北京市全膝关节置换术手术部位感染监测的多中心研究

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Abstract Objective To explore the surgical site infection rate and the risk factors by analysis data from targeted monitoring of surgical site infecitons after total knee arthroplasty in Beijing from 2012 to 2017.Methods The data contains information on patients undergoing total knee arthroplasty in 80 hospitals of secondary and tertiary hospitals in Beijing hospital infection monitoring management system.A total of 11 148 cases of total knee arthroplasty patients were monitored，including 2 225 males，8 923 females，1 667 patients aged>75 years and 9 481 patients aged≤75 years.SPSS 20.0 software was used to describe and analyze the infection of the surgical site by Logistic regression.Results 28 cases (0.25%) developed surgical site infection.Multivariate logistic regression analysis showed that long operation duration，drainage and low level of operation hospital were the risk factors of surgical site infection in total knee arthroplasty.The risk of surgical site infection was higher in patients with operation time more than 90minutes than in patients with operation time less than 90minutes (OR=4.509，95%CI：1.349~15.070).The risk of surgical site infection was lower (OR=0.214，95%CI：0.099~0.461) in tertiary hospitals than in secondary hospitals.Drainage could increase the risk of surgical site infection (OR=6.619，95%CI：1.948~22.487).Conclusion The targeted monitoring method of surgical site infection of total knee arthroplasty in the Beijing Hospital infection monitoring management system can be used as a reference for other institutions to carry out monitoring work.The occurrence of surgical site infection is affected by many factors，so comprehensive prevention and control measures should be taken to reduce the risk of infection and ensure the safety of patients.

Key words： Knee joint Replacement Surgical site infection Risk factors Monitoring

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	Articles by authors
	Ren Yan 1
	Liu Shuang 1
	Yang Lin 1
	Wu Yinghong 2
	Chen Hui 1

Cite this article:

Ren Yan 1,Liu Shuang 1,Yang Lin 1, et al. A Multicenter Study on Surveillance of Surgical Site Infection After Total Knee Arthroplasty in Beijing[J]. sygkzz, 2022, 28(3): 215-219.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2022/V28/I3/215

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