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培养质量:减少接受心脏手术儿童的手术部位感染

Cultivating quality: reducing surgical site infections in children undergoing cardiac surgery.

作者信息

Galvin Patricia

机构信息

Children's Hospital, Boston, MA, USA.

出版信息

Am J Nurs. 2009 Dec;109(12):49-55. doi: 10.1097/01.NAJ.0000365187.47124.c0.

DOI:10.1097/01.NAJ.0000365187.47124.c0
PMID:19935173
Abstract

At Children's Hospital Boston, the cardiovascular operating room nurses led an initiative aimed at reducing surgical site infections (SSIs) in pediatric patients undergoing cardiac surgery. After first standardizing how skin preparation was performed, the nurses sought to determine which agents might be most effective. A literature review yielded relevant research; a survey of other pediatric surgery centers was also conducted. Based on what they learned, the nurses were able to recommend, implement, and evaluate a practice change. This has resulted in reduced SSI rates and improved patient outcomes.

摘要

在波士顿儿童医院,心血管手术室护士发起了一项旨在降低接受心脏手术的儿科患者手术部位感染(SSI)的倡议。在首先规范皮肤准备的操作方式后,护士们试图确定哪种药剂可能最有效。文献综述得出了相关研究成果;还对其他儿科手术中心进行了调查。基于所学到的知识,护士们能够推荐、实施并评估一项实践变革。这已使手术部位感染率降低,并改善了患者预后。

相似文献

1
Cultivating quality: reducing surgical site infections in children undergoing cardiac surgery.培养质量:减少接受心脏手术儿童的手术部位感染
Am J Nurs. 2009 Dec;109(12):49-55. doi: 10.1097/01.NAJ.0000365187.47124.c0.
2
A review of anti-septic agents for pre-operative skin preparation.术前皮肤准备用抗菌剂综述。
Plast Surg Nurs. 2007 Oct-Dec;27(4):185-9; quiz 190-1. doi: 10.1097/01.PSN.0000306182.50071.e2.
3
Guideline for Prevention of Surgical Site Infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee.《手术部位感染预防指南》,1999年。疾病控制与预防中心(CDC)医院感染控制实践咨询委员会。
Am J Infect Control. 1999 Apr;27(2):97-132; quiz 133-4; discussion 96.
4
[Skin preparation in surgical patients, study of practices in a hospital center].
Soins. 2003 Jan-Feb(672):27-31.
5
Paint-only is equivalent to scrub-and-paint in preoperative preparation of abdominal surgery sites.在腹部手术部位的术前准备中,仅涂擦法与擦洗加涂擦法效果相当。
J Am Coll Surg. 2005 Nov;201(5):737-41. doi: 10.1016/j.jamcollsurg.2005.05.023. Epub 2005 Aug 31.
6
Pre-operative patient preparation in the prevention of surgical site infections.预防手术部位感染的术前患者准备
Can Oper Room Nurs J. 2007 Dec;25(4):26-7, 29-32, 34.
7
Evidence-based prevention strategies for surgical site infections.手术部位感染的循证预防策略。
Plast Surg Nurs. 2009 Jul-Sep;29(3):175-8. doi: 10.1097/PSN.0b013e3181b3e94f.
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Sternal surgical site infection prevention - is there any room for improvement?胸骨外科部位感染预防——是否有改进空间?
Eur J Cardiothorac Surg. 2011 Aug;40(2):347-51. doi: 10.1016/j.ejcts.2010.12.016. Epub 2011 Jan 31.
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Standardization of a surgical site precleansing technique for vascular patients.
AORN J. 2008 Aug;88(2):261-5. doi: 10.1016/j.aorn.2008.03.006.
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Should additional antibiotics or an iodine washout be given to all patients who suffer an emergency re-sternotomy on the cardiothoracic intensive care unit?对于所有在心胸重症监护病房接受紧急再次开胸手术的患者,都应该给予额外的抗生素或碘冲洗吗?
Interact Cardiovasc Thorac Surg. 2008 May;7(3):464-9. doi: 10.1510/icvts.2008.176016. Epub 2008 Feb 7.

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