Nhiễm khuẩn vết mổ và một số yếu tố thực hành phòng ngừa liên quan tại một bệnh viện tỉnh Hải Dương năm 2023=Surgical site infections and some related preventive practice factors at a hospital in Hai Duong Province in 2023

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Tác giả: Thị Linh Lê, Thị Linh Nguyễn, Thị Thu Hương Nguyễn, Thị Thu Hường Nguyễn, Xuân Hùng Nguyễn, Thanh Thảo Trần, Thị Nhung Trần, Hồng Ngọc Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.133-140

Bộ sưu tập: Metadata

ID: 243462

Thêm vào giỏ

Nghiên cứu nhằm xác định tỉ lệ Nhiễm khuẩn vết mổ (NKVM), một số thực hành phòng ngừa liên quan tới NKVM tại một bệnh viện tỉnh Hải Dương năm 2023. Phương pháp: Nghiên cứu mô tả cắt ngang có phân tích trên 222 người bệnh phẫu thuật tại Trung tâm Ung bướu tại một bệnh viện Đa khoa tỉnh Hải Dương từ tháng 10/05/2023 đến 28/07/2023. Kết quả: Tỷ lệ NKVM (7,2%) với 11/222 (5,0%) NB mắc NKVM được phát hiện điều trị nội trú và 5/215 (2,3%) người bệnh phát hiện sau ra viện. Phân tích hồi quy logistic đơn biến cho thấy việc chưa kiểm soát tốt nồng độ albumin trong máu trước phẫu thuật, người bệnh chỉ tắm vào sáng ngày phẫu thuật, tắm tại bệnh viện, tự ý loại bỏ lông/tóc không đúng và nhân viên y tế đeo găng tay vô khuẩn sai kỹ thuật, ra vào phòng phẫu thuật và không đóng kín của phòng phẫu thuật là các yếu tố liên quan gây NKVM. Kết luận: Nhiễm khuẩn vết mổ là một nhiễm khuẩn cần được kiểm soát và phát hiện sớm. Thực hiện tốt các biện phòng phòng ngừa nhiễm khuẩn vết mổ là vô cùng quan trọng và cấp thiết nhằm giảm tỷ lệ nhiễm khuẩn vết mổ.The study aims to determine the rate of Surgical Site Infection (SSI), some preventive practices related to SSI at a hospital in Hai Duong province in 2023. Method: Cross-sectional descriptive study with analysis on 222 surgical patients at the Oncology Center at a General Hospital in Hai Duong province from May 10, 2023 to July 28, 2023. Results: SSI rate (7.2%) with 11/222 (5.0%) patients with SSI detected as inpatients and 5/215 (2.3%) patients detected after discharge. Univariate logistic regression analysis showed that poor control of preoperative blood albumin levels, patients only bathing on the morning of surgery, bathing at the hospital, improper hair removal, and medical staff wearing sterile gloves incorrectly, entering and leaving the operating room and not closing the operating room were factors associated with SSI. Conclusion: Surgical site infection is an infection that needs to be controlled and detected early. Good implementation of preventive measures for surgical site infection is extremely important and urgent to reduce the rate of surgical site infection.

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