Effect of target monitoring on surgical site infection:clinical evaluation

OBJECTIVE To evaluate the intervening effect on nosocomial infection by investigating the risk factors of surgical site infection and the usage of perioperative antibacterial agents. METHODS Using the prospective monitoring method,professional infection management group filled in the self-designed survey including the surgical sites and the risk factors from May 2009 to May 2010.Data from 534 patients of breast cancer,gastric cancer or colon cancer were analyzed. RESULTS The surgical site infection rate of the 1st stage was 0.72%,and the 2nd stage was 0,Among the 1st stage,infection rate of the type Ⅰ incision and Ⅱ was 0.and type Ⅲ incision was 3.28%(P0.01).The antibiotic usage in perioperative period was obviously normative.The usage during anesthesia induction increased from the 1st stage's 2.17% to the 2nd stage's 82.56%.The antibiotic usage after operation was less than 24h,increasing from 1st stage's 6.61% to 2nd stage's 30.23%.The rate without the usage of antibiotic increased from 1st stage's 1.81% to 2nd stage's 8.14%,while the single antibiotic usage increased from 30.07% to 44.96%. CONCLUSION Objective monitoring on surgical site infection can effectively reduce the infection rate.The preventive usage of antibiotics during perioperative period is obviously normative.