手术室温度和湿度对手术部位感染的影响:一个多站点ACS-NSQIP分析
Jacob B Hammond1, Grace M Madura1, Yu-Hui H Chang2
1Department of Surgery, Mayo Clinic, Phoenix, AZ, USA.
American journal of surgery
|July 23, 2023
概括
在手术期间的温度和湿度水平不会显著影响手术部位感染 (SSI) 的风险. 这项研究发现,由于环境手术室条件的显著偏差,SSI的风险没有增加.
科学领域:
- 外科手术的安全性
- 感染控制 感染控制
- 医疗保健中的环境监测
背景情况:
- 有限的研究存在于手术期间的环境条件和手术部位感染 (SSIs) 之间的关系.
- 了解这些因素对于优化手术结果和患者安全至关重要.
研究的目的:
- 调查手术期间环境温度和相对湿度之间的关联,以及发生表面手术部位感染 (SSI) 的风险.
主要方法:
- 美国外科医生学院国家外科质量改进计划 (ACS-NSQIP) 报告了来自三个中心的14519次手术 (2016-2020年) 的回顾性审查.
- 在手术期间的环境温度 (°F) 和相对湿度 (RH) 在15分钟间隔记录.
- 使用多级逻辑回归分析来评估主要终点:表面的SSI.
主要成果:
- 在低或高的手术内温度 (ORs从0.95到1.13) 时,没有观察到SSI风险的显著增加.
- 同样,相对湿度低或高也没有显著提高SSI风险 (ORs从0.61到0.96).
- 温度和湿度的综合分析也没有显示SSI的风险增加.
结论:
- 与典型的手术内温度和湿度范围的显著偏差与手术部位感染的风险增加无关.
- 当前的内部操作环境参数可能不是防止表面SSI的关键可修改因素.
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