与没有粘合剂的窗相比,与浸的窗与较低的手术内污染有关吗? : 一个系统审查和元分析的协议
Albert González-Sagredo1, Thiago Carnaval2,3, Silvia Granados-Suárez1
1Angiology and Vascular Surgery Department, Bellvitge University Hospital, L'Hospitalet DE Llobregat, Barcelona, Spain.
Medicine
|August 11, 2023
概括
浸的粘合窗 (IIAD) 的证据是有限的. 这次系统性审查和元分析将评估IIAD是否可以减少与无膜相比的手术内污染,从而帮助预防感染的战略.
科学领域:
- 手术感染预防 手术感染预防
- 医疗器械的有效性 医疗器械的有效性
- 基于证据的医学基于证据的医学.
背景情况:
- 手术部位感染 (SSI) 是一个重要的术后并发症.
- 粘合窗 (AD) 用于预防SSI,有浸 (IIAD) 和非浸的类型可供选择.
- 非浸的窗可能与更高的感染率有关.
研究的目的:
- 系统地审查和分析现有的关于粘合窗在预防手术内污染的疗效的文献.
- 为了确定与没有粘合的窗相比,浸的粘合与较低的手术内污染发生率有关.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 纳入标准:1984年至2023年1月出版的RCT,英语.
- 排除标准:非人体和实验研究. 搜索的数据库:MEDLINE (PubMed),SCOPUS,科学网. 在这些数据库中进行了搜索.
- 在PROSPERO注册的协议 (CRD42023391651) 遵循PRISMA指南.
主要成果:
- 目前,关于浸的粘合窗的好处的证据很少.
- 术内污染是关键的终点,与感染有很强的关联,不需要随访.
结论:
- 系统审查和元分析是必要的,以巩固现有证据.
- 需要进一步的研究来确定浸的粘合在减少手术内污染和随后的SSI方面的有效性.
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