儿童手术前抗生素遵守和结直肠外科手术部位感染
Lauren R Templeton1, Zachary M Most2, Maria V Bradd3
1UT Southwestern Medical Center, School of Medicine, Dallas, Texas.
The Journal of surgical research
|March 28, 2025
概括
在儿童结直肠外科手术 (CRS) 患者中,实施手术捆绑减少了表面手术部位感染 (SSI). 然而,仅仅抗生素的选择和时间并不能独立预测SSI的减少.
科学领域:
- 儿科手术 儿科手术
- 预防传染病 预防传染病
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 手术部位感染 (SSI) 是儿科结直肠手术 (CRS) 的一个问题.
- 现有证据支持成人CRS中SSI预防捆绑.
- 术前抗生素选择和时间在儿科CRSSSI率中的作用需要研究.
研究的目的:
- 评估手术前抗生素选择/时机与儿科CRS患者SSI发病率之间的关联.
- 评估一组手术对该群体SSI率的影响.
主要方法:
- 对前性收集的队列 (2019-2022) 的回顾性分析.
- 在实施针对抗生素的手术包之前和之后,SSI发病率的比较.
- 抗生素符合性和SSI类型的分类;物流回归分析.
主要成果:
- 在捆绑实施后,SSI费率下降了44%.
- 对外科手术包的遵守率从56%增加到88%.
- 抗生素的选择和时间不是SSI减少的独立预测因素.
结论:
- 术后外科手术捆绑实施与小儿CRS中表面SSI的减少有关.
- 仅仅对抗生素选择和时间的具体遵守并不能预测SSI的减少.
- 手术捆绑可能有利于减少小儿CRS中的SSI.
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