Condon R E, Schulte W J, Malangoni M A, Anderson-Teschendorf M J
Arch Surg. 1983 Mar;118(3):303-7. doi: 10.1001/archsurg.1983.01390030035006.
A five-year surgical would surveillance program included the following features: (1) observations were made by a trained nurse-surveyor; (2) all surgical services, without exception, were surveyed; (3) the nurse-surveyor reported directly to the Chief, Surgical Service; (4) all infected wounds and all suspected of harboring an infection were observed daily by the nurse-surveyor; (5) all wounds were inspected on the third and seventh postoperative days, at hospital discharge, and at a follow-up clinic visit; and (6) cultures were obtained from all infected wounds. Data concerning infections for all surgical services were published each month at the mortality-morbidity conference. The number of wounds closed primarily and the number of infected wounds were recorded, together with calculations of wound infection rates by operation class, for each surgical service and for the whole hospital. During the study, the rate of wound infections progressively declined. The overall incidence decreased from 3.5% before the study began to less than 1% at its conclusion.
（1）由一名经过培训的护士调查员进行观察；（2）无一例外，对所有外科服务进行调查；（3）护士调查员直接向外科服务主任汇报；（4）护士调查员每天观察所有感染伤口和所有疑似感染的伤口；（5）在术后第三天、第七天、出院时以及在随访门诊就诊时对所有伤口进行检查；（6）从所有感染伤口采集培养物。关于所有外科服务感染情况的数据每月在死亡率 - 发病率会议上公布。记录每个外科服务部门和整个医院一期愈合伤口的数量、感染伤口的数量，以及按手术类别计算的伤口感染率。在研究期间，伤口感染率逐渐下降。总体发病率从研究开始前的3.5%降至研究结束时的不到1%。
