外科医生手术部位感染监测（翻译有奖）

潮水

Surveillance of surgical site infections by surgeons: biased underreporting or useful epidemiological data?
Journal of Hospital Infection
Volume 75, Issue 3, July 2010, Pages 178-182
Summary
Surgical site infections (SSIs) significantly increase post-operative morbidity and mortality. SSI surveillance is an established monitoring tool and reduces SSI rates. The purpose of this study was to compare prospective in-hospital SSI surveillance (I) by the surgical staff and (II) additionally by an infection control team (ICT). The reference method (III) was defined by data generated by the surgical team, supplemented by the ICT and completed by post-discharge surveillance with a post-operative follow-up of one year representing the sum of all available resources. During 24 months, all consecutive inpatient procedures (N = 6283) were prospectively recorded by the surgical staff until patients' discharge (I). SSI rates were compared with the surveillance performed by the ICT (II) and with the reference method (III). The overall SSI rate (reference method) was 4.7% (N = 293), of which 187 (63.8%) were detected in-hospital and 106 (36.2%) after discharge. (I) The surgical staff detected 91/187 (48.7%) of in-hospital SSIs [91/293 (31.0%) of the reference], (II) the ICT an additional 96/187 (51.3%) during hospitalisation [96/293 (32.8%) of the reference]. Further cross-checking as performed in the visceral surgery department increased the surgeons' detection rate (I) to 59/105 (56.2%) of in-hospital SSIs [59/147 (40.1%) of the reference]. SSI surveillance by the surgical staff detects almost half of all in-hospital SSIs and has the potential to increase the detection rate by simple interventions such as cross-checking. Such a relatively inexpensive surveillance system is an option for hospitals without an ICT or for low risk surgical procedures. Moreover, trends in SSI rates can easily be detected, allowing early intervention.

Keywords: Surgical site infection; Surveillance

zxf19741004

应该有人翻译一下，看不懂，想学习一下

nancywhite

什么奖啊，期待，那我来试试吧！

nancywhite

外科手术部位感染由外科医生监测：有偏见的少报或有用的流行病学数据
摘要：外科手术部位感染（SSI）显著的增加了术后发病率和死亡率。SSI监测是一个建立好的监测工具，能够降低SSI发生率。这个研究的目的是来比较外科工作人员 和感染控制小组(ICT)院内感染监测 的前瞻性。参考方法 由手术小组产生的数据定义，ICT补充和病人出院后一年术后随访监测完成代表了所有可用资源的数字。在24个月中，所有连续住院病人的手术(N = 6283)被手术工作人员前瞻性记录直到病人出院。SSI发生率和由ICT执行的监测与参考方法做比较。总SSI发生率（参考方法）是4.7% (N = 293), 其中187(63.8%)被院内检出，106 (36.2%)出院后检出。外科工作人员院内检出SSI为91/187 (48.7%)[参考值91/293 (31.0%) ],另外96/187 (51.3%)在住院期间由ICT检出[参考值96/293 (32.8%)]。进一步交叉检查在内脏手术部门执行，增加外科医生的院内SSI检出率到59/105 (56.2%)[参考值59/147 (40.1%)].外科工作人员的SSI监测检出几乎一半的所有院内SSI，通过简单的干预如交叉检查有潜力去增加检出率。像这样一个相对不昂贵的监测系统对于没有ICT或低风险外科手术的医院是个选择。并且，SSI发生率的趋势能很容易的被发现，可以早期干预。关键词：外科手术部位感染;监测

nancywhite

真不好意思，我都忘了我要试试的，翻译的不好，请多指教！