TÌM HIỂU YẾU TỐ NGUY CƠ NHIỄM KHUẨN VẾT MỔ TẠI KHOA NGOẠI BỆNH VIỆN ĐỐNG ĐA, HÀ NỘI NĂM 2021

Abstract

Introduction: Surgical Site Infections (SSI) are still a concern globally to control among common nosocomial infections. The aim of the study is to identify the risk factors related in order to make an appropriate control strategy. Materials and methodologies: A cross-sectional descriptive study of all patients from 8 years of age, regardless of gender, who were surgically treated in specialties: Gastroenterology - Urology - Trauma, medical records were completed during the period from May to September at the Department of Surgery, Dong Da Hospital, Hanoi. The data were collected and processed by SPSS software. 20.0. Results: A total of 138 patients met the study requirements, male 55.1%, female 44.9%; Risk factors include: patients – surgical procedures- environmental and patient care. In which, patient factors: age > 60 years old accounted for 36.2%. Overweight and obesity accounted for 13.9%; Surgical procedures: implant materials + drainage accounted for 22.5% and 60.9% respectively. Operation duration: from 60 to 120 minutes accounted for the majority,76.8%, ≥ 120 minutes accounted for 18.1%. Environmental factors and medical staff: Emergency operating rooms and others have not been set one-way; prophylactic antibiotics has been not implemented; 42% of patients were not given a pre-operative disinfecting bath before operation; hair was not removed properly in accordance with regulation. Conclusions and recommendations: Through the risk factors found in the study that might increase the rate of SSI, we recommend the hospital needs to conduct some procedures and survey the surgical safety program, the departments relevant and medical staff should comply with.