在有开放式地板排水系统的房间中进行开放式和腹腔镜手术时的手术部位感染
Adri M Durant1, Madeline A Whitney2, Yu-Hui H Chang3
1Department of Urology, Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Scottsdale, Arizona.
使用开放式地板排水系统的手术室在开放式和腹腔镜手术中不会增加手术部位感染的风险. 这一发现支持它们在各种手术环境中的使用,确保患者安全和有效的流体管理.
科学领域:
- 手术感染控制手术感染控制
- 操作室的设计操作室的设计
- 医疗保健工程 医疗保健工程
背景情况:
- 手术部位感染 (SSI) 是经常出现的术后并发症.
- 一些手术室使用开放式地板排水系统在内分泌学手术期间处理液体.
- 这些系统在非内分泌病例中对SSI的影响尚未得到充分证实.
研究的目的:
- 调查使用开放式地板排水系统的手术室是否会增加接受开放式和腹腔镜手术的患者手术部位感染 (SSI) 的风险.
- 为了比较手术室的SSI率,有或没有开放式地板排水系统.
主要方法:
- 通过使用国家外科质量改进计划数据库,对2016-2020年间8419例外科病例进行了回顾性分析.
- 已经存在手术部位感染,开放性伤口或没有手术切口的患者被排除在外.
- 采用多级多变量物流回归来计算具有 (n=2) 和没有 (n=23) 开放式地板排水系统的手术室的观察到预期的SSI比率.
主要成果:
- 共有166名患者 (2.0%) 患有手术部位感染.
- 其中,7例SSI (4.2%) 发生在使用开放式地板排水系统的手术室中.
- 与SSI相关的因素包括手术专业,患者身体状况,病情敏度,呼吸不全,免疫抑制,更长的手术持续时间和伤口分类 (P < .05).
- 两个使用开放式地板排水系统的手术室的观察到预期的SSI比率分别为0.85和1.15.
- 在有或没有开放式地板排水的房间的泌尿病例中,SSI的几率比为1.30 (P = .65).
结论:
- 泌尿外科手术室的开放式地板排水系统,通常用于水为基础的手术,没有发现与手术部位感染的风险增加有关.
- 这些发现表明,使用开放式地板排水系统的手术室的设计不会对接受开放式和腹腔镜手术的患者的SSI风险产生重大影响.
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