手和手腕创伤:抗微生物药物和感染 - 临床实践审计 (HAWAII-ACP)
Shiraz Q Shafi1, Ryo Yoshimura2, Conrad J Harrison3
1Oxford Trauma and Emergency Care, Kadoorie Centre, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom; Surgical Intervention Trials Unit, Botnar Research Centre, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
在手和手腕创伤手术中,遵守世界卫生组织 (WHO) 预防手术部位感染 (SSI) 的指导方针有很大差异. 需要有针对性的研究来改善患者的治疗结果,并减少SSI.
科学领域:
- 整形外科手术 整形外科手术
- 预防传染病 预防传染病
- 全球卫生审计全球卫生审计
背景情况:
- 手术部位感染 (SSI) 是手和手腕创伤手术的重要并发症,导致患者受伤和功能缺陷.
- 评估遵守世界卫生组织 (WHO) 的指导方针对于减轻这一手术群体的SSI至关重要.
研究的目的:
- 评估国际上遵守世卫组织在手和手腕创伤手术中预防SSI的指导方针.
- 为了确定高和低符合已建立SSI预防协议的领域.
主要方法:
- 一项涉及重建外科试验网络 (RSTN) 的国际多中心审计.
- 来自12个国家的45家医院的操作笔记收集数据,分析了与世卫组织标准相比的抗菌做法.
- 使用描述性统计数据来总结各种SSI预防标准的遵守情况.
主要成果:
- 分析了接受手和手腕创伤手术的2,167名患者的数据.
- 对于手术手的准备 (91%),窗/长袍 (92%) 和术后连衣 (98%) 进行了高度的遵守.
- 其他抗微生物实践中观察到显著的变化和较低的坚持.
结论:
- 在实施世卫组织在手和手腕创伤手术中预防SSI的指导方针方面存在很大差异.
- 需要进行进一步的研究,以评估已建立的SSI降低策略在这种特定的外科 context 中的有效性.
- 改善患者的结果需要有针对性的研究和基于证据的SSI预防措施的一致应用.
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