Fikri E, McAdams A J
Ann Surg. 1975 Dec;182(6):724-6. doi: 10.1097/00000658-197512000-00012.
Three hundred forty-one consecutive cases of colonic surgery performed by the Proctology service of our hospital have been reviewed. There was a total of 7 wound infections, constituting an incidence of 2.1%. The infection rate in clean contaminated cases was 0.8% and in contaminated cases, 4.7%. The mortality rate was 2.3%. Parenteral antibiotics were used in less than 50% of the operations. Our impression is that attention to one modality of wound infection prevention with disregard for the others will produce little. However, close attention to all the modalities by which we can hope to reduce wound infection appears to produce strikingly beneficial results.
我们回顾了我院直肠外科连续进行的341例结肠手术病例。共有7例伤口感染，发生率为2.1%。清洁-污染手术的感染率为0.8%，污染手术的感染率为4.7%。死亡率为2.3%。不到50%的手术使用了静脉抗生素。我们的印象是，只注重一种预防伤口感染的方式而忽视其他方式收效甚微。然而，密切关注所有有望减少伤口感染的方式似乎会产生显著的有益效果。
