相关实验视频
Updated: Jan 10, 2026

08:03
In Vivo Mouse Model of Spinal Implant Infection
Published on: June 23, 2020
2.7K
在脊椎和胸部手术中通过操作参数调节手术部位感染风险:叙述性审查
Joanna Suszczyńska1, Michał Grabala1, Paweł Grabala2
12nd Clinical Department of General and Gastroenterogical Surgery, Medical University of Bialystok, ul. M. Skłodowskiej-Curie 24a, 15-276 Bialystok, Poland.
Journal of clinical medicine
|November 27, 2025
概括
在脊椎和胸部手术后的手术部位感染 (SSI) 可以通过优化手术因素和实施基于证据的伤口护理来减少. 策略包括及时的抗生素预防,有针对性的负压伤口治疗 (NPWT) 和内伤口菌素.
科学领域:
- 手术感染预防 手术感染预防
- 伤口管理 伤口管理
- 胸部和脊柱手术 胸部和脊柱手术
背景情况:
- 手术部位感染 (SSI) 复杂化脊柱和胸部手术,增加病率和住院时间.
- 危险因素包括糖尿病,肥胖,吸烟,长时间的手术和硬件使用.
- 基于证据的预防对高风险的手术患者至关重要.
研究的目的:
- 审查有关SSI发病率,风险因素和脊柱和胸部外科手术预防的现有证据.
- 综合有关手术参数,抗生素预防和伤口治疗的发现.
- 为这些患者群体减少SSI提供最佳实践信息.
主要方法:
- 来自PubMed,Scopus,ScienceDirect,Cochrane图书馆和Embase (2000-2025) 的研究的叙述性综述.
- 包括对成人胸部或脊柱手术患者SSI的同行评审文章.
- 提取了有关操作参数,抗生素疗法,NPWT和结果的数据.
主要成果:
- 较长的手术持续时间 (>4h) 和较大的血液损失 (>500mL) 显著增加SSI风险.
- 预防性负压伤口疗法 (NPWT) 和内伤胺粉将高风险患者的深度SSI率减半.
- 在切口后30分钟内对肥胖患者进行抗生素预防,并根据体重调整剂量,改善了结果.
结论:
- 操作因素是SSI风险的强有力的预测因素.
- 结合优化的抗生素预防,风险分层的NPWT和手术技术修改的综合方法可以显著减少SSI.
- 成功实施需要机构的承诺和多学科的合作.
相关概念视频
Aneurysm IV: Nursing Management
361
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
361
Peripheral Artery Disease V: Postoperative Nursing Management
356
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
356
Factors Affecting the Risk of Infection
13.2K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
13.2K
Inflammatory Bowel Disease V: Surgical Management
429
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
429
Cardiomyopathy VII: Pre and Post Operative Nursing Management
264
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
264
Healthcare Associated Infections II: Preventive Measures
3.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.6K

