某医学院附属医院手术部位感染的前瞻性研究

Ajeet Kumar, B. Kumar, Sunil Kumar
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摘要

背景:手术部位感染(SSI)是一个重要的术后并发症。了解其风险因素是必不可少的。本研究旨在了解穆扎法尔普尔斯克玛医院外科病房住院患者的手术部位感染情况。对象和方法:本横断面研究包括322例手术患者。记录了临床细节、SSI的发病和微生物谱。结果:患者平均年龄43.7岁。其中61.2%为男性。11.8%的病例发生手术部位感染。急诊手术中有20.2%发生SSI,择期手术中有8.1%发生SSI。脏创面感染发生率为36.1%,而干净创面感染发生率仅为5.2%。金黄色葡萄球菌最多(57.9%),假单胞菌次之(39.5%),克雷伯菌次之(23.7%)。结论:急诊手术和脏污伤口的SSI发生率较高。
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A Prospective Study of Surgical Site Infections in a Medical College Hospital
Background: Surgical site infections (SSI) are an important post-operative complication. Knowledge about its risk factors is essential. The present study was conducted to find the profile of surgical site infection among patients admitted in surgical ward of SKMCH, Muzaffarpur.Subjects and Methods:The present cross-sectional study included 322 patients undergoing surgery. Clinical details, onset of SSI and microbiological profile were noted.Results:Mean age of the cases was 43.7 years. 61.2% of these were males. 11.8% of the cases suffered from surgical site infection. Of the emergency surgeries, 20.2% had SSI while 8.1% elective surgery cases had SSI. 36.1% of the cases with dirty wound had SSI while only 5.2% of the cases with clean wound had such infection. S. aureus was the most common organism isolated (57.9%) followed by Pseudomonas (39.5%) and Klebsiella (23.7%).Conclusion: Incidence of SSI is higher in cases of emergency surgery and in dirty wounds.
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