减少剖腹产后的手术部位感染
1Department of Obstetrics and Gynaecology, Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK.
在剖腹产后使用Leukomed Sorbact敷料显著降低了手术部位感染 (SSI) 和再入院率. 这种结合细菌的伤口包裹还降低了抗生素的使用,并节省了大量的成本.
科学领域:
- 医学微生物学 医学微生物学
- 手术创新 在外科创新.
- 医疗保健管理的管理
背景情况:
- 手术部位感染 (SSI) 是剖腹产后的严重并发症,导致发病率增加.
- 建议使用结合细菌的伤口带Leukomed Sorbact,通过限制细菌殖民来减少SSI.
- 巴金,哈弗林和雷德布里奇大学医院NHS信托 (BHRUT) 实施了Leukomed Sorbact,以评估其对SSI率,抗生素使用和成本效益的影响.
研究的目的:
- 评估Leukomed Sorbact包裹在降低剖腹产后SSI发生率方面的有效性.
- 评估新包裹对SSI再入院率和抗生素消耗的影响.
- 确定与实施Leukomed Sorbact.相关的成本节约.
主要方法:
- 临床实践的变化包括从2022年1月1日起在所有剖腹产手术中用Leukomed Sorbact取代Mepore带.
- 进行了追溯和前性审计,以比较服装实施前后的SSI率.
- 保持标准化的伤口护理,预防性抗生素和手术技术,以隔离带的影响.
主要成果:
- 观察到SSI率下降了38%,在实施后的时期从6.1%下降到3.8%.
- SSI再接收率下降了31%,抗生素使用减少了30%.
- 十二个月的总成本节约达到了234,784英,其中49,750英归因于减少了再接收.
结论:
- 白血病Sorbact带通过降低剖腹产后的SSI和再入院率显著改善了临床结果.
- 采用Leukomed Sorbact被证明是具有成本效益的,考虑到减少入床时间,使用抗生素,发病率和改善患者体验的节省.
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