结直肠外科手术中的手术部位感染预防护理包:范围审查
T Cunha1, S Miguel2, J Maciel3
1Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, Lisbon, Portugal; UL-PPCIRA, Instituto Português de Oncologia Francisco Gentil, Lisbon, Portugal.
The Journal of hospital infection
|November 1, 2024
概括
在结直肠外科手术中,手术部位感染 (SSI) 预防捆绑可降低感染率. 需要进一步的研究来优化干预措施并改善合规性以获得更好的结果.
科学领域:
- 手术感染预防 手术感染预防
- 结直肠外科手术的结果
- 基于证据的实践.
背景情况:
- 手术部位感染 (SSI) 是结直肠外科手术的一个重要问题.
- 为各种类型的手术建立了预防包,在结直肠手术中,量身定制的方法显示了成功.
研究的目的:
- 在结直肠外科手术的SSI预防包中识别和审查个别干预措施.
- 评估与这些包的实施相关的SSI费率的降低.
主要方法:
- 进行了全面的范围审查.
- 在2022年12月,主要数据库 (PubMed,CINAHL,Web of Science,Scopus) 进行了搜索.
主要成果:
- 对48项研究 (2011-2022) 的分析显示,每项研究平均有11项干预措施.
- 干预措施跨越了手术前,手术期间和手术后的阶段,包括抗生素预防,皮肤准备和血糖控制.
- 尽管采取了干预措施,SSI率仍然很高,这表明需要优化和改善合规性.
结论:
- 针对结直肠外科手术量身定制的SSI预防包显示了感染率和相关成本的降低.
- 按外科手术前阶段组织干预措施可以提高遵守和有效性.
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