改进项目以减少手术部位感染:一个回顾性队列研究
Laura Ferreira Dias Xavier1, Amanda Silva Medeiros1, Maria Clara DE Sousa Farias Melo1
1- Universidade Federal do Rio Grande do Norte, Centro de Ciências da Saúde - Natal - RN - Brasil.
Revista do Colegio Brasileiro de Cirurgioes
|October 18, 2023
概括
实施手术部位感染 (SSI) 预防方案显著减少了复杂手术中的SSI. 然而,遵守挑战和COVID-19大流行影响了可持续性,突出了确保患者安全的持续努力的必要性.
科学领域:
- 与医疗保健相关的感染
- 手术安全协议 手术安全协议
- 预防和控制感染.
背景情况:
- 手术部位感染 (SSI) 是医疗保健的一个主要挑战,占巴西医疗保健相关感染的14-16% .
- 这项研究解决了SSI在高风险手术过程中的关键问题.
研究的目的:
- 评估综合性干预方案对减少心脏手术,移植和漏病中的SSI的影响.
- 评估在大学医院环境中遵守安全手术检查清单.
主要方法:
- 追溯队列研究的设计.
- 从2018年到2020年收集时间序列数据.
- 分析了从2020年起的222份医疗记录,以及从2018-2020年起的SSI数据和检查清单遵守情况 (共800多项程序).
主要成果:
- 观察到手术部位感染率的显著降低,随着协议遵守的增加.
- 对SSI减少的积极影响并没有持续保持.
- COVID-19 流行病对研究结果和干预措施的可持续性产生了重大影响.
结论:
- 加强对感染预防协议的遵守,可以导致手术部位感染的大幅减少.
- 保持SSI减少策略的可持续性是一个挑战,特别是在面对诸如流行病等外部因素时.
- 持续努力至关重要,以确保更安全的患者环境,并提高医疗保健质量.
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