Gastmeier P, Brandt C, Sohr D, Rüden H
Institut für Medizinische Mikrobiologie und Krankenhaushygiene, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, 30625 Hannover.
Chirurg. 2006 Jun;77(6):506-11. doi: 10.1007/s00104-006-1193-4.
Surgical site infections can be traced to discrepancies in one specific hospital department: the operating suite. Therefore, prevention is often viewed as resting completely on the surgeon. However, the source of micro-organisms responsible for surgical site infections can be endogenous or exogenous. Most infections are believed to be the former, i.e. caused by micro-organisms already resident in the patient's body. Therefore the surgeon can be regarded as suspect only in exceptional cases and usually himself a victim. Prevention is possible not only for exogenous surgical site infection but also many endogenous infections. A multicenter surveillance of infection rates at 130 operative departments participating for at least 4 years in the German National Nosocomial Infection Surveillance System was conducted. A significant 25% reduction in the 3rd year was observed compared with patients who underwent surgery within the 1st year of participation. However, surgeons alone cannot achieve such a decrease, and a team approach is required under most circumstances.
手术部位感染可追溯到某一特定医院科室——手术室的差异。因此，预防工作通常被认为完全取决于外科医生。然而，导致手术部位感染的微生物来源可能是内源性的，也可能是外源性的。大多数感染被认为是前者，即由患者体内已有的微生物引起。因此，只有在特殊情况下外科医生才会被怀疑，而通常他自己也是受害者。不仅外源性手术部位感染，许多内源性感染也可以预防。对参与德国国家医院感染监测系统至少4年的130个手术科室的感染率进行了多中心监测。与参与第一年接受手术的患者相比，第三年观察到显著降低了25%。然而，仅靠外科医生无法实现这种降低，在大多数情况下需要团队协作的方法。
