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頁籤選單縮合
題 名 | 某醫院髖暨膝關節置換術之手術部位感染調查=Infections of Hip and Knee Prosthesis at a Regional Hospital in Taiwan |
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作 者 | 劉勝芬; 鄭舒倖; 莊意芬; 黃婉瑩; 魏寬毅; 駱惠銘; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 12:4 2002.08[民91.08] |
頁 次 | 頁205-213 |
分類號 | 419.38 |
關鍵詞 | 膝關節置換術; 髖關節置換術; 院內感染; Total knee replacement; Total hip replacement; Nosocomial infection; |
語 文 | 中文(Chinese) |
中文摘要 | 歐美先進國家十年來膝與髖關節置換術的手術方法、置入物的材質與設計都有長足的精進。感染率約下降到0.5%到2%。本國的文獻則甚少討論關節置換術的感染率。為瞭解臺灣有關關節置換術感染的情況,我們回溯性調查了二年六個月的本院關節置換手術個案,針對膝髖關節置換術感染的危險因子、感染菌種、治療及預後等做一探討。本調查收集關節置換術病患共68人,感染率為20.6%(膝關節置換術感染率29.3%、髖關節置換術感染率7.4%)。其中57.1%是在術後門診追縱時才發現。經個案對照研究資料顯示,有統計上差差之變項為年齡及平均住院天數。其他潛在性疾病,如糖尿病等並無關連。細菌的採檢方法不良(多用棉花棒沾取傷口處),使得致病菌的來源判斷面難,多為coagulase-negative Staphylococci。預防性抗生素使用時間高達5.24天,與一般建議不同。建議增進手術預防性抗生素的正確使用,以期日後能降低感染率。我們也強調手術後門診追蹤應列入感染管制作業的標準流程,以確實追查到手術感染的個案。 |
英文摘要 | During the past ten years, the technology of medical implants has progressed markedly. The replacements of diseased joints improved the quality of life. The average infection rate after joint replacements is estimated to be around 0.5-2.0% in the western countries. The post-operative infection rate of both hip and knee prosthesis has seldom been discussed in the literature in Taiwan. In this retrospective study, the risk factors, the offending organisms, pathogenesis, treatment, prognosis and preventive methods were investigated and discussed. The survey covered the period of 2 and a half years and 68 patients. Of these patients, 20.6%, or 14 cases, (12 from total knee replacement, and 2 from the total hip) developed deep-seated surgical site infections. Fifty-seven percent of infections were diagnosed after the discharge from the hospital. The comparison between the infected and the non-infected cases did not show a significant difference in the underlying conditions and other factors. Cotton swab specimens from the draining pus, the most common collection method, yielded coagulase-negative staphylococci most frequently (28.57%), followed by Klebsiella pneumoniae and enterococci (7.14% for both). There was no growth in 6 cases (42.8%). Mean duration of prophylactic antibiotics given was 5.2 days. The longer-than-usual peri-operative prophylactic antibiotics as a cause for the high post-operative infections may need further investigation. What role does the old ventilation system play in the high rate of post-surgical infections also requires clarification. The importance of the continuous outpatient follow-up by the infection control practitioners should be emphasized. |
本系統中英文摘要資訊取自各篇刊載內容。