Upperman Jeffrey S, Sheridan Robert L, Marshall John
Division of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Pediatr Crit Care Med. 2005 May;6(3 Suppl):S36-41. doi: 10.1097/01.PCC.0000161584.26999.15.
The purpose of this review is to provide background and a concise set of definitions for pediatric surgical site and wound infections.
The information discussed in this report is derived from a literature review and discussion at an international consensus conference on pediatric sepsis.
There is a paucity of literature on pediatric surgical site and wound infection definitions. Excluding burn wounds, surgical site and wound infections rarely lead to overwhelming sepsis. Nevertheless, surgical site or wound infections including pressure ulcers can lead to significant morbidity in the pediatric critical care setting.
Although surgical site and wound infections rarely lead to intensive care unit admissions, definitions are still valuable for stratifying potential candidates for sepsis trials.
本综述旨在提供小儿外科手术部位感染和伤口感染的背景及一套简明的定义。
本报告中讨论的信息源自一项关于小儿脓毒症的国际共识会议上的文献综述及讨论。
关于小儿外科手术部位感染和伤口感染定义的文献较少。除烧伤伤口外，手术部位和伤口感染很少导致严重脓毒症。然而，包括压疮在内的手术部位或伤口感染在小儿重症监护环境中可导致显著的发病率。
尽管手术部位和伤口感染很少导致入住重症监护病房，但这些定义对于对脓毒症试验的潜在候选者进行分层仍有价值。
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