综合干预对经腹全子宫切除患者手术部位感染控制的效果

目的探讨综合干预措施预防与控制经腹全子宫切除患者手术部位感染的效果。方法回顾性调查某院2011年1月-2014年12月实施的经腹全子宫切除患者，2011年患者为干预前组，2012年1月开始开展手术部位感染前瞻性监测,同时采取综合干预措施,2012年1月-2014年12月患者为干预后组，比较干预前后患者手术部位感染情况。结果共调查经腹全子宫切除患者1 052 例，其中干预前监测患者267例，发生医院感染25例，发病率9.36%，手术部位感染12例，发病率4.49%；干预后监测患者785例，手术部位感染13例，发病率1.66%，2012、2013、2014年手术部位感染发病率分别为2.31%、1.89%、0.77%，呈逐年下降的趋势（χ2=7.30，P＜0.01）。结论开展手术部位感染前瞻性监测，同时采取综合干预措施,能降低经腹全子宫切除术手术部位感染发病率。

Effect of comprehensive intervention on controlling surgical site infection in patients undergoing total abdominal hysterectomy

ObjectiveTo evaluate the effect of comprehensive intervention measures on preventing and controlling surgical site infection (SSI) in patients undergoing total abdominal hysterectomy.MethodsPatients undergoing total abdominal hysterectomy in a hospital between January 2011 and December 2014 were investigated retrospectively, patients in 2011 were as control group, from January 2012, a prospective monitoring on SSI was initiated, comprehensive intervention measures were taken, patients between January 2012 and December 2014 were as intervention group, SSI before and after the intervention was compared.ResultsA total of 1 052 patients undergoing total abdominal hysterectomy were investigated, 267 cases were monitored before intervention, 25 patients (9.36%) developed healthcare associated infection (HAI), 12(4.49%) of whom were with SSI; 785 cases were monitored after intervention, 13(1.66%) of whom were with SSI, incidence of SSI in 2012, 2013,and 2014 were 2.31%, 1.89%, and 0.77% respectively, there was a decreasing tendency（χ2=7.30, P＜0.01）.ConclusionProspective monitoring on SSI and comprehensive intervention can reduce the incidence of SSI in patients undergoing total abdominal hysterectomy.