Casey Anna L, Elliott Tom S J
University Hospitals Birmingham NHS Foundation Trust, The Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
Curr Opin Infect Dis. 2009 Aug;22(4):370-5. doi: 10.1097/QCO.0b013e32832c4048.
The present review summarizes some of the key papers on the prevention of surgical site infections (SSI) published in 2008.
The National Institute for Health and Clinical Excellence published guidelines on the prevention and management of SSI. These guidelines follow a similar format to those published previously. There are, however, some important differences to previous recommendations and these are outlined in this current article. Other publications have provided additional evidence that suggests certain antiseptic agents are more efficacious than others for surgical hand antisepsis. Staphylococcus aureus decolonization has also been studied and noted to be of benefit for the prevention of SSI. Other research studies have focused on patient homeostasis, including the use of supplemental perioperative oxygen, which has resulted in mixed findings. Finally, the use of surveillance to evaluate the efficacy of 'care bundles' has been reported, which brings together many different approaches for the prevention of SSI.
Several evaluations of pre, peri and postoperative strategies for the prevention of SSI have been published in 2008, some of which have raised some fundamental questions.
本综述总结了2008年发表的关于预防手术部位感染（SSI）的一些关键论文。
英国国家卫生与临床优化研究所发布了关于SSI预防和管理的指南。这些指南采用了与之前发布的指南类似的格式。然而，与之前的建议存在一些重要差异，本文对此进行了概述。其他出版物提供了更多证据，表明某些防腐剂在手术手部消毒方面比其他防腐剂更有效。金黄色葡萄球菌去定植也已得到研究，并被认为对预防SSI有益。其他研究则集中在患者内环境稳定方面，包括围手术期补充氧气的使用，其结果不一。最后，有报道称使用监测来评估“综合护理措施”的效果，该措施汇集了许多不同的预防SSI的方法。
2008年发表了几项关于预防SSI的术前、术中和术后策略的评估，其中一些提出了一些基本问题。
