Jensen P, Haugegaard L M, Thomsen H, Roikjaer O
Ortopaedkirurgisk afdeling, Centralsygehuset i Naestved.
Ugeskr Laeger. 1994 Feb 28;156(9):1273-5.
A study was undertaken to determine the sensitivity of a computerized surveillance system for postoperative wound infection. From 1987 to 1990, 5177 orthopaedic operations were recorded. Four hundred and forty-five randomly selected patients received a questionnaire. Three hundred and eighty-eight (87.2%) replied. Of 355 (79.8%) usable answers, 75 (21.1%) stated to have had signs of infection, 50 (14.1%) had been seen by a doctor, 25 (7.0%) had not found this necessary. We found seven patients with deep wound infection of which three were not recorded. The sensitivity of the surveillance system concerning deep wound infection was found to be 57.1% (18.4-90.1), and for superficial wound infection to be 9.1% (1.9-24.3). We conclude that the surveillance system is not useful for the intended purpose. We propose to record a few selected types of operation, where all should be seen as out-patients at a suitable time following operation, and thereby get a more valid recording of the frequency of postoperative wound infection.
开展了一项研究以确定计算机化监测系统对术后伤口感染的敏感性。1987年至1990年期间，记录了5177例骨科手术。随机选择了445名患者并发放问卷。388人（87.2%）进行了回复。在355份（79.8%）可用答案中，75人（21.1%）表示有感染迹象，50人（14.1%）看过医生，25人（7.0%）认为没有必要。我们发现7例深部伤口感染患者，其中3例未被记录。监测系统对深部伤口感染的敏感性为57.1%（18.4 - 90.1），对浅表伤口感染的敏感性为9.1%（1.9 - 24.3）。我们得出结论，该监测系统对于预期目的并无用处。我们建议记录几种选定类型的手术，所有患者术后应在适当时间作为门诊患者接受检查，从而更有效地记录术后伤口感染的发生率。
