目标为零:成功的子宫切除手术部位感染预防捆绑包子宫切除手术
Ushma J Patel1, Ahmed A Al-Niaimi2, Kelly M Parrette3
1Department of Obstetrics & Gynecology, University of Wisconsin, Madison, WI, USA.
Journal of infection prevention
|November 18, 2024
概括
一个手术部位感染 (SSI) 预防包显著减少了与子宫切除相关的感染. 该捆绑导致各种子宫切除类型的标准化感染比率 (SIR) 降低,改善了患者的治疗结果.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 感染控制的方法是感染控制.
- 外科手术的结果
背景情况:
- 国家医疗保健安全网络 (NHSN) 报告说,社区医院的子宫切除手术的标准化感染率 (SIR) 正在上升.
- 手术部位感染 (SSIs) 在子宫切除术后构成重大风险,需要针对性的预防策略.
研究的目的:
- 实施和评估一套全面的手术部位感染 (SSI) 预防套件,用于切除子宫的手术.
- 为了减少与子宫切除相关的SSI的发生率,并提高患者的安全性.
主要方法:
- 一个多学科工作组在2020年实施了一套标准化的子宫切除术SSI预防包.
- 该研究比较了在 (n=857) 和 (n=772) 捆绑实施之前进行的良性子宫切除术的结果.
- 数据包括患者人口统计,手术类型 (腹部,阴道,住院,门诊) 和SSI分类.
主要成果:
- 实施后,子宫切除术的SIRs降低到1.0以下,表明有效的感染预防.
- 在门诊性腹部切除术 (0.868),住院性阴道切除术 (0),住院性复杂腹部切除术 (0),住院性复杂阴道切除术 (0),和住院性复杂阴道切除术 (0),观察到显著的SIR减少.
- 主要变化包括腹腔镜和门诊手术的增加,以及更长的手术持续时间.
结论:
- 切除子宫的SSI预防包有效降低了大型社区医院的切除子宫的标准化感染比率 (SIR).
- 该包在降低住院阴道,门诊腹部和所有住院复杂子宫切除术的SSI方面取得了显著的成功.
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