通过外科手术期间的预防包,赋予患者权力,以减少结直肠手术中的手术部位感染
Vladimir Nikolic1, Ljiljana Markovic-Denic1, Stefan Kmezic2
1Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
实施外科手术期间预防套餐显著减少了手术部位感染 (SSI) 和结直肠手术后再住院. 患者教育和参与是这一成功的关键,大幅降低了整体SSI率.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 预防传染病 预防传染病
- 患者安全 患者安全
背景情况:
- 手术部位感染 (SSI) 是结直肠手术的一个重要问题,报告的发病率在5.4%至30%之间.
- 高的SSI率有助于增加患者的发病率和医疗保健成本.
研究的目的:
- 评估综合性外科手术前预防包在减少SSI发病率方面的有效性.
- 评估包对结直肠手术后再住院率的影响.
主要方法:
- 进行了前性队列研究,并进行了前后分析.
- 干预措施包括加强患者教育,使用素浴和严格的手套卫生协议.
- 患者和医疗保健工作人员都实现了完全合规.
主要成果:
- 整体SSI率显著下降,从18.5%降至3.8% (P=.016). 这也使得整体SSI率大幅下降,从18.5%降至3.8%.
- 表面的SSI被消除了 (11.1%至0%,P=.012),尽管深层和器官空间SSI的减少并不显著.
- 三十天再住院率从14.0%下降到2.0% (P=.029).
结论:
- 一个术后预防包,特别是包括患者教育和参与,有效地减少了结直肠外科手术中的SSI和再住院.
- 高度的合规性,可能是由患者赋权推动的,对于包的成功至关重要.
- 对深层和器官空间SSI进行进一步的研究是有必要的.
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