儿科泌尿科医生当前的手术前期抗生素预防对干净的外科手术的实践
Sophie Bouldoukian1, Claudia Berrondo2
1University of Nebraska Medical Center, College of Medicine, 4400 Emile St, Omaha, NE, 68198, USA.
Journal of pediatric urology
|October 29, 2025
概括
儿科泌尿科医生表现出不同的手术抗生素预防 (SAP) 实践,尽管他们意识到2019年指南. 对于儿科泌尿病学中的抗菌药物管理,需要进一步的研究.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 抗微生物药物管理委员会
- 手术部位感染 手术部位感染
背景情况:
- 手术部位感染 (SSI) 是儿科泌尿外科手术的潜在并发症.
- 手术抗生素预防 (SAP) 可以减少SSI,但对于I类/清洁病例可能不需要.
- 2019年美国泌尿器官学会 (AUA) 最佳实践声明 (BPS) 更新了泌尿器官手术抗菌预防的指南.
研究的目的:
- 在儿科泌尿科医生中评估目前的SAP实践,用于I类手术.
- 评估2019年AUA BPS更新对临床实践的影响.
主要方法:
- 一个匿名的横截面调查分发给儿童泌尿病学会 (SPU) 的成员.
- 调查数据包括提供者人口统计,影响抗生素使用的因素,程序特定的做法,以及对2019年AUA BPS更新的认识/采用.
主要成果:
- 79%的受访者知道2019年AUA BPS更新,但只有37%的人修改了他们的做法.
- 预防性抗生素的使用因程序而异,从3% (肉切割,割礼) 到39-48% (腹腔镜手术,丸扭曲探测).
- 国家准则,个人经验和坦纳阶段影响了实践模式;21%的人认为预防有助于抗生素耐药性.
结论:
- 尽管2019年AUA BPS更新的广泛认识,儿童泌尿科医生的SAP实践仍然存在变化.
- 需要进一步努力,以促进基于证据的抗菌药物管理在儿科泌尿病学.
- 持续的研究对于优化抗生素使用和打击耐药性至关重要.
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