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外出外科手術の手術後の手術部位感染症
Pamela L Owens1, Marguerite L Barrett2, Susan Raetzman3
1Center for Delivery, Organization and Markets, Agency for Healthcare Research and Quality, Rockville, Maryland.
JAMA
|February 20, 2014
まとめ
外科手術後の臨床的に有意な手術部位感染 (CS-SSI) はまれですが,かなりの数の有害事象を表しています. 品質改善の取り組みは,これらの深刻な感染を減らすために不可欠です.
科学分野:
- 手術の成果に関する研究.
- 感染症の疫学について
- 医療サービス 研究 医療サービス
背景:
- 手術部位感染 (SSI) は,入院患者における罹病率の重要な原因である.
- 外科手術後の重篤な感染症に関するデータは限られている.
- 歩行外科手術におけるCS-SSI率を理解することは,患者の安全にとって極めて重要です.
研究 の 目的:
- 低リスクから中等リスクの ambulatory surgery の後に臨床的に有意な手術部位感染症 (CS-SSIs) の発生率を決定する.
- 大規模で多様な患者集団において,CS-SSIのための術後急性ケア診察の割合を特定する.
主な方法:
- 2010年に米国8州で実施された284,098件の外来外科手術を遡及的に分析した.
- 一般手術,整形外科,神経外科,婦人科,泌尿器科の手術を受ける手術のリスクが低い成人の患者を含む.
- CS-SSIのための14日および30日間の術後の急性ケア訪問の評価.
主要な成果:
- 急性治療の訪問を必要とするCS-SSIの発生率は,14日後に1000処置につき3.09,30日後に1000処置につき4.84でした.
- CS-SSI訪問の3分の2は14日以内に発生し,93.2%は入院治療を必要とした.
- 整体外科後の急性ケア訪問 (CS-SSIを含む) は14日後に1000人に19.99人,30日後に1000人に33.62人でした.
結論:
- CS-SSIの発生率は外科外科手術後に低いが,それらは有害な結果の実質的な総和を構成する.
- これらの深刻な感染症は,集中した質改善の努力を正当化します.
- 歩行外科手術におけるCS-SSIを最小限に抑えることは,患者の安全性と結果を高めるために不可欠です.
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