首次皮肤关闭后皮肤抗症对手术部位感染的发生后腹部症手术后皮肤抗症的影响:随机对照试验的初步报告
I B Ulasi1, E O Aigbovo2, A I Michael3
1Department of Surgery, University College Hospital, Ibadan.
Annals of Ibadan postgraduate medicine
|May 6, 2024
概括
在腹部瘤手术后手术后的皮肤消毒剂不会影响手术部位感染率. 这项随机对照试验发现,在接受标准护理或在伤口关闭后应用波维-的组之间,感染率没有显著差异.
科学领域:
- 手术感染预防手术感染预防.
- 外科手术中的临床试验.
- 腹部外科手术的结果
背景情况:
- 在腹部手术关闭后,术后皮肤消毒剂在预防败血症方面的作用尚不清楚.
- 这项研究研究了皮肤关闭后皮肤消毒剂对受污染和脏的腹部手术中手术部位感染 (SSI) 率的影响.
研究的目的:
- 评估一次性皮肤关闭后皮肤抗的疗效,以减少手术部位感染 (SSIs) 在接受腹腔切除术治疗败血症的患者中.
主要方法:
- 进行了一项随机对照试验,成年患者接受了腹腔切除术治疗败血症.
- 患者被分配到对照组 (单一的70%异醇擦拭) 或波维-组 (异醇,其次是10%的波维-浸泡布).
- 主要结局是SSI的发病率,统计学意义为p < 0.05.
主要成果:
- 招募了37名患者 (18名对照患者,19名波维-患者).
- 整体SSI发病率为48.6%,对照组 (55.6%) 和波维- (42.1%) 组之间没有显著差异 (p = 0.413).
- 住院死亡率和住院时间长度在各组之间也相似.
结论:
- 在初级皮肤关闭后应用的皮肤消毒剂不会影响手术部位感染的发生率,在接受腹腔切除术治疗败血症的患者中.
- 这些发现表明,目前的关闭后消毒剂协议可能无法有效地预防这种患者群体的SSI.
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