超出CDC定义的手术部位感染:乳房手术后与抗生素处方相关的因素
Corey K Gentle1, Moustafa Moussally1, Jenny H Chang1
1Division of Breast Surgery, Department of General Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Surgical infections
|November 6, 2024
概括
乳腺手术后的抗生素处方是出于超出美国疾病预防控制中心对手术部位感染 (SSI) 的指导方针的原因. 对血清瘤或细胞炎等伤口问题的临床判断会影响这些处方.
科学领域:
- 手术感染 手术感染
- 抗生素管理局 抗生素管理局
- 整形外科 整形外科 整形外科
背景情况:
- 手术部位感染 (SSI) 通常由美国疾病控制和预防中心 (CDC) 的指导方针定义,该指导方针不包括没有发烧的炎症.
- 在这些严格的SSI定义之外评估抗生素的使用对于理解当前的处方实践至关重要.
研究的目的:
- 评估乳腺手术后的抗生素处方模式.
- 在没有CDC定义的SSI的情况下,识别与使用抗生素相关的因素.
主要方法:
- 从2021年1月到5月,回顾了754次乳腺手术 (不包括化品/重建手术).
- 对抗生素处方和患者结局的分析,重点关注不符合CDCSSI标准的病例.
主要成果:
- 10.2%的患者接受了术后抗生素治疗.
- 抗生素在4.9%的病例中被处方,但不符合CDC定义的SSI标准.
- 没有CDC定义的SSI的处方与手术排水,整形手术参与,血清瘤和蜂炎有关.
结论:
- 医生根据临床判断对疾病预防控制中心定义的SSI以外的其他疾病进行乳房手术后的抗生素处方.
- 手术后的伤口并发症,如血清瘤和细胞炎,可能会导致抗生素处方.
- 需要进一步的研究来确定这种做法是否代表了适当的预防性治疗或对非传染性疾病的过度治疗.
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