贵州省138所医疗机构“感术”行动监测指标现况调查

Survey on current status of "Perioperative Infection Control" initiative monitoring indicators in 138 medical institutions in Guizhou Province

    摘要
  • 摘要:
    目的 调查贵州省二级甲等以上医疗机构“感术”行动相关指标监测现况, 并深入探讨外科手术患者围术期感染防控关键措施的执行情况。
    方法 根据《贵州省“感术”行动实施方案》, 编制《外科手术患者围术期感染防控关键措施个案调查表》, 共138所医疗机构参与个案调查, 共开展个案调查2 128例。
    结果 全省138所二级甲等以上医疗机构整体“感术”行动监测指标处于偏低水平, 皮肤清洁合格率为80.32%, 去除毛发合格率为16.43%, 预防性使用抗菌药物术前0.5~1 h给药率为55.94%, Ⅰ类切口手术预防性用药24 h内抗菌药物停药率为56.48%。三级医疗机构手术患者去除毛发合格率(19.21%)高于二级医疗机构(14.34%)(P=0.039)。4个监测指标在临床科室和手术类型的分布差异具有统计学意义(P＜0.05)；全省医疗机构首选的术区皮肤清洁方式为局部擦拭, 清水为主(57.21%)。去除毛发方式以剃刀为主(68.82%), 手术当日去除毛发最为常见(61.75%)。
    结论 开展贵州省医疗机构“感术”行动监测指标现况调查, 有助于了解围术期感染防控关键措施的执行情况和设立干预目标, 为建立动态监测指标变化机制提供参考。

     

    Abstract:
    OBJECTIVE To investigate the current status of monitoring indicators related to the "Perioperative Infection Control" in medical institutions above the secondary level in Guizhou Province, and to delve into the implementation of key measures for infection prevention and control during the perioperative period for patients undergoing surgical operations.
    METHODS Based on the "Implementation Plan for the ′Perioperative Infection Control′ Initiative in Guizhou Province", a "Case Investigation Form on Key Measures for Infection Prevention and Control During the Perioperative Period for Patients Undergoing Surgical Operation" was developed. A total of 138 medical institutions participated in the case investigation, and a total of 2 128 cases were investigated.
    RESULTS The overall monitoring indicators for the "Perioperative Infection Control" initiative in the 138 medical institutions above the secondary level in Guizhou Province were at a relatively low level. The skin cleansing compliance rate was 80.32%, the hair removal compliance rate was 16.43%, the prophylactic antibacterial drug administration rate within 0.5-1 hour before surgery was 55.94% and the antibacterial drug discontinuation rate within 24 hours after prophylactic medication for type I incision surgeries was 56.48%. The hair removal compliance rate was higher in tertiary medical institutions (19.21%) than in secondary medical institutions (14.34%) (P=0.039). The distribution of the four monitoring indicators varied in clinical departments and surgery types, with statistically significant differences (P < 0.05). The preferred method for surgical site skin cleansing in medical institutions across the province was local wiping, primarily with clean water (57.21%). The primary method for hair removal was razors (68.82%), and hair removal on the day of surgery was most common (61.75%).
    CONCLUSIONS Conducting a survey on the current status of "Perioperative Infection Control" initiative monitoring indicators in medical institutions in Guizhou Province helps to understand the implementation of key measures for perioperative infection prevention and control and set intervention targets, thus providing references for establishing a dynamic monitoring indicator change mechanism.

     

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