手术中的抗生素预防:目前的见解和手术部位感染预防的未来方向
Simran Dhole1, Chandrashekhar Mahakalkar1, Shivani Kshirsagar1
1General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus
|November 29, 2023
概括
抗生素预防对于预防手术部位感染至关重要. 本综述探讨了它的有效性,诸如抗菌素耐药性等挑战,以及为改善患者治疗结果的未来策略.
科学领域:
- 手术感染预防 手术感染预防
- 抗微生物药物管理委员会
背景情况:
- 手术部位感染 (SSI) 显著增加了患者的发病率,住院时间和医疗费用.
- 几十年来,抗生素预防一直是预防SSI的标准做法.
研究的目的:
- 审查目前手术中抗生素预防的现状.
- 分析其有效性,挑战和SSI预防的新兴趋势.
主要方法:
- 关于历史发展,当前指导方针和使用的抗生素类别的综合文献综述.
- 对影响预防的患者特异性因素的分析.
- 评估挑战,包括抗菌素耐药性和不良影响.
- 探索新的预防策略.
主要成果:
- 抗生素预防已经减少了SSI,但面临着抗菌素耐药性和过度使用的挑战.
- 患者特定的因素和最佳时机对于有效的预防至关重要.
- 像抗菌涂层和益生菌这样的新兴策略显示出有希望.
结论:
- 抗生素预防对于减少SSI至关重要.
- 需要一种多方面的方法,将管理和创新结合起来.
- 持续的研究和策略的调整对于改善患者的治疗结果至关重要.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Asepsis
2.1K
The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
2.1K
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
Hand hygiene
3.3K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.3K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
90
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
90
Tracheostomy Suctioning I: Pre-Procedural Steps
581
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
581


