泽迪都纪念医院手术患者手术部位感染的流行情况。2020年12月埃塞俄比亚亚的斯亚贝巴。

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摘要

背景:手术部位感染是最常见的医院获得性感染。这是一种常见的并发症,可导致手术后严重的发病率和死亡率。它也是延长住院时间的主要原因,占医院费用的20%。方法与材料:采用基于医院的回顾性横断面研究技术,随机抽取144例外科患者,于2019年1月1日至12月31日进行分析。这些信息是通过世界卫生组织制定的手术安全修订标准核对表和国家医院感染监测网络获得的。采用严格的随机抽样策略来选择研究参与者。使用频率和百分比等描述性统计来描述数据。结果:144例手术患者中有13例发生手术部位感染(9.02%)。择期手术病例102例(71%),急诊手术病例42例(29%)。其余99名(69%)研究参与者接受预防性抗生素治疗,其中73名(73%)接受头孢曲松治疗,3%接受氨苄西林治疗,23名(24%)接受头孢曲松和甲硝唑联合治疗。手术部位感染13例(9.02%)。手术部位浅表感染6例(46%),深部感染4例(31%),器官间隙感染3例(23%)。11例(84%)患者采用静脉注射抗生素和伤口处理,1例(8%)患者采用伤口清创,其余1例(8%)患者采用剖腹手术、抗生素和伤口处理。结论:本研究区手术部位感染少见。大部分人口是由妇女组成的。预防性抗生素的使用和患者的年龄都是手术部位感染发生的变量
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Prevalence of Surgical Site infections among Surgical operated patients in Zewditu Memorial Hospital. Addis Ababa Ethiopia December 2020.
Background: Surgical site infections are the most common kinds of hospital-acquired infections. It's a common complication that can cause serious morbidity and mortality after surgery. It is also the major cause of extended hospital stays, accounting for up to 20% of hospital expenses. Methods and materials: A random sample of 144 surgical patients was analyzed utilizing a hospital-based retrospective cross-sectional study technique from January 1 to December 31, 2019. The information was acquired using a World Health Organization-developed modified standardized checklist for surgery safety and the national surveillance network for nosocomial infections. A rigorous random sampling strategy was used to choose study participants. Descriptive statistics such as frequency and percentage were used to describe the data. Result: A total of 13 of the 144 patients who were operated on had surgical site infections (9.02 percent). Elective surgical cases made up 102 (71%) of the total, while emergency surgical cases comprised 42 (29%). Preventive antibiotics were administered to the remaining 99 (69%) research participants, with 73 (73%) receiving ceftriaxone, 3% receiving ampicillin, and 23 (24%) receiving a combination of ceftriaxone and metronidazole. There were 13 cases of surgical site infections in all (9.02 percent). Six (46%) were superficial surgical site infections, four (31%) were deep surgical site infections, and three (23%) were organ space surgical site infections. 11 (84%) patients were treated with IV antibiotics and wound treatment, 1 (8%) cases with wound debridement, and the remaining 1 (8%) cases with laparotomy, antibiotics, and wound management. Conclusion: In this study area, surgical site infection is infrequent. The bulk of the population is made up of women. The use of prophylactic antibiotics and the age of the patients were both variables in the development of surgical site infections
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