尽量减少部骨折手术后手术部位感染的风险
Mark Maher1, Alex Ward1, Karen Ward1
1Department of Trauma and Orthopaedic Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
Surgical infections
|July 3, 2024
概括
实施综合护理包显著降低了部骨折患者的手术部位感染 (SSI) 率,从9.0%降至0.5%. 这种多方面的方法改善了患者的治疗结果,并节省了大量的成本.
科学领域:
- 整形外科手术 整形外科手术
- 预防传染病 预防传染病
- 公共卫生 公共卫生
背景情况:
- 骨折是老年人严重受伤,残疾和死亡的主要原因.
- 手术部位感染 (SSI) 是关节骨折手术后的一个显著的术后并发症.
- 2013年的SSI基线利率为9.0%.
研究的目的:
- 评估基于证据的多焦点周围手术护理包对部骨折患者SSI发病率的影响.
- 为了记录在一个定义的时期SSI率的累积改善.
- 评估感染预防策略的经济影响.
主要方法:
- 一项前性队列研究包括3,138名在2016年至2021年期间接受关节骨折手术的患者.
- 根据英格兰公共卫生的定义,SSI得到了证实.
- 实施和分析了包括术前,术后和术后干预措施在内的术后护理包.
主要成果:
- 在研究队列中,整体SSI率为1.3% (在3,138例中有41例感染).
- 观察到12个月平均SSI利率的持续下降,到2021年达到0.5% (p < 0.05).
- 实施的干预措施使信托每年节省86万英的成本.
结论:
- 通过专门的,多学科的感染控制方法,可以大大降低部骨折患者的SSI风险.
- 在术前护理包中的基于证据的干预措施有助于患者安全的累积改善.
- 优先考虑预防感染是有效的,经济上有利的.
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