Khảo sát tỷ lệ và các yếu tố nguy cơ nhiễm khuẩn vết mổ tại khoa ngoại thần kinh Bệnh viện Nhân Dân 115=Survey of the incidence and risk factors of surgical site infections in the neurosurgery department at People's 115 Hospital

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Tác giả: Thị Phương Dung Đặng, Thị Thanh Lan Đặng, Thị Thúy Phượng Lê, Văn Tuấn Nguyễn

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.63-69

Bộ sưu tập: Metadata

ID: 243471

Thêm vào giỏ

Khảo sát tỷ lệ và các yếu tố nguy cơ nhiễm khuẩn vết mổ tại Khoa Ngoại thần kinh, Bệnh viện Nhân dân 115. Đối tượng và phương pháp nghiên cứu: Nghiên cứu cắt ngang từ 20/05/2023 đến 20/07/2023 trên 302 người bệnh được phẫu thuật tại Khoa Ngoại thần kinh, Bệnh viện Nhân dân 115. Kết quả: Tỷ lệ nhiễm khuẩn vết mổ chung là 2,3% (7/302) người bệnh tham gia nghiên cứu. Trong đó 2 người bệnh được xác định nhiễm khuẩn vết mổ trong thời gian nằm viện và 5 người bệnh được xác định nhiễm khuẩn vết mổ sau xuất viện trong thời gian 30 ngày sau phẫu thuật. Tất cả nhiễm khuẩn vết mổ đều là nhiễm khuẩn vết mổ nông. Có 2 người bệnh được cấy vi sinh dịch vết mổ, trong đó 1 mẫu vi khuẩn dương tính được xác định là Escherichia coli. Có 2 người bệnh được cấy máu, trong đó 1 mẫu vi khuẩn dương tính được xác định là Escherichia coli. Chúng tôi tìm thấy mối liên quan giữa bệnh lý đi kèm và nhiễm khuẩn vết mổ (giá trị p = 0,039). Chúng tôi không tìm thấy mối liên quan giữa nhóm tuổi, giới tính, BMI, phân độ ASA, phân loại vết mổ, chỉ số NNIS, loại phẫu thuật, phương pháp vô cảm, phương pháp mổ, dẫn lưu, sử dụng kháng sinh dự phòng, thời gian nằm viện trước phẫu thuật, thời gian nằm viện, thời gian phẫu thuật với nhiễm khuẩn vết mổ (giá trị p >
0,05). Kết luận: Tỷ lệ nhiễm khuẩn vết mổ tại Khoa Ngoại thần kinh là 2,3% và bệnh lý đi kèm có liên quan đến nhiễm khuẩn vết mổ.To survey the incidence of surgical site infections (SSIs) and investigate risk factors at the Neurosurgery Department of People's 115 Hospital. Methods: The cross-sectional study was conducted from May 20, 2023 to July 20, 2023 on 302 patients who underwent surgery at the Neurosurgery Department of People's 115 Hospital. Results: The overall incidence of surgical site infections was 2.3% (7/302) among the study participants. Of these, 2 patients were identified with SSIs during hospitalization and 5 patients were identified with SSIs after discharge within 30 days of surgery. All SSIs were superficial SSIs. Two patients had wound cultures taken, with one positive sample identified as Escherichia coli. Additionally, two patients had blood cultures taken, with one positive sample also identified as Escherichia coli. There was a significant association between comorbidities and SSIs (p = 0.039). No significant associations were found between age groups, gender, BMI classification, ASA classification, wound classification, NNIS index, type of surgery, anesthesia method, surgical technique, drainage, prophylactic antibiotic use, preoperative length of stay, hospital length of stay or operative time with SSIs (p-value >
0.05). Conclusion: The incidence of surgical site infections in the Neurosurgery Department is 2.3% and comorbidities are an independent predictor of SSIs.

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