经手术的抗微生物预防:在上肢手术中的整形外科医生的知识,信仰和实践
Fahad K Aljindan1, Fahad Alhumaid2, Ibrahim R Halawani3
1Department of Plastic Surgery, King Abdullah Medical City, Makkah, SAU.
Cureus
|June 10, 2025
概括
整形外科医生在上肢手术的手术抗微生物预防 (SAP) 中表现出多样化的实践. 需要更明确的指导方针来规范抗生素的使用和预防手术部位感染 (SSIs).
科学领域:
- 手术感染预防手术感染预防.
- 整形手术 整形手术 整形手术
- 抗微生物药物管理管理
背景情况:
- 手术抗微生物预防 (SAP) 对于预防手术部位感染 (SSI) 至关重要.
- SAP实践的变化和抗生素的滥用在上肢手术中带来了挑战.
- 缺乏统一的指导方针使标准化的SAP协议变得复杂.
研究的目的:
- 评估整形外科医生关于上肢和手部手术中SAP的知识,信念和实践.
- 在沙特的整形外科医生中识别当前的SAP协议和对现有指南的认识.
主要方法:
- 一项采用在线自我管理调查的横截面研究.
- 对2023年3月所有沙特整形外科医生进行的调查.
- 调查问卷评估了人口统计数据,清洁/污染手术的SAP实践,以及指南意识.
主要成果:
- 65名整形外科医生参与了这项研究;大多数在政府部门工作,有10-15年的经验.
- 在干净 (86.2%) 和受污染 (96.9%) 的手术中,广泛使用了手术前的抗生素.
- 塞法索林是最常见的手术前抗生素;在术后更喜欢使用阿莫西-克拉夫兰酸盐. 人们对指导方针的认识很高 (61.5%),但缺乏共识影响了决策 (30.8%).
结论:
- 在沙特整形外科医生的SAP实践中存在显著的变化.
- 显然需要基于证据的指导方针来标准化SAP.
- 优化SAP协议对于改善患者护理和减少SSI至关重要.
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