Causes and preventive measures of incision infection in emergency surgery for trauma

Abstract

Objective To analyze the causes of incision infection in emergency surgery for trauma and related preventive measures. Methods From March 2015 to December 2017, 110 patients undergoing trauma surgery in Emergency Surgery of the Fourth People’s Hospital of Datong were selected. The incidence of postoperative infection and risk factors of wound infection in emergency surgery were analyzed. And specific and formulated preventive measures were formulated. Results The results of single factor analysis showed that age, body mass index (BMI), operation time, application of antibacterial drugs, and proficiency of surgical operation were the factors influencing the possibility of incision infection in emergency surgery for trauma. Logistic multivariate regression analysis showed that the risk factors of incision infection in emergency surgery for trauma included no use of antibiotics before operation, operation time (≥3 hours), age (≥60 years old) and BMI (≥24 kg/m2). Conclusions The causes of incision infection in emergency surgery for trauma are various. Clinically, we should focus on the causes of incision infection, do a good job of disinfection and cleaning, and use antimicrobial drugs before operation to prevent incision infection, so as to reduce the incidence of incision infection to the greatest extent. Key words: Emergency surgery; Surgical incision infection; Cause analysis; Preventive measures