Effectiveness of a surgical wound surveillance program.
Effectiveness of a surgical wound surveillance program.
复制标题
手术伤口监测计划的有效性。
作者：
R. Condon;W. Schulte;M. Malangoni;M. J. Anderson
一项为期五年的外科伤口监测计划包括以下特点：（1）由一名受过训练的护士调查员进行观察;（2）对所有外科服务进行调查，无一例外;（3）护士调查员直接向外科服务主任报告;（4）护士调查员每天对所有感染伤口和所有疑似感染伤口进行观察;（5）在术后第三和第七天、出院时和随访时检查所有伤口;（6）从所有感染伤口获得培养物。关于所有外科服务的感染数据每月在死亡率-发病率会议上公布。记录初次闭合的伤口数量和感染伤口数量，并按手术类别计算每个外科服务和整个医院的伤口感染率。在研究期间，伤口感染率逐渐下降。总体发病率从研究开始前的3.5%下降到研究结束时的不到1%。
A five-year surgical would surveillance program included the following features: (1) observations were made by a trained nurse-surveyor; (2) all surgical services, without exception, were surveyed; (3) the nurse-surveyor reported directly to the Chief, Surgical Service; (4) all infected wounds and all suspected of harboring an infection were observed daily by the nurse-surveyor; (5) all wounds were inspected on the third and seventh postoperative days, at hospital discharge, and at a follow-up clinic visit; and (6) cultures were obtained from all infected wounds. Data concerning infections for all surgical services were published each month at the mortality-morbidity conference. The number of wounds closed primarily and the number of infected wounds were recorded, together with calculations of wound infection rates by operation class, for each surgical service and for the whole hospital. During the study, the rate of wound infections progressively declined. The overall incidence decreased from 3.5% before the study began to less than 1% at its conclusion.