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Abstract Surgical wound infections accound for arount 20 % of infections acquired by patients in U.S Hospitals Haley et al., (1985). There are number of potential sources of bacteria that cause these infections. But the most common is the patient’s own microbial flora. The risk of infection in a surgical wound depends on a delicate balance the host immune defences and the number of bacteria present in the wound at the end of the operation, ( Mears, et al., 1991). There fore the study aimed at the following : 1- To determine the rate of post-operative surgical wound infection and the factors that influence the infection rate. 2- To evaluate the nurses performance elated to wound care : a- in ward (pre and post-operative). b- In operating room 3- To detect by microbiological studies the etiology of post surgical wound infection. This study was carried out at surgical departments of the Menoufiya university hospital namly; general surgery, orthopedic surgery and urological surgery department. The period of the study from the first of March, 1999 to the end of January, 2000. The sample comprised : < 1- One hundred surgical patient’s (100) of both sexes with different surgical diagnosis except oral – rectal – vaginal operations and transuretheral resection of the prostate. 2- Sixty (60) nurses and thirty (30) physicions as ( house officier and resident doctors )with no restriction to age, sex education or years of experience. Patient’s observed pre-operatively during skin swab taken and in the operating time and observed post-operatively in the first dressing and at the 5th day for taken wound swab and dressing technique. |