手术部位感染预防

Syed Nawaz Ahmad, R. Aggarwal
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引用次数: 11

摘要

摘要手术部位感染(SSI)是一种与医疗保健相关的感染,在创伤性外科手术后发生伤口感染。它可以是手术后7天内自发的有限伤口排出,也可以是危及生命的术后并发症,如败血症或内毒素休克。虽然不同国家和地理区域的SSI率不同,但这是一个重要的问题,发展中国家的负担要高得多。许多因素从术前检查开始,一直持续到患者出院后,都被认为是导致SSI风险的因素。因此,这些感染的预防是复杂的,需要在术前、术中和术后护理阶段综合采取一系列预防措施。SSI的经济后果是巨大的。减少人身伤害的策略是多模式的,确保高度遵守这些减少风险的策略是成功减少人身伤害努力的关键。关键词:手术部位感染;消毒;外科擦洗;抗生素预防
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical Site Infection Prevention
Abstract Surgical site infection (SSI) is a healthcare-associated infection where wound infection occurs after an invasive surgical procedure. It may vary from a spontaneously limited wound discharge occurring within 7—days of the operative procedure to a life-threatening postoperative complication like septicemia or endotoxic shock. Although SSI rates vary between countries and geographical regions, they represent an important problem, with a significantly higher burden in developing countries.  Many factors starting from preoperative work-up and lasting beyond discharge of the patient from the hospital have been identified as contributing to the risk of SSI. Therefore, the prevention of these infections is complex and requires the integration of a range of preventive measures in the pre-, intra- and postoperative phases of care. The financial consequences of SSI are substantial.  Strategies to decrease SSI are multimodal and ensuring high compliance with these risk-reduction strategies is crucial to the success of SSI reduction efforts. Keywords: Surgical site infection; Disinfection; Surgical scrub; Antibiotic prophylaxis
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