Gravante G, Caruso R, Araco A, Cervelli V
Department of General Surgery, University of Tor Vergata in Rome, Ciampino (Roma) 00043, Italy.
Aesthetic Plast Surg. 2008 Mar;32(2):243-51. doi: 10.1007/s00266-007-9068-8.
Through a review of the English literature, this study aimed to assess the incidence, etiology, risk factors, and preventive measures for postoperative infections occurring after plastic surgery operations.
All studies describing the occurrence of infections after plastic surgery procedures including case reports, prospective trials, and retrospective series were selected.
The 85 articles analyzed showed that incidences differ greatly among procedures and seem to be influenced by different and specific risk factors for each operation. Etiologic agents are primarily bacteria, although mycobacteria, virus, and fungi also have been described. No agreement exists on the use of antibiotic prophylaxis, except for abdominoplasties, because few specific prospective trials are present in the literature.
Infections remain an important problem in plastic surgery with different points that still need to be clarified. Hopefully, in the future prospective randomized trials will definitively address this issue in order to provide plastic surgeons with clear and unbiased guidelines on its prevention and management.
通过对英文文献的回顾，本研究旨在评估整形手术术后感染的发生率、病因、危险因素及预防措施。
选取所有描述整形手术后感染发生情况的研究，包括病例报告、前瞻性试验和回顾性系列研究。
分析的85篇文章表明，不同手术的感染发生率差异很大，似乎受每种手术不同的特定危险因素影响。病因主要是细菌，不过也有分枝杆菌、病毒和真菌的相关描述。除腹壁成形术外，对于抗生素预防的使用尚无共识，因为文献中几乎没有具体的前瞻性试验。
感染仍是整形手术中的一个重要问题，仍有不同要点需要阐明。希望未来的前瞻性随机试验能最终解决这个问题，以便为整形外科医生提供关于其预防和管理的明确且无偏倚的指导方针。
