[在腹部手术中预防和治疗手术部位感染]
Tara Mueller-Elmau1, Helmut Friess2
1Klinik und Poliklinik für Chirurgie, Klinikum rechts der Isar, Universitätsklinikum der Technischen Universität München, Ismaningerstr. 22, 81675, München, Deutschland.
手术部位感染 (SSI) 在腹部手术后很常见. 预防包括可修改的手术因素和术后措施,而治疗取决于感染的严重程度.
科学领域:
- 手术感染 手术感染
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 手术后的手术部位感染 (SSIs) 对患者和医疗保健系统来说是一个重大挑战.
- 在腹部手术后,SSI是最常见的医院感染之一,与肺炎和尿路感染一起.
- 虽然患者相关的SSI风险因素往往难以短期修改,但与手术相关的因素和术后干预措施为预防提供了潜在的可能性.
研究的目的:
- 审查可修改的外科风险因素和腹部手术后SSI的术后预防措施.
- 根据SSI的严重程度和深度概述治疗策略.
- 在一般性周周炎的病例中确定进行复利切除术的指示.
主要方法:
- 关于可修改的外科手术风险因素的文献综述.
- 对经手术后的预防措施进行分析,证据水平不同.
- 描述SSI的治疗方法,包括伤口管理和抗生素治疗.
- 确定手术重新干预的标准.
主要成果:
- 可修改的外科风险因素包括手术的持续时间,无菌技术和失血.
- 有各种各样的外科手术前预防措施,如皮肤消毒,抗生素预防,伤口边缘保护剂和负压带.
- 治疗方法从伤口打开和除,到液排水和抗生素,对于一般性腹膜炎,可使用复原切除术.
结论:
- 在腹部手术后有效预防SSI取决于解决可修改的手术因素和实施基于证据的外科手术期间措施.
- 治疗策略必须根据感染的具体表现和严重程度量身定制.
- 及时的手术干预,包括必要时的复发切除术,对于管理严重的SSI和腹膜炎至关重要.
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