Chong Tae, Sawyer Robert
University of Virginia Health Science Center, Department of Surgery, Box 800709, Charlottesville, VA 22906-0709, USA.
Curr Infect Dis Rep. 2002 Dec;4(6):484-490. doi: 10.1007/s11908-002-0033-z.
Surgical site infections contribute significantly to the morbidity and mortality of the individual patient and impose a burden on the health care resources of the community. With the shift toward streamlined hospitalizations and ambulatory surgery, a majority of surgical site infections are being diagnosed after discharge. There are several tools available for identifying and risk stratifying patients that include the National Nosocomial Infections Surveillance system and the Study on the Efficacy of Nosocomial Infection Control index. If patients can be identified preoperatively, appropriate prophylactic measures and postdischarge surveillance can be undertaken, an underemphasized task faced by hospital systems today.
手术部位感染对个体患者的发病率和死亡率有重大影响,并给社区的医疗资源带来负担。随着住院流程简化和门诊手术的增加,大多数手术部位感染是在出院后才被诊断出来的。有几种工具可用于识别患者并进行风险分层,包括国家医院感染监测系统和医院感染控制效果研究指数。如果能在术前识别患者,就可以采取适当的预防措施和出院后监测,而这是当今医院系统面临的一项未得到充分重视的任务。