头部和部手术部位感染:一个多中心回顾性队列研究
Zain Sheikh1,2,3, Jejelola Apata-Omisore4,5, Atia Khan6,7
1School of Medicine and Population Health, University of Sheffield, Royal Hallamshire Hospital, Glossop Road, Sheffield, South Yorkshire, S10 2JF, UK. Zain.sheikh@nhs.net.
概括
在头部和部手术中,手术部位感染 (SSI) 是常见的. 糖尿病显著增加SSI风险,而消毒剂的选择和接类型不会影响感染率.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术感染 手术感染
- 公共卫生 公共卫生
背景情况:
- 手术部位感染 (SSI) 是经常出现的术后并发症,导致发病率和死亡率增加.
- 目前对SSI的指导方针主要基于非头部和部手术.
- 头部和部手术带来了独特的挑战,需要对SSI因素进行具体调查.
研究的目的:
- 调查影响手术部位感染 (SSI) 的因素,特别是在头部和部区域.
- 评估现有的SSI指南对头部和部手术的适用性.
- 为了确定与SSI发展相关的患者和程序变量,在这个解剖区域.
主要方法:
- 在耳鼻喉科的各个部门进行了一项多中心的回顾性队列研究.
- 分析了2021年接受皮肤切口手术的827名患者的数据.
- 收集的信息包括人口统计,并发症,生活方式因素,手术细节和抗生素预防.
主要成果:
- 整体SSI率为4.2% (34/827名患者).
- 糖尿病被确定为SSI发展的重要危险因素.
- 选择的消毒剂制剂和接材料与SSI率没有显著的关联.
结论:
- 这项研究提供了首次评估头部和部地区的SSI率.
- 关于选择消毒剂的NICE指南可能不直接适用于头手术.
- 优化术前并发症,特别是糖尿病,对于减少头部和部手术中的SSI至关重要.
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