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接受骨科手术患者的手术部位感染风险。

Risk of surgical site infection in patients undergoing orthopedic surgery.

作者信息

Ercole Flávia Falci, Franco Lúcia Maciel Castro, Macieira Tamara Gonçalves Rezende, Wenceslau Luísa Cristina Crespo, de Resende Helena Isabel Nascimento, Chianca Tânia Couto Machado

机构信息

Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.

出版信息

Rev Lat Am Enfermagem. 2011 Nov-Dec;19(6):1362-8. doi: 10.1590/s0104-11692011000600012.

Abstract

This study aimed to identify risk factors associated with surgical site infections in orthopedic surgical patients at a public hospital in Minas Gerais, Brazil, between 2005 and 2007. A historical cohort of 3,543 patients submitted to orthopedic surgical procedures. A descriptive analysis was conducted and surgical site infection incidence rates were estimated. To verify the association between infection and risk factors, the Chi-square Test was used. The strength of association of the event with the independent variables was estimated using Relative Risk, with a 95% confidence interval and p<0.05. The incidence of surgical site infection was 1.8%. Potential surgical wound contamination, clinical conditions, time and type of surgical procedure were statistically associated with infection. Identifying the association between surgical site infection and these risk factors is important and contributes to nurses' clinical practice.

摘要

本研究旨在确定2005年至2007年间巴西米纳斯吉拉斯州一家公立医院骨科手术患者手术部位感染的相关危险因素。对3543例行骨科手术的患者进行历史性队列研究。进行描述性分析并估算手术部位感染发病率。为验证感染与危险因素之间的关联,采用卡方检验。使用相对危险度估计事件与自变量的关联强度,置信区间为95%,p<0.05。手术部位感染发病率为1.8%。潜在的手术伤口污染、临床状况、手术时间和类型与感染在统计学上相关。确定手术部位感染与这些危险因素之间的关联很重要,有助于护士的临床实践。

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