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主手术室与手术中的野外无菌性:证据的审查
Natan Silver1,2, Donald H Lalonde3
1Shaare Zedek Medical Center affiliated with The Hebrew University of Jerusalem Faculty of Medicine, Jerusalem, Israel.
Plastic surgery (Oakville, Ont.)
|October 23, 2024
概括
许多手术室的最佳实践缺乏证据. 手术中的基于证据的无菌性表明,当手术转移到小房间时,感染率并不高,这挑战了传统的指导方针.
科学领域:
- 整形外科手术 整形外科手术
- 感染控制 感染控制
- 基于证据的医学基于证据的医学.
背景情况:
- 目前的手术室不育指南往往缺乏基于证据的支持.
- 实践经常基于假设,而不是感染率数据.
- 基于证据的无菌性侧重于影响感染率的做法,而不仅仅是细菌数量.
研究的目的:
- 提出关于手术中不育实践的最新证据.
- 为了评估手术在主手术室之外进行手术的安全性和有效性.
- 挑战传统的,非基于证据的不孕指南.
主要方法:
- 审查未包括在2019年之前关于手术中基于证据的无菌性发表的证据.
- 将科学证据与专家意见和常识相平衡.
- 在小手术室与主要手术室进行的手手术的感染率分析.
主要成果:
- 主要手术室以外的手部手术中实地无菌的手术显著增加.
- 证据表明,在小型手术室中,在实地无菌的情况下进行的手术中,感染率并不高.
- 为了降低术后感染风险,传统的主要手术室实践并不总是必要的.
结论:
- 医疗保健提供者应支持将手术转移到小手术室.
- 主要手术室使用的成本,浪费和不便对于许多手术来说往往是不合理的.
- 有证据支持在手术小程序室中使用现场无菌,挑战已有的协议.
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