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选择性和紧急手术中手术部位感染的危险因素:前性队列研究
Hazem A Megahed1, Ahmed Taki-Eldin2, Abdel-Monem A Mohamed3
1Department of General Surgery, Faculty of Medicine for Boys, Al-Azhar University, Damietta, Egypt.
Medical journal of the Islamic Republic of Iran
|July 31, 2025
概括
手术部位感染 (SSI) 在紧急手术中更频繁,受糖尿病和伤口污染等因素的影响. 实施感染控制措施和有效的抗生素可以减少SSI的发生.
科学领域:
- 手术感染 手术感染
- 传染病流行病学 传染病流行病学
- 医疗保健相关的感染
背景情况:
- 手术部位感染 (SSI) 是患者发病率,残疾和医疗保健支出增加的重要原因.
- 标准化的手术前,手术后和术后护理协议对于减轻SSI至关重要.
研究的目的:
- 调查与患者和手术相关的因素,这些因素有助于手术部位感染 (SSI) 的发生率.
- 在医院环境中确定与SSI相关的关键风险因素.
主要方法:
- 一项前性队列研究,涉及140名接受选择性或紧急手术的患者.
- 用观察和分析方法评估SSI的风险因素,统计分析采用千平方测试和IBM SPSS统计.
- 为了进行比较分析,患者被分为紧急和选择性手术组.
主要成果:
- 在140名患者中,共观察到25例SSI,紧急手术的发病率更高.
- 确定的重大风险因素包括伤口类型 (脏,受污染,干净受污染),长时间的手术时间 (≥60分钟),以及患者的并发症,如糖尿病.
- 在紧急SSI中常见的病原体包括大肠杆菌,金黄色葡萄球菌和 Pseudomonas aeruginosa;S. aureus和Citrobacter在选择性手术中普遍存在.
结论:
- 手术部位感染在紧急程序中更为普遍.
- 关键可修改的SSI风险因素包括吸烟,糖尿病,伤口污染和延长的手术时间.
- 有效的抗生素管理和严格的感染控制实践对于降低SSI率至关重要.
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