考虑与抗微生物药物管理目标相一致的理想术后伤口带:范围审查
Karen Ousey1,2,3,4,5, Mark G Rippon6,7, Alan A Rogers8
1Professor Skin Integrity, Director for the Institute of Skin Integrity, and Infection Prevention, University of Huddersfield, UK.
本综述探讨了理想的术后伤口,以应对手术部位感染 (SSI) 等挑战,同时支持抗菌药物管理 (AMS). 它强调了需要包裹,平衡愈合与减少抗菌素耐药性的需要.
科学领域:
- 伤口愈合和手术场所管理
- 传染病和抗菌素耐药性 传染病和抗菌素耐药性
背景情况:
- 手术伤口带来了诸如脱和手术部位感染 (SSIs) 等挑战,增加了发病率和死亡率.
- 对伤口感染的抗微生物药物的使用是常见的,但必须与减少抗微生物药物耐药性和抗微生物药物管理 (AMS) 相一致.
研究的目的:
- 对理想的术后伤口带的证据进行审查.
- 确定克服愈合挑战 (包括感染) 的敷料的标准.
- 支持在伤口护理中的抗菌药物管理 (AMS) 目标.
主要方法:
- 从1954年到2021年发表的证据的范围审查.
- 由两位作者独立审查,并对结果进行叙事综合.
- 根据PRISMA扩展范围审查指南进行报告.
主要成果:
- 从最初的819条中,包括了178条文章.
- 评估的关键结果包括伤口感染,愈合,身体属性,液体处理,疼痛和皮肤损伤.
- 服装可以解决SSI和其他挑战.
结论:
- 手术后的伤口带可以克服包括SSI在内的重大愈合挑战.
- 抗微生物伤口包裹的使用必须与AMS计划保持一致.
- 对活性抗微生物药物的替代品的研究至关重要.
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