产科手术部位感染监测结果分析

目的了解产科手术部位感染状况和控制效果。方法采用前瞻性调查方法，对2010年3月-2011年10月九江市妇幼保健院产科手术患者的手术切口感染情况进行调查和分析。结果20个月共监测产科手术患者3110例，剖宫产3063例，发生手术部位感染15例，感染率为0．49％；剖宫产加子宫切除11例，手术部位感染2例，感染率为18．18％：剖宫产加子宫肌瘤剔除术36例，手术部位感染2例，感染率为5．56％。结论手术时间长、创伤大和一般情况差的产妇感染风险增加，围术期使用抗菌药物能有效降低产科手术部位的感染率。

Analysis of surveillance for obstetrical surgical site infection

Objective To investigate the situation for obstetrical surgical site infection(SSI) and assess surveillance system for infections.Methods A prospective study was performed in patients who underwent obstetrical surgery in Jiujiang Women and Children Health Care Hospital during the period from March 2010 to October 2011.Results A total of 3 110 patients who had undergone obstetrical surgery were monitored.The rate of SSI was 0.49% in 15 of 3063 patients after cesarean section,18.18% in 2 of 11 patients after hysterectomy and 5.56% in 2 of 36 patients after myomectomy following cesarean delivery,respectively.Conclusion Factors significantly associated with a higher risk of infection at the operative site were prolonged duration of operation,increased wound length and poor general health.Perioperative use of antimicrobial drugs had proved effective in decreasing the incidence of SSI.