关于手术中的抗生素预防的指导方针 2024
Marc Garnier1, Rémy Gauzit2, Marc Léone3
1Department of Perioperative Medicine, CHU Clermont-Ferrand, Clermont-Ferrand, France. iGReD, CNRS, INSERM, Université Clermont Auvergne, Clermont-Ferrand, France; GRC29, DMU DREAM, Anesthesiology and Critical Care Medicine Department, Tenon Hospital, Assistance Publique-Hôpitaux de Paris (APHP), Sorbonne University, Paris, France.
Anaesthesia, critical care & pain medicine
|February 2, 2026
概括
在外科手术和干预医学中进行抗生素预防的最新指南是由专家的共识制定的. 这些建议旨在通过标准化医疗程序中的抗生素使用来改善患者护理.
科学领域:
- 麻醉学和重症监护医学
- 传染性疾病 传染性疾病
- 手术科学 手术科学
背景情况:
- 抗生素预防对于预防手术部位感染至关重要.
- 法国麻醉和重症监护医学协会 (SFAR) 之前的指南于2018年发布.
- 由于新的文献和不断变化的实践,更新是必要的.
研究的目的:
- 为手术和干预医学中抗生素预防提供最新的指导方针.
- 评估当前的实践和抗生素预防的证据.
- 建立关于最佳实践的专家共识.
主要方法:
- 一个由来自SFAR和28个外科协会的167名专家组成的共识委员会召开了会议.
- 使用了推评估,开发和评估 (GRADE) 的分级方法.
- 进行了广泛的文献综述和基于 PICO 的问题制定.
主要成果:
- 创建了九个推表,涵盖了各种外科专业.
- 建议包括不同程度的证据 (等级1+和2+).
- 在GRADE方法不完全适用的情况下,使用了专家意见.
结论:
- 对于所有制定的建议,达成了强有力的专家协议.
- 这些指南旨在加强手术和干预手术中的抗生素预防实践.
- 这些更新的建议旨在改善患者的治疗结果,并降低感染率.
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