Abdominal Surgery at the University Clinical Centre of Kosovo (UCCK).
Prospective surveillance of patients undergoing abdominal surgery was performed between December 2005 and June 2006. CDC definitions were followed to detect SSI and study forms were based on Europe Link for Infection Control through Surveillance (HELICS) protocol.
A total of 253 surgical interventions in 225 patients were evaluated. The median age of patients was 42 years and 55.1% of them were male. The overall incidence rate of SSI was 12%. Follow-up was achieved for 84.1% of the procedures. For patients with an SSI, the median duration of hospitalization was 9 days compared with 4 days for those without an SSI (p < 0.001). Surgical procedures were classified as emergent in 53.3% of cases. Superficial incisional SSI was most common (55%). Clinical infections were culture positive in 40.7% of cases. Duration of operation, duration of preoperative stay, wound class, ASA score > 2, use of antibiotic prophylaxis and NNIS class of > 2 were all significant at p < .001. The SSI rates for the NNIS System risk classes 0, 1 and 2-3 were 4.2%, 46.7% and 100%, respectively.
SSI caused considerable morbidity among surgical patients in UCCK. Appropriate active surveillance and infection control measures should be introduced during preoperative, intra-operative, and postoperative care to reduce infection rates.
腹部手术部位感染（SSI）会给接受手术的患者带来严重的发病率和死亡率。我们确定了科索沃大学临床中心（UCCK）腹部外科腹部手术后SSI的发生率及危险因素。
2005年12月至2006年6月对接受腹部手术的患者进行前瞻性监测。遵循美国疾病控制与预防中心（CDC）的定义来检测SSI，研究表格基于欧洲感染控制监测链接（HELICS）方案。
共评估了225例患者的253次手术干预。患者的中位年龄为42岁，其中55.1%为男性。SSI的总体发生率为12%。84.1%的手术获得了随访。发生SSI的患者中位住院时间为9天，未发生SSI的患者为4天（p<0.001）。53.3%的病例手术被分类为急诊。浅表切口SSI最为常见（55%）。40.7%的临床感染培养呈阳性。手术时间、术前住院时间、伤口类别、美国麻醉医师协会（ASA）评分>2、预防性使用抗生素以及国家医疗安全网络（NNIS）分级>2在p<0.001时均具有显著意义。NNIS系统风险等级0、1和2 - 3的SSI发生率分别为4.2%、46.7%和100%。
SSI在UCCK的手术患者中导致了相当高的发病率。应在术前、术中和术后护理期间采取适当的主动监测和感染控制措施以降低感染率。
