银基敷料预防手术部位感染:来自随机试验的证据。

IF 3.9 3区 医学 Q1 INFECTIOUS DISEASES
Salma Younes, Nadin Younes, Shaden Abunasser, Faleh Tamimi, Gheyath Nasrallah
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引用次数: 0

摘要

背景:手术部位感染(ssi)是术后并发症的主要原因,增加了发病率和医疗费用。银基敷料因其抗菌性能而被广泛使用,但其在减少ssi方面的有效性尚不清楚。目的:本系统综述和荟萃分析旨在评价银基敷料与非银敷料在随机对照试验(rct)中预防SSI的疗效。方法:在PubMed、Cochrane图书馆和Embase中进行系统检索,以确定比较银基敷料与非银敷料预防SSI的rct。研究方案已在PROSPERO注册(CRD42024592966)。采用随机效应模型进行meta分析,以95%置信区间(CI)计算合并风险比(RR)。异质性评价采用I2统计量,发表偏倚评价采用漏斗图和Egger检验。结果:meta分析纳入了12项随机对照试验,共2,928名受试者。与非银敷料相比,银基敷料可显著降低40%的SSI风险(RR: 0.60, 95% CI: 0.41-0.89, p2 = 53%)。结论:银基敷料可显著降低SSI风险;然而,需要进一步的高质量随机对照试验来证实它们在不同手术环境和患者群体中的益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Silver-Based Dressings for Surgical Site Infection Prevention: Evidence from Randomized Trials.

Background: Surgical site infections (SSIs) are a major cause of postoperative complications, increasing morbidity and healthcare costs. Silver-based dressings are commonly used due to their antimicrobial properties, but their effectiveness in reducing SSIs remains unclear.

Aim: This systematic review and meta-analysis aim to evaluate the efficacy of silver-based dressings compared to non-silver dressings in preventing SSIs in randomized controlled trials (RCTs) METHODS: A systematic search was conducted in PubMed, Cochrane Library, and Embase to identify RCTs comparing silver-based to non-silver dressings for SSI prevention. The study protocol was registered in PROSPERO (CRD42024592966). Meta-analysis using random-effects models calculated pooled risk ratios (RR) with 95% confidence intervals (CI). Heterogeneity was assessed with the I2 statistic, and publication bias evaluated through funnel plots and Egger's test.

Results: 12 RCTs with 2,928 participants were included in the meta-analysis. Silver-based dressings significantly reduced SSI risk by 40% compared to non-silver dressings (RR: 0.60, 95% CI: 0.41-0.89, p<0.05), with moderate heterogeneity (I2 = 53%) CONCLUSIONS: : Silver-based dressings significantly reduce the risk of SSIs; however, further high-quality RCTs are needed to confirm their benefits across different surgical contexts and patient populations.

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来源期刊
Journal of Hospital Infection
Journal of Hospital Infection 医学-传染病学
CiteScore
12.70
自引率
5.80%
发文量
271
审稿时长
19 days
期刊介绍: The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience. The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that: provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings; provide new insight into cleaning, disinfection and decontamination; provide new insight into the design of healthcare premises; describe novel aspects of outbreaks of infection; throw light on techniques for effective antimicrobial stewardship; describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control; improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change; improve understanding of the use of IT systems in infection surveillance and prevention and control.
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