抗生素预防对选择性腹腔镜胆囊切除术后伤口感染发生率的影响
1General Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Journal of perioperative practice
|February 12, 2024
概括
在接受选择性腹腔镜胆囊切除术的患者中,预防性抗生素是不必要的. 在这项研究中,使用抗生素并没有降低伤口感染率,这表明针对复杂病例的向使用.
科学领域:
- 外科手术的结果
- 预防传染病 预防传染病
背景情况:
- 关于在选择性腹腔镜胆囊切除术中预防性抗生素的必要性存在争议.
- 了解伤口感染的风险因素对于优化患者护理至关重要.
研究的目的:
- 分析各种风险因素和抗生素预防对选择性腹腔镜胆囊切除术后伤口感染率的影响.
- 为了确定这种患者群体中抗生素预防的必要性.
主要方法:
- 在2021年1月至2022年12月期间,对243名接受选择性腹腔镜胆囊切除术的患者进行了回顾性研究.
- 评估包括性别,年龄,糖尿病,吸烟,BMI,血红蛋白,ASA分类,手术持续时间,胆汁泄漏和抗生素预防等因素.
主要成果:
- 在男性患者中观察到明显更高的伤口感染发病率 (p=0.021).
- 在其他评估的风险因素和术后伤口感染之间没有发现统计学意义上的相关性.
结论:
- 预防性抗生素的使用对接受选择性腹腔镜胆囊切除术的患者没有好处.
- 抗生素预防应保留在复杂和急性手术病例.
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