Peel A L, Taylor E W
North Tees General Hospital, Stockton-on-Tees, Cleveland.
Ann R Coll Surg Engl. 1991 Nov;73(6):385-8.
Infection is an important arbiter of success or failure of surgical practice and the incidence of infection is incorporated into all surgical audit systems. If audit is to be of value the outcome end points of clinical practice must be defined. We have attempted to derive clinical definitions suitable for bedside diagnosis of infection and believe that these should bs supported by, but not be dependent upon, the results of laboratory or imaging techniques. The proposed definitions are intended to form the basis for clinical audit and to allow meaningful comparisons to be made on clear clinical criteria.
感染是外科手术成败的重要判定因素,感染发生率已纳入所有外科审计系统。若要使审计有价值,必须明确临床实践的结果终点。我们试图得出适用于床边感染诊断的临床定义,并认为这些定义应得到实验室或影像学检查结果的支持,但不应依赖于这些结果。所提出的定义旨在构成临床审计的基础,并允许根据明确的临床标准进行有意义的比较。