The skin and mucous membranes are the body's first complete line of defense against microbial invasion.During a surgical operation, this line of defense is broken and the wound formed is susceptible to bacterial contamination, which may cause a surgical site infection (SSI) after the operation.Deep infection after joint replacement surgery is one of the most harmful comorbidities.As a result, patients will need to undergo multiple surgeries and receive more antibiotic treatments, thereby extending the life of the patient.

 The quality and prognosis of physical exercise are reduced, and the length of the patient's hospital stay will also increase the consumption of medical expenses.At the same time, this will damage team morale and increase the risk of medical disputes.In 2018, use team resources to establish information-based comprehensive nursing measures in the operating room, anesthesiology department, orthopedic ward, infection department and information department, and conduct preoperative, intraoperative and postoperative monitoring of various operations to promote comprehensive nursing measures and prevention.Measures Infection of the joint replacement surgery site in the orthopedic ward.In 2017, the average infection rate of the surgical site was 0.53%, and by 2019 it dropped to 0.42%.

Combined care measures to reduce surgical site infections" include: 1. Appropriate use of preventive antibiotics; 2. Blood sugar control; 3. Skin preparation; 4. Maintaining normal body temperature; 5. Wound care.Considering the omission of cross-departmental combined forms and the inability to monitor, the hospital's information department has established an information system to facilitate the supervision of various departments to complete combined care, and improve the importance of clinical medical staff to produce substantial and clear benefits, and achieve prevention or reduction of surgical sites.The risk of infection, the goal of improving the quality of patient care.

The surgical site infection rate dropped from 0.53% in 2017 to 0.42% in 2019. The process found that the effectiveness of preoperative prophylactic antibiotics reached 100% in 2019; the rate of receiving prophylactic antibiotics less than or equal to 24 hours was 91.7%; surgical site infections.The implementation rate of combined care is 95.6%.