婷婷5 发表于 2024-4-3 09:32

污染切口术后检出细菌是医院感染还是社区感染?



data:image/png;base64,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

患者入院诊断:绞窄性膈疝伴有消化道穿孔,感染性休克。入院行横结肠部分切除+膈疝修补+横结肠单腔造瘘+左侧胸腔闭式引流术+腹腔冲洗引流术,术后脓毒性休克严重,反复有预警指标提示,多次在胸膜腔,腹水中检出屎肠球菌,考虑为社区感染的致病菌。
最后一次预警信息为切口部位检出细菌,和医生沟通后说是在手术切口部分挤压后的渗液送检的培养,检出菌也为屎肠球菌,和腹水和胸膜腔的检出菌同源。手术部位没有红肿热痛,皮肤缺损或化脓的情况。那这个预警病例是否是医院感染还是社区感染?

首先说下我的想法:
这个预警信息诊断有误,应该是器官间隙感染,诊断为社区感染。不知道各位老师的意见如何?

吴晓梅 发表于 2024-4-3 09:45

个人愚见:
手术部位感染分类里有器官腔隙感染。
该病例不存在器官腔隙感染,入院消化道穿孔,腹水中检出屎肠球菌,社区感染——腹腔感染,不是器官腔隙感染。
切口部位检出细菌,没有红肿热痛,没有脓性分泌物就不是表浅手术部位感染;如果有相关症状的属于医院感染——表浅手术部位感染。

jerkran 发表于 2024-4-3 09:48

不属于                                 

婷婷5 发表于 2024-4-3 10:42

吴晓梅 发表于 2024-4-3 09:45
个人愚见:
手术部位感染分类里有器官腔隙感染。
该病例不存在器官腔隙感染,入院消化道穿孔,腹水中检出屎 ...

是的,吴老师,你说的对。如果诊断为社区感染的话就应该不属于器官腔隙感染了,我概念搞混淆了。
但是再问一句,这个预警信息诊断就应该修正为腹腔感染?

婷婷5 发表于 2024-4-3 10:43

jerkran 发表于 2024-4-3 09:48
不属于

我也这样想的,谢谢你的指导

吴晓梅 发表于 2024-4-3 10:46

婷婷5 发表于 2024-4-3 10:42
是的,吴老师,你说的对。如果诊断为社区感染的话就应该不属于器官腔隙感染了,我概念搞混淆了。
但是再 ...

预警信息不是医院感染就排除好了,不用去修改。

胡家光 发表于 2024-4-6 16:33

浅表切口没有红肿热痛,不属于浅表切口感染,入院前存在穿孔,腹水,存在腹腔感染

怡彩纷呈 发表于 2024-4-7 07:54

切口无红肿热痛,还是考虑社区感染。

怡彩纷呈 发表于 2024-4-7 07:56

这里,需要重点关注,切口情况。尤其是个别外科医生,喜欢挤压切口,很容易造成人为性切口感染
页: [1]
查看完整版本: 污染切口术后检出细菌是医院感染还是社区感染?