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일반외과 환자의 환자위험지수에 따른 수술창상감염 발생률
Surgical Site Infection Rates according to patient Risk Index after General Surgery

첫 페이지 보기
  • 발행기관
    한국직업건강간호학회 바로가기
  • 간행물
    한국직업건강간호학회지 바로가기
  • 통권
    제11권 제1호 (2002.05)바로가기
  • 페이지
    pp.44-51
  • 저자
    이혜령
  • 언어
    한국어(KOR)
  • URL
    https://www.earticle.net/Article/A484

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원문정보

초록

영어
Purpose: Surgical Site Infection(SSI) is the third most common cause of nosocomial infection, so that it results in serious socioeconomic impact such as extra hospitalization, mortality and health care cost. The aim of this study was to analyses the SSI that based on the degree of wound contamination and patient risk index after general surgery and to generate a reference data for the effective management and reducing SSI. Method: From July, 1999 to June, 2000, 1080 cases which presented with surgical site infection after general surgery at S hospital in chunchon city were included in this study. The data were collected by review of the medical records retrospectively. The collected data, in accordance with the test purpose, is analyzed by SPSS/PC+ program, using real numbers, percentage, X2 test, Pearson's correlation and stepwise logistic regression. Result: The overall wound infection rate was 4.7%(51 cases out of 1,080). The infection rate of clean wounds was 1.4%. Surgical site infection rate for patient risk index scores of 0, 1, 2 and 3 was 1.9%, 8.0%, 13.1% and 20.0%, respectively and increased significantly according to patient risk index(p=.000). Sixteen of the fifty one(31.4%) surgical site infections were found during an outpatient visit after discharge. Multivariate analysis, identified two independent variables : duration of postoperation stay(p=.000), age(p=.037). The most frequent isolated organisms were Pseudomonas aeruginosa(21%) and Staphylococcus aureus(21%). Also Staphylococcus aureus were all MRSA(Methicillin Resistant S. aureus). Conclusion: In this study, SSI was analysed according to the degree of wound contamination and patient risk index after general surgery. The data that obtained from this study is expected that it would be available for surveillance and control of SSI.

키워드

Nosocomial infection Surgical site infection Patient risk index

저자

  • 이혜령

참고문헌

자료제공 : 네이버학술정보

간행물 정보

발행기관

  • 발행기관명
    한국직업건강간호학회 [Korean Academic Society of Occupational Health Nursing]
  • 설립연도
    1990
  • 분야
    의약학>간호학
  • 소개
    산업간호의 향상을 위한 학술활동을 목적으로 산업간호관련 연구, 교육 및 훈련, 정보교환, 학술교류, 학술지발행, 권익향상을 세부목표로 한다.

간행물

  • 간행물명
    한국직업건강간호학회지 [Korean Journal of Occup ational Health Nursing]
  • 간기
    계간
  • pISSN
    2287-2531
  • eISSN
    2466-1856
  • 수록기간
    1991~2026
  • 십진분류
    KDC 512 DDC 610

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