Fry Donald E
Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Surg Infect (Larchmt). 2008 Dec;9(6):579-84. doi: 10.1089/sur.2008.9951.
Surgical site infection (SSI) continues to be a common if often times preventable infection. Considerable patient morbidity and economic cost are the consequences.
Review of the pertinent English-language literature.
The National Surgical Infection Prevention (SIP) Project was an initiative sponsored jointly by the Centers for Medicare and Medicaid Services and the U.S. Centers for Disease Control and Prevention to decrease the incidence of SSI in major surgical procedures. Three performance measures were developed to improve the timing of antibiotic administration and the selection of the drug and to reduce needless postoperative administration of antibiotics. The success of SIP led to the Surgical Care Improvement Project (SCIP), which is expanding performance measures in the area of prevention of SSI, and also is undertaking preventive measures against postoperative venous thromboembolism and cardiac events. Federal legislation has required hospitals to report rates of compliance with many of these process measures.
Surgeons must use all documented strategies to prevent SSIs.
手术部位感染（SSI）仍然是一种常见的感染，尽管通常是可以预防的。其后果是患者出现相当大的发病率以及产生经济成本。
回顾相关英文文献。
国家手术感染预防（SIP）项目是由医疗保险和医疗补助服务中心与美国疾病控制与预防中心联合发起的一项倡议，旨在降低 major surgical procedures 中手术部位感染的发生率。制定了三项性能指标，以改善抗生素给药时机和药物选择，并减少不必要的术后抗生素使用。SIP 的成功促成了手术护理改进项目（SCIP），该项目正在扩大手术部位感染预防领域的性能指标，同时也在采取针对术后静脉血栓栓塞和心脏事件的预防措施。联邦立法要求医院报告这些过程指标中许多指标的合规率。
外科医生必须采用所有已记录的策略来预防手术部位感染。
