Thực trạng nhiễm khuẩn vết mổ và một số yếu tố liên quan tại Bệnh viện Đa khoa tỉnh Vĩnh Phúc năm 2023=Prevalence of surgical site infections and factors related to surgical site infections at Vinh Phuc Province General Hospital in 2023

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Tác giả: Văn Sơn Đinh, Thị Lý Đoàn, Thu Trang Kiều, Thị Ngọc Ánh Phạm

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.43-49

Bộ sưu tập: Metadata

ID: 478182

Thêm vào giỏ

Nhiễm khuẩn vết mổ (NKVM) là một trong những mối đe dọa đối với các người bệnh phẫu thuật trên toàn thế giới, để lại một hậu quả nghiêm trọng ảnh hưởng trực tiếp đến sức khỏe người bệnh do kéo dài thời gian nằm viện, thời gian sử dụng kháng sinh, làm tăng chi phí điều trị và tăng tỷ lệ tử vong. Mục tiêu: Xác định tỷ lệ NKVM và một số yếu tố liên quan của người bệnh phẫu thuật tại Bệnh viện Đa khoa tỉnh Vĩnh Phúc. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang được thực hiện trên 2.388 người bệnh phẫu thuật tại tất các khoa Ngoại, Sản, Bệnh viện Đa khoa tỉnh Vĩnh Phúc từ 07/2023 đến 09/2023. Kết quả: Tỷ lệ NKVM là 1,4%. Tỷ lệ NKVM nông chiếm đa số 45,5%
tiếp đến là NKVM sâu 36,4%
NKVM tại cơ quan/khoang phẫu thuật là 18,1%. Các yếu tố liên quan đến NKVM bao gồm: người bệnh >
60 tuổi (OR = 5,2
KTC 95%: 1,5 – 17,9), thời gian phẫu thuật ≥120 phút (OR = 1,9
KTC 95%: 0,6 – 6,2), thời gian nằm viện trước mổ ≥7 ngày (OR = 6,8
KTC 95%: 2,0 – 22,7) , không sử dụng kháng sinh dự phòng (OR = 15,8
KTC 95%: 2,0 – 124,2), phẫu thuật nhiễm (OR = 8,5
KTC 95%: 1 – 73,5), phẫu thuật bẩn/nhiễm trùng (OR = 7,0
KTC 95%: 0,8 – 62,9). Kết luận: Trong nghiên cứu, tỷ lệ chung của NKVM là 1,4%. Các yếu tố nguy cơ có liên quan đến NKVM gồm tuổi trên 60, tăng thời gian phẫu thuật, tăng thời gian nằm viện, không sử dụng kháng sing dự phòng, phẫu thuật nhiễm và phẫu thuật bẩn/nhiễm trùng.Surgical site infection (SSI) is one of the threats to surgical patients worldwide, leaving serious consequences that directly affect the patient’s health due to prolonged time. Hospitalization, duration of antibiotic use, increased treatment costs, and increased mortality rate. Objective: The aim of this study was to describe the incidence of SSI and risk factors at Vinh Phuc Provincial General Hospital. Methods: A cross-sectional study was conducted on 2,388 surgical patients at all departments of Surgery and Obstetrics, Vinh Phuc Provincial General Hospital, from July 2023 to September 2023. Results: The rate of SSI was 1.4%. The rate of postoperative superficial SSI accounted for the majority of 45.5%, followed by postoperative deep SSI at 36.4%
organ/space SSI was 18.1%. Factors related to SSI included: patients >
60 years old (OR = 5.2
95% CI: 1.5 – 17.9), surgery time ≥120 minutes (OR = 1.9
95% CI: 0.6 – 6.2), preoperative hospital stay ≥7 days (OR = 6.8
95% CI: 2.0 – 22.7), no use of prophylactic antibiotics (OR = 15.8
95% CI: 2.0 – 124.2), contaminated surgery (OR = 8.5
95% CI: 1 – 73.5), dirty/infected surgery (OR = 7.0
95% CI: 0.8 – 62.9). Conclusions: In the study, the overall rate of SSI was 1.4%. Risk factors related to bacteremia include age over 60, increased surgery time, increased hospital stay, not using prophylactic antibiotics, contaminated surgery, and dirty/infected surfery.

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