Wang Dong, Wu Jinlin, Deng Jianjun, Luo Ming, Ruan Jie, Yang Zhan
Department of Medical Affairs, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China, China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, China.
Ginekol Pol. 2025;96(1):7-12. doi: 10.5603/gpl.95073. Epub 2023 Oct 20.
We used the National Nosocomial Infections Surveillance (NNIS) risk index to determine risk factors associated with surgical site infections (SSIs) following gynecologic surgeries.
A retrospective study was conducted based on the medical records of 185 patients with SSIs, following gynecologic surgeries at a Grade A tertiary gynecologic and obstetric hospital in southwest China during September 2013-June 2021.
Suspected risk factors associated with SSIs were: length of hospital stay, age, whether the patient had cancer, whether the patient had chemotherapy or high-dose antibiotic therapy before surgery, duration of surgery, amount of blood loss, and whether a blood transfusion was done. It was found that SSIs were more likely to occur in cancer patients with an NNIS risk index score of 1 and in patients with preoperative chemotherapy and an NNIS risk index score of 2. Among the patients with an NNIS risk index score of 2, the older the patient, the higher incidence of SSIs.
Gynecologic surgery teams should pay more attention to the independent risk factors associated with SSIs determined by the NNIS risk index score to prevent SSIs following gynecologic surgeries, thus ensuring patient safety.
我们使用国家医院感染监测（NNIS）风险指数来确定妇科手术后手术部位感染（SSI）的相关危险因素。
基于2013年9月至2021年6月期间中国西南部一家甲级三级妇产科医院185例妇科手术后发生手术部位感染患者的病历进行回顾性研究。
与手术部位感染相关的可疑危险因素包括：住院时间、年龄、患者是否患有癌症、患者术前是否接受化疗或大剂量抗生素治疗、手术时长、失血量以及是否进行输血。结果发现，NNIS风险指数评分为1的癌症患者以及术前接受化疗且NNIS风险指数评分为2的患者发生手术部位感染的可能性更高。在NNIS风险指数评分为2的患者中，患者年龄越大，手术部位感染的发生率越高。
妇科手术团队应更加关注由NNIS风险指数评分确定的与手术部位感染相关的独立危险因素，以预防妇科手术后的手术部位感染，从而确保患者安全。
