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[手术部位感染和皮肤外科手术期间的抗生素]
Justin Gabriel Schlager1, Daniela Hartmann2, Benjamin Kendziora2,3
1Klinik und Poliklinik für Dermatologie und Allergologie, LMU Klinikum - Campus Innenstadt, Frauenlobstr. 9-11, 80337, München, Deutschland. justin.schlager@med.uni-muenchen.de.
Dermatologie (Heidelberg, Germany)
|October 12, 2023
概括
皮肤外科手术中的周术期抗生素预防 (PAP) 应保留给高风险患者. 在败血性皮肤手术之前,建议PAP用于患有细菌内心炎或血液源内置假体感染风险增加的个人.
科学领域:
- 皮肤外科手术 皮肤外科手术
- 传染病 传染病是一种传染病.
背景情况:
- 手术后的伤口感染在皮肤外科手术中很常见.
- 由于发病率较低和数据多样化,缺乏术后抗生素预防 (PAP) 的既定标准.
- 需要更新皮肤外科手术中PAP的指导方针.
研究的目的:
- 审查皮肤外科手术中术后伤口感染的危险因素.
- 在皮肤外科手术中提出PAP的新建议.
主要方法:
- 相关研究数据的描述性摘要.
- 包括目前关于PAP的建议.
主要成果:
- 增加伤口感染风险的因素:下肢/耳部手术,出血,片/移植关闭,大缺陷,免疫抑制,男性性别.
- 可能不会增加感染风险的因素:糖尿病,肥胖,年龄,吸烟,血液稀释剂,多次手术,二次伤口愈合.
- 根据德国皮肤外科手术协会的指导方针,应根据多种风险因素来个性化PAP的指示.
- 在败血术之前,建议PAP用于高风险的细菌内心炎或血源性内置假体感染的患者.
结论:
- 皮肤外科手术中的PAP应仅限于高风险患者.
- PAP适用于预防细菌内心炎和血源性内置假体感染,在接受败血性手术的特定高风险个体中.
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