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规范手术室工作人员操作预防与控制手术部位感染(1)
http://www.100md.com 2012年7月1日 《中国保健营养·中旬刊》 20127
     【摘 要】目的:探讨总结规范手术室工作人员的各种操作在预防与控制手术部位感染的重要性,方法:回顾性分析医院自2008年10月—2011年10月,临床科室发生的142例手术切口感染患者,从手术室环境准备、手术物品备用、手术室活动控制、合适的手术人员着装、严格的外科手消毒及合理的抗菌素的预防应用等几方面对比发生手术切口感染的相关因素,结果142例手术切口感染患者中手术难度较大持续时间较长参观人员较多,感染率占66%;手术室流动人员较多和不必要的交谈、备皮时间距手术时间较长、手术技巧、不恰当预防应用抗生素以及违反着装规定(戴项链,穿毛衣等)、低体温及麻醉影响等其它因素占34% 。

    结论通过加强手术室管理、规范手术室工作人员操作,有效降低手术部位感染率

    【关键词】规范;操作;手术部位;感染率

    【中图分类号】R197 【文献标识码】A 【文章编号】1004-7484(2012)07-0037-02

    【Abstract】objective: to study the standard working staff of the operating room summarizes various operating in the prevention and control of the importance of surgical site infection, methods: a retrospectie analysis of hospital since October 2008-in October 2011, the clinical departments of 142 cases of surgical incision happen infect patients, from the operating room to spare, environment surgical items, the operating room, and the right operation activities control personnel, strict dress code of surgical hand disinfection and reasonable application of antibiotics to prevent aspects of surgical incision infection occurred contrast related factors, 142 cases of surgical incision infection results in patients with difficult operation continues for a long time to visit personnel is more, infection rates were 66%; The operating room flow personnel is more and unnecessary talk, time for skin from operation time is longer, surgical skills, inappropriate use of antibiotics and prevent violation of dress code (wearing a necklace, wear sweaters, etc), low temperature and anesthesia and other factors affect 34%.Conclusion: through the strengthening operating room management, the standard operating room staff operation, effectively reduce the surgical site infection rates ......
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