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日本手术部位感染的流行病学和预防
1Division of Infection Control and Clinical Laboratory, Yamagata University Hospital, Yamagata, Japan.
The Journal of hospital infection
|February 18, 2024
概括
在日本,医疗保健相关感染控制得到了显著改善,手术部位感染 (SSI) 率从10%降至5%. 然而,有限的保险覆盖面阻碍了采用先进的SSI预防方法.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 外科手术的安全性
背景情况:
- 日本的感染控制在20世纪80年代中期随着专门的学术协会和医院部门的建立而获得了引力.
- 全国范围的手术部位感染 (SSI) 监测系统于20世纪90年代末推出,与美国疾病预防控制中心 (CDC) 对SSI预防指南的修订一致.
研究的目的:
- 追踪日本医疗保健相关感染控制实践的演变.
- 分析手术部位感染 (SSI) 发生率的趋势,并确定影响因素.
- 评估国际指导方针和新型预防策略对日本手术实践的影响.
主要方法:
- 开发一个全国性的SSI监控系统和一个大型SSI数据库队列.
- 从2000年代初到2020年,分析SSI发病率数据.
- 审查在日本采用基于国际证据的SSI预防指南和实践.
主要成果:
- 日本的SSI总体发病率从2000年代初的约10%下降到2020年的5%
- 一个强大的SSI数据库促进了对各种手术过程中SSI的风险因素的研究.
- 已经引入了新的基于证据的实践,如保持正常的体温和使用防腐剂浸的 sutures.
结论:
- 日本的医疗保健在通过监测和准则的采用来降低SSI率方面取得了进展.
- 尽管取得了进展,但有效的SSI预防措施的广泛实施仍受到公共医疗保险退款缺乏的阻碍.
- 进一步整合创新和具有成本效益的SSI预防策略需要对医疗保健报销政策进行调整.
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