中国手术部位感染防控管理进展

Progress in prevention and control of surgical site infections in China

  • 摘要: 手术部位感染(SSI)是重要的医院感染类型,其发生率在不同地区及手术类型中存在差异。SSI不仅增加了医疗系统的负担,也对患者安全和生活质量造成严重威胁。我国已构建了包括法律、行业标准、指南等多层级、多维度的管理框架,通过《医院感染管理办法》《手术部位感染预防与控制技术指南》等多项文件规范防控行为。近年来,随着国内外合作的开展、专业指南与共识的制定、循证研究的实施,我国SSI防控取得了一定成效,但仍存在不同地区认知和执行差异、数据共享和整合不足、长期随访缺失等问题。未来需通过创建人工智能辅助的个性化防控模式、构建跨学科协同防控体系、促进行政管理与专业化的落实,以持续优化SSI防控体系,提升医疗质量和患者安全。

     

    Abstract: Surgical site infection (SSI) is a significant type of hospital-associated infection, with varying incidence rates across different regions and surgical procedures. SSI not only increases the burden on the healthcare system but also poses serious threats to patient safety and quality of life. China has established a multi-level and multi-dimensional management framework, including laws, industry standards and guidelines, to regulate prevention and control behaviors through various documents such as the "Measures for the Management of Hospital-associated Infection" and the "Technical Guidelines for the Prevention and Control of Surgical Site Infection". In recent years, with the development of international and domestic cooperation, the formulation of professional guidelines and consensuses and the implementation of evidence-based research, China has achieved certain results in SSI prevention and control. However, problems such as differences in awareness and implementation across regions, inadequate data sharing and integration and lack of long-term follow-up still exist. In the future, it is necessary to create an AI-assisted personalized prevention and control model, establish an interdisciplinary collaborative prevention and control system and promote the implementation of administrative management and professionalization to continuously optimize the SSI prevention and control system and improve medical quality and patient safety.

     

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