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妇产科手术中的手术部位感染:一项前瞻性观察研究。

Surgical Site Infection in Obstetric and Gynecological Surgeries: A Prospective Observational Study.

作者信息

Kulkarni Sayali P, Kothari Oas

机构信息

Obstetrics and Gynecology, Sri Aurobindo Institute of Medical Sciences, Indore, IND.

出版信息

Cureus. 2023 Feb 11;15(2):e34855. doi: 10.7759/cureus.34855. eCollection 2023 Feb.

Abstract

Introduction An infection at an incisional site that develops within 30 days after surgery, or within a year if a prosthetic is implanted, is referred to as a surgical site infection (SSI). They are mainly caused by exogenous and/or endogenous microbes that penetrate the surgical site during surgery (primary infection) or after the procedure (secondary infection). The prevention of SSI should be the ultimate goal of the surgery team and hospital administration. Methodology The prospective observational study of SSI consisted of 920 patients who were admitted and underwent surgery between April 2021 and September 2022. After a complete examination, a detailed proforma for the collection of data pertaining to patients in this study was prepared, and patients were included as per the inclusion and exclusion criteria. Results The study demonstrated significant results in terms of the association of body mass index (BMI), hemoglobin, and blood sugar level with the SSI status (p<0.05) and nonsignificant results in terms of emergency/elective surgery, type of surgery, and type of incision (p>0.05). Conclusion The overall rate of SSI was 9.2% in the present study. The major reasons involved are inadequate infrastructure facilities, different antibiotics policies, and non-uniform pre-, intra-, and post-operative measures that add woes and result in an increased incidence of SSI. In the present study that was undertaken at a teaching and tertiary care center, the SSI incidence is comparatively lower, but with the implementation of correct knowledge and technique, the rate can further be reduced to a large extent.

摘要

引言

手术切口部位在术后30天内发生的感染,或植入假体后一年内发生的感染,称为手术部位感染(SSI)。它们主要由外源性和/或内源性微生物引起,这些微生物在手术期间(原发性感染)或手术后(继发性感染)侵入手术部位。预防手术部位感染应是手术团队和医院管理部门的最终目标。

方法

对手术部位感染的前瞻性观察研究包括920例在2021年4月至2022年9月期间入院并接受手术的患者。经过全面检查,编制了一份详细的表格,用于收集本研究中患者的数据,并根据纳入和排除标准纳入患者。

结果

该研究在体重指数(BMI)、血红蛋白和血糖水平与手术部位感染状态的关联方面显示出显著结果(p<0.05),而在急诊/择期手术、手术类型和切口类型方面显示出不显著结果(p>0.05)。

结论

本研究中手术部位感染的总体发生率为9.2%。主要原因包括基础设施不足、抗生素政策不同以及术前、术中和术后措施不统一,这些都增加了问题,并导致手术部位感染发生率上升。在这个教学和三级护理中心进行的本研究中,手术部位感染发生率相对较低,但通过实施正确的知识和技术,该发生率可以在很大程度上进一步降低。

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