Widmer A F, Battegay M
Klinik für Infektiologie & Spitalhygiene, Universitätsspital Basel, 4031 Basel, Schweiz.
Internist (Berl). 2010 Feb;51(2):142-53. doi: 10.1007/s00108-009-2414-y.
Surgical site infections are the most common nosocomial infections in surgical wards. The main risk factor is the comorbidity of patients. In addition, there are many preoperative and intraoperative factors that increase the risk of surgical site infections. Appropriate antimicrobial prophylaxis, adequate preparation of the patients by cessation of smoking and reducing weight are likely to prevent postoperative infections outside the operating theatre. The WHO has issued guidelines to prevent not only infectious, but also non-infectious complications after surgery. Surveillance of surgical site infections itself with adequate feedback to the surgeons decreases the rate by approximately 30%.
手术部位感染是外科病房最常见的医院感染。主要危险因素是患者的合并症。此外，术前和术中还有许多因素会增加手术部位感染的风险。适当的抗菌预防、通过戒烟和减重使患者做好充分准备，可能会预防手术室以外的术后感染。世界卫生组织已发布指南，以预防术后不仅包括感染性，还包括非感染性并发症。对手术部位感染本身进行监测并向外科医生提供充分反馈，可使感染率降低约30%。
