清洁和清洁污染的整形手术中的抗生素预防:批判性审查
Pauliina Homsy1, Inka Romo2, Susanna Kauhanen1
1Department of Plastic Surgery, Puistosairaala, University of Helsinki and Helsinki University Central Hospital, P.O. Box 281, 00029 HUS, Finland.
在一些整形手术中,如面部手术和乳房增大,抗生素预防可能是不必要的. 需要进一步的研究,以制定清晰的准则,在整形手术中使用抗生素,以对抗细菌耐药性.
科学领域:
- 整形外科 整形外科 整形外科
- 预防传染病 预防传染病
- 基于证据的医学 基于证据的医学
背景情况:
- 抗生素预防在整形手术中很常见,尽管感染率很低.
- 细菌耐药性的增加需要减少不必要的抗生素使用.
研究的目的:
- 审查当前关于在干净/干净污染的整形手术中抗生素预防的有效性数据.
- 为了告知有关适当使用抗生素的实践.
主要方法:
- 在Medline,科学网,Scopus (2000年以后) 的系统文献搜索.
- 主要包括随机对照试验 (RCT);必要时补充其他研究.
- 分析了28个RCT,2个非随机试验和15个队列研究.
主要成果:
- 在非污染的面部手术,减少乳房整形和乳房增大中,抗生素预防可能是不必要的.
- 延长24小时以上的预防措施在鼻整形,气消化道重建和乳房重建方面没有益处.
- 没有发现腹部整形,脂质移植,软组织瘤手术或性别肯定手术的研究.
结论:
- 在许多整形外科手术中,关于抗生素预防的有效性存在有限的数据.
- 需要更多的研究来制定强有力的建议,在这个领域使用抗生素.
更多相关视频
05:32Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection
Published on: September 21, 2015
10:35Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
Published on: December 3, 2017
相关概念视频
Cleaning, Sterilization, and Disinfection
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
Hand hygiene
Hand washing...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Asepsis
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
