在接受胃肠道手术的患者中实施手术部位感染护理包
Sarumathi Dhandapani1, Kalayarasan Raja2, Ketan Priyadarshi3
1Dept. of Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, 605006, India.
Indian journal of medical microbiology
|July 14, 2024
概括
在选择性胃肠道手术中,实施量身定制的护理包显著减少了手术部位感染 (SSI) 的28.9%. 坚持护理包对于预防SSI和改善患者的治疗结果至关重要.
科学领域:
- 与医疗保健相关的感染
- 外科手术的结果
- 预防感染 预防感染
背景情况:
- 手术部位感染 (SSI) 是一种常见的与医疗相关的感染,具有严重的后果,包括增加发病率和死亡率.
- 实施标准化护理包是减少SSI费用的公认策略.
- 定制护理包可以适应特定的外科手术程序和患者群体.
研究的目的:
- 为接受选择性胃肠道手术的患者实施手术前,手术期间和手术后的护理包.
- 评估实施的护理包对手术部位感染率的影响.
- 为了评估符合护理包组件的合规性.
主要方法:
- 一项为期8个月的干预研究,涉及196名接受选择性胃肠道手术的患者.
- 使用CDC NHSN 2023指南进行SSI监测.
- 根据全球预防指南,开发了一套包括术前,术后和术后组件的护理包,并在研究之前实施.
主要成果:
- 整体SSI率下降了28.9%,从基线的19.4%下降到护理包实施后的13.8%.
- 对SSI护理包的遵守率为28.6%.
- 不符合护理包的手术有2.3倍的SSI风险增加;大肠杆菌是最常见的病原体 (54.2%).
结论:
- 实施定制护理包对于减少手术部位感染是有效的.
- 坚持护理包组件对于SSI预防至关重要.
- 护理包可以适应特定的外科设置,以提高患者的安全性和结果.
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