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当前创伤预防性围手术期抗生素指南:文献回顾与结果数据。

Current prophylactic perioperative antibiotic guidelines in trauma: a review of the literature and outcome data.

机构信息

Department of Trauma Surgery, Boston University Medical Center, Boston, MA, USA.

出版信息

Bosn J Basic Med Sci. 2009 Oct;9 Suppl 1(Suppl 1):S46-S53. doi: 10.17305/bjbms.2009.2762.

DOI:10.17305/bjbms.2009.2762
PMID:19912119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5655172/
Abstract

A comprehensive review of prophylactic use of perioperative antibiotics in trauma from the 1970s to the present was performed. Evidence based guidelines were used to analyze the data from the past 32 years and define standards of care in the field. Recommendations and suggestions are provided to offer guidelines for prophylactic antibiotic use in trauma. Highlighted topics include general trauma surgery, with focus placed on abdominal and thoracic surgery in trauma, and non-trauma surgery, including subspecialties, for comparison.

摘要

对 20 世纪 70 年代至今创伤中预防性使用围手术期抗生素进行了全面回顾。使用循证指南分析了过去 32 年的数据,并确定了该领域的护理标准。提出了建议和意见,为创伤中预防性使用抗生素提供了指导方针。重点介绍的主题包括普通创伤外科,重点是创伤中的腹部和胸部手术,以及非创伤外科,包括亚专科,进行比较。

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本文引用的文献

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Efficacy of a pneumonia prevention protocol in the reduction of ventilator-associated pneumonia in trauma patients.一项肺炎预防方案在降低创伤患者呼吸机相关性肺炎方面的疗效
Surg Infect (Larchmt). 2007 Oct;8(5):505-10. doi: 10.1089/sur.2006.001.
2
The risk factors and management of posttraumatic empyema in trauma patients.创伤患者创伤后脓胸的危险因素及管理
Injury. 2008 Jan;39(1):44-9. doi: 10.1016/j.injury.2007.06.001. Epub 2007 Sep 19.
3
An intervention to decrease catheter-related bloodstream infections in the ICU.一项降低重症监护病房导管相关血流感染的干预措施。
N Engl J Med. 2006 Dec 28;355(26):2725-32. doi: 10.1056/NEJMoa061115.
4
Re: should we use routinely prophylactic antibiotics in patients with chest trauma?关于:我们是否应该对胸部创伤患者常规使用预防性抗生素?
World J Surg. 2006 Nov;30(11):2080-1. doi: 10.1007/s00268-006-0394-9.
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Perioperative antibiotics: when, why?围手术期抗生素:何时使用,为何使用?
Thorac Surg Clin. 2005 May;15(2):229-35, vi. doi: 10.1016/j.thorsurg.2005.01.005.
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National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2004, issued October 2004.国家医院感染监测(NNIS)系统报告,1992年1月至2004年6月数据总结,2004年10月发布。
Am J Infect Control. 2004 Dec;32(8):470-85. doi: 10.1016/S0196655304005425.
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Perioperative antibiotics and practice: little things that make a big difference.围手术期抗生素与实践:细微之处,影响重大。
Anesthesiol Clin North Am. 2004 Sep;22(3):473-91. doi: 10.1016/j.atc.2004.04.007.
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Prophylactic antibiotics adversely affect nosocomial pneumonia in trauma patients.预防性抗生素对创伤患者的医院获得性肺炎有不利影响。
J Trauma. 2003 Aug;55(2):249-54. doi: 10.1097/01.TA.0000083334.93868.65.
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Prophylactic antibiotics after severe trauma: more is not better.严重创伤后预防性使用抗生素:并非越多越好。
Int Surg. 2001 Jul-Sep;86(3):176-83.
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Impact of a rotating empiric antibiotic schedule on infectious mortality in an intensive care unit.轮换经验性抗生素方案对重症监护病房感染性死亡率的影响。
Crit Care Med. 2001 Jun;29(6):1101-8. doi: 10.1097/00003246-200106000-00001.