一个跨专业的,基于证据的Delphi共识的护理包,以减少手术部位感染
Josep M Badia1,2, Stefano Bartoli3, Lindsay Keeley4
1Department of Surgery, Hospital General de Granollers, Granollers, Spain.
International journal of surgery (London, England)
|January 14, 2026
概括
这项研究建立了关于预防手术部位感染 (SSI) 的手术护理包的关键要素的共识. 这些发现为多学科团队提供了基于证据的方法,以减少SSI率和打击抗菌素耐药性.
科学领域:
- 感染控制 感染控制
- 外科手术的安全性
- 公共卫生 公共卫生
背景情况:
- 手术部位感染 (SSI) 是常见的医疗相关感染,有助于抗菌素耐药性.
- 手术护理包可以减少SSI,但对最佳组件缺乏共识.
- 需要国际合作来规范SSI预防策略.
研究的目的:
- 达成国际共识,以获得最佳的,基于证据的外科手术护理包的基本要素.
- 引导多学科团队实施有效的SSI预防实践.
- 解决跨专业和国家标准化SSI预防的需要.
主要方法:
- 修改后的Delphi方法与国际多学科指导小组一起使用.
- 根据测试的高级证据开发了38个陈述.
- 欧洲医疗保健专业人员之间达成75%的共识.
主要成果:
- 分析了来自外科医生,护士和其他医疗保健专业人员的820个反应.
- 评估了36个陈述,其中33个 (92%) 达到75%的共识值.
- 在角色和专业之间观察到高度一致,在特定主题上存在微小的变化.
结论:
- 欧洲医疗保健专业人员就SSI预防捆绑元素达成强有力的共识.
- 建议支持采用以证据和专家为基础的护理包.
- 这种共识可以引导标准化,多学科的SSI预防方法.
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