DOI:
江苏卫生事业管理:2025,Vol.>>Issue(6):807-809
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精准感控在手术部位感染防控中的实践与思考△
徐文君,尚 前*,吴岷岷
(南京医科大学附属妇产医院、南京市妇幼保健院感染管理办公室)
Practice and Discussion of Precision Sensory Control in the Prevention and Control of Surgical Site Infections△
XU Wenjun,SHANG Qian*,WU Minmin
(Women’s Hospital of Nanjing Medical University,Infection Management Office,Nanjing Women and Children’s Healthcare Hospital)
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中文摘要: 目的:结合金黄色葡萄球菌(SA)引发的手术部位感染聚集事件的处置经验,探讨精准感控在手术部位感染防控中的作用。方法:对2023年8月在妇科病区SA引发手术部位感染聚集事件,采用精准感控策略进行处置:溯源调查、定制采样方案、复盘事件开展培训、制定专科化制度,实施针对性的控制措施。结果:通过主动筛查发现5名医务人员鼻拭子检出SA/MRSA,采取精准、集束化防控措施后,去定植成功率100%,手卫生依从率和培训覆盖率均较前提高,手术部位感染率降低(P < 0.05)。结论:SA定植是引起手术部位感染的重要因素,主动筛查、精准感控策略能有效控制医院感染的蔓延。
Abstract:Objective:To explore role of precision sensory control in the prevention and control of surgical site infection,in the context of the experience of handling a nosocomial infection cluster incident of surgical site infection caused by SA. Methods:Adopting precise infection control strategies to deal with the surgical site infection cluster caused by SA in the gynecology ward in August 2023,such as tracing investigations,customizing sampling plans,conducting retrospective training,developing specialized systemsand implementing targeted control measures. Results:Through proactive screening 5 healthcare workers had nasal swabs positive for SA or MRSA,after precision sensory and intensive preventive control measures,there was a 100% success rate of decolonization. The compliance rate of hand hygiene and training coverage have both increased,and the surgical site infection rate has decreased(statistically significant,P < 0.05). Conclusion:SA colonization was an important factor causing surgical site infections. The strategy of proactive screening and precision sensory control is effective in controlling the spread of nosocomial infections.
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基金项目:江苏省医院协会医院管理创新研究课题(JSYGY-3-2023-253) 江苏省医院协会医院管理创新研究课题(JSYGY-3-2023-253)
引用文本:
徐文君,尚 前*,吴岷岷.精准感控在手术部位感染防控中的实践与思考△[J].江苏卫生事业管理,2025,36(6):807-809.
XU Wenjun,SHANG Qian*,WU Minmin.Practice and Discussion of Precision Sensory Control in the Prevention and Control of Surgical Site Infections△[J].Jiangsu Health System Management,2025,36(6):807-809.

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