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在乌克兰进行妇科手术后的术后感染
Aidyn G Salmanov1, Valerii V Kostikov2, Olena Lytvak3
1SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE; INSTITUTE OF PEDIATRICS, OBSTETRICS AND GYNECOLOGY OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE, KYIV, UKRAINE.
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
|September 27, 2023
概括
手术部位感染 (SSI) 影响了乌克兰12.2%的妇科手术患者. 多种耐药性病原体很常见,这凸显了改善预防策略和抗菌药物管理的需要.
科学领域:
- 传染性疾病 传染性疾病
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- 手术部位感染 (SSIs) 是妇科手术后的一个重大问题.
- 抗菌素耐药性 (AMR) 对SSI的有效治疗构成越来越大的威胁.
研究的目的:
- 确定乌克兰妇科手术后SSI的当前患病率.
- 在这个人群中调查导致SSI的病原体抗微生物耐药性模式.
主要方法:
- 从2020年1月到2022年12月,乌克兰九家医院进行了一项多中心前性观察队列研究.
- 医疗保健相关感染 (HAI) 的定义是根据CDC的国家医疗保健安全网络进行的.
- 根据EUCAST指南,使用光盘扩散方法进行了抗生素敏感性测试.
主要成果:
- 在接受妇科手术的患者中,SSI的总体患病率为12.2% (420/3450).
- 根据手术途径,SSI的发病率没有显著差异:12.0% (腹部),11.1% (阴道) 和12.5% (组合).
- 常见的病原体包括大肠杆菌, Pseudomonas aeruginosa,Enterobacter spp., Streptococcus spp. 和Klebsiella pneumoniae,许多格兰阴性分离物表现出多种药物耐药性.
结论:
- 在乌克兰,SSI是妇科手术的常见并发症.
- 实施SSI预防的最佳实践至关重要.
- 优化抗生素预防和经验治疗,以及强有力的预防,对于减轻SSI负担至关重要.
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