| 开放性骨折手术部位感染危险因素分析 |
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| 引用本文： | 李筱轶,秦瑾,冯忠军,高伟,王鹏. 开放性骨折手术部位感染危险因素分析[J]. 中华医院感染学杂志, 2010, 20(6) |
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| 作者姓名： | 李筱轶 秦瑾 冯忠军 高伟 王鹏 |
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| 作者单位： | 河北医科大学第三医院感控科,河北,石家庄,050051 |
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| 基金项目： | 河北省卫生厅科研项目 |
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| 摘 要： | 目的了解开放性骨折手术部位感染(SSI)的危险因素,探讨更有效的预防与控制措施。方法筛选2007年9月～2009年9月在医院接受开放性骨折手术治疗的患者病例,对其进行回顾性调查与分析。结果调查开放性骨折手术病例1233例,感染率为11.27%,感染与患者年龄、性别及导致创伤的原因等因素无相关性;与创伤类型、清创时间及创伤部位等因素有显著相关性;检出病原菌88株,以铜绿假单胞菌为主,占23.86%,其次为金黄色葡萄球菌,占19.32%。结论开放性骨折患者易发生手术部位感染,不仅与创伤严重程度有关,还与清创时间、创伤部位细菌数量与毒力密切相关,应对其采取相应的有效措施,降低SSI发生率。
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| 关 键 词： | 开放性骨折 手术部位感染 危险因素 措施 清创术 病原菌 |
Risk Factors for Surgical Site Infection in Open Fractures |
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| LI Xiao-yi,QIN Jin,FENG Zhong-jun,GAO Wei,WANG Peng. Risk Factors for Surgical Site Infection in Open Fractures[J]. Chinese Journal of Nosocomiology, 2010, 20(6) |
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| Authors: | LI Xiao-yi QIN Jin FENG Zhong-jun GAO Wei WANG Peng |
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| Affiliation: | LI Xiao-yi,QIN Jin,FENG Zhong-jun,GAO Wei,WANG Peng(The Third Hospital,Hebei Medical University,Shijiazhuang,Hebei 050051,China) |
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| Abstract: | OBJECTIVE To explore more effective measures for preventing and controlling surgical site infection(SSI) in open fractures.METHODS A retrospective survey was carried out and 1233 cases of open fractures from Sept 2007 to Sept 2009 in our hospital) were surveyed.The risk factors of SSI in open fractures were analyzed.RESULTS The incidence of SSI in open fractures was 11.27%.There was no correlation among age,gender,cause of injury and infection,but there was significant correlation among traumatic type,debri... |
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| Keywords: | Open fracture Surgical site infection Risk factors Measures Debridement Pathogen |
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