儿童手术部位感染的发生率及危险因素：一项前瞻性研究。

Incidence and risk factors of surgical wound infection in children: a prospective study.

机构信息

Tartu University Department of Surgery, Tartu, Estonia.

出版信息

Scand J Surg. 2010;99(3):162-6. doi: 10.1177/145749691009900311.

DOI:10.1177/145749691009900311

PMID:21044934

Abstract

BACKGROUND AND AIMS

to establish the incidence and risk factors of surgical site infection (SSI) in children operated in the Department of Paediatric Surgery of the Clinic of Surgery of Tartu University Hospital.

MATERIAL AND METHODS

the data of wound healing were obtained for 589 children operated between 15 March 2003 and 31 March 2005. The operations were divided into general surgical (451), orthopaedic (70) and urological (68). The surgical wounds were classified as clean (442), clean-contaminated (96), contaminated (36) and dirty-infected (15). Univariate and multivariate analyses were performed to identify risk factors.

RESULTS

There were 7 SSI cases, overall rate being 1.2%. Superficial wound infection occurred in 5 cases and deep wound infection occurred in 2 cases. There was no organ/space infection. SSI was significantly more frequent in the case of contaminated and dirty-infected compared with clean or clean-contaminated operations, 7.8% and 0.6%, respectively (p = 0.0008). Wound infection endangered more children who had operation related complications compared with non-complicated cases, 11.1% and 0.4%, respectively (p < 0.0001).

摘要

背景与目的

本研究旨在确定在塔尔图大学医院外科诊所小儿外科接受手术的儿童的手术部位感染（SSI）发生率和危险因素。

材料与方法

我们收集了 2003 年 3 月 15 日至 2005 年 3 月 31 日期间接受手术的 589 名儿童的数据，这些手术被分为普外科手术（451 例）、矫形外科手术（70 例）和泌尿科手术（68 例）。手术切口分为清洁切口（442 例）、清洁污染切口（96 例）、污染切口（36 例）和感染切口（15 例）。我们进行了单因素和多因素分析以确定危险因素。

结果

共有 7 例 SSI，总发生率为 1.2%。5 例为浅表切口感染，2 例为深部切口感染。无器官/腔隙感染。与清洁或清洁污染手术相比，污染和感染切口的 SSI 发生率显著更高，分别为 7.8%和 0.6%（p = 0.0008）。与无并发症病例相比，手术相关并发症的患儿更易发生切口感染，发生率分别为 11.1%和 0.4%（p < 0.0001）。