1992年一项关于外科伤口感染的全国性研究。

A national study on surgical wound infections 1992.

作者信息

Danchaivijitr S, Jitreecheue L, Chokloikaew S, Suthisanon L, Tantiwatanapaibool Y, Poomsuwan W

机构信息

Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

出版信息

J Med Assoc Thai. 1995 Jul;78 Suppl 2:S73-7.

PMID:7561599

Abstract

A study on SWI was done in 33 hospitals in Thailand between March 16 and May 15, 1992 involving 15,319 surgical wounds. The average incidence rate of SWI as 2.7 per cent. It was highest in provincial hospitals. Patients aged under 10 years and 51-60 years had higher rates of SWI. It was most prevalent in the surgical department followed in rank by accident and orthopaedic departments respectively. Wound types were the most important denominator of SWI; the incidence of SWI in dirty, contaminated, clean-contaminated and clean wounds were 9.7, 5.1, 1.5 and 1.3 per cent respectively. Antimicrobial prophylaxis were used in 76.7 per cent of the wounds. Ampicillin, gentamicin and cloxacillin were the commonly used drugs. Prevention of SWI needs to be improved in provincial hospitals and in the use of prophylactic antimicrobials.

摘要

1992年3月16日至5月15日期间，泰国33家医院对15319例手术伤口进行了一项关于手术伤口感染（SWI）的研究。SWI的平均发病率为2.7%。在省级医院发病率最高。10岁以下和51 - 60岁的患者SWI发病率较高。SWI在外科最为普遍，其次依次是事故科和骨科。伤口类型是SWI最重要的决定因素；污染伤口、沾染伤口、清洁-污染伤口和清洁伤口的SWI发病率分别为9.7%、5.1%、1.5%和1.3%。76.7%的伤口使用了抗菌药物预防。氨苄青霉素、庆大霉素和氯唑西林是常用药物。省级医院以及预防性抗菌药物的使用方面，SWI的预防工作需要改进。