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[外科手术后伤口感染——德国的患病率(德国医院感染——评估与预防研究)]

[Postoperative wound infections in surgery--prevalence in Germany (Nosocomial Infections in Germany--Assessment and Prevention Study)].

作者信息

Kampf G, Schumacher M, Daschner F, Rüden H

机构信息

Institut für Hygiene, Freie Universität Berlin.

出版信息

Langenbecks Arch Chir Suppl Kongressbd. 1996;113:698-703.

PMID:9101971
Abstract

Part of the NIDEP study was to determine the prevalence of surgical site infections in the surgical departments of 72 representatively selected hospitals. Four physicians, trained and validated in detecting nosocomial infections, carried out the surveillance, based on the CDC criteria for nosocomial infections. The prevalence of surgical site infections was 1.34% for all surgical patients (n = 5377) and 2.13% for all operated patients (n = 3383). Lower rates were found in patients with a low ASA score, clean wounds, and an average duration of the operation. Most surgical site infections were noted after amputations (7.2%), operations on colon or rectum (4.1%), and appendectomies (3.8%).

摘要

国家糖尿病教育项目(NIDEP)研究的一部分是确定72家具有代表性的医院外科手术部位感染的患病率。四名经过检测医院感染培训并经验证的医生,根据美国疾病控制与预防中心(CDC)的医院感染标准进行监测。所有外科手术患者(n = 5377)的手术部位感染患病率为1.34%,所有接受手术治疗的患者(n = 3383)的患病率为2.13%。美国麻醉医师协会(ASA)评分低、伤口清洁且手术平均持续时间短的患者感染率较低。大多数手术部位感染发生在截肢术后(7.2%)、结肠或直肠手术(4.1%)以及阑尾切除术后(3.8%)。

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