Meyer D, Klarenbeek R, Meyer F
Evangelisches Krankenhaus Oldenburg, Department of Neurosurgery, Steinweg 13-17, Oldenburg, Germany.
Cent Eur Neurosurg. 2010 Aug;71(3):117-20. doi: 10.1055/s-0029-1224194. Epub 2010 Mar 2.
Postoperative deep wound infections are the third most common reason for nosocomial infections after pneumonia and urinary tract infections. Deep wound infections lead to higher rates of morbidity and mortality and increased costs of treatment. Infection rates following spinal surgery are reported to lie between 1.9 and 10%. This study was carried out to prove whether a new internal concept for perioperative management could reduce the infection rates following spinal surgery.
Based on the current literature we developed a concept for perioperative care in spinal surgery in order to prevent postoperative deep wound infections. We retrospectively compared infection rates of 2006 and 2007 after the implementation of our perioperative care concept in spinal surgery patients. Total annual operations were comparable.
After the introduction of our predominantly evidence-based concept of perioperative care for spinal surgery patients, we found a considerable decrease in infection rates from 0.6% in 2006 to 0% in 2007.
A new concept for perioperative care in spinal surgery for the prevention of deep wound infections was found to effectively reduce infection rates. Due to the limitations of our single-center retrospectively selected cohort, further research is necessary to support our results.
术后深部伤口感染是继肺炎和尿路感染之后医院感染的第三大常见原因。深部伤口感染导致更高的发病率和死亡率，并增加治疗成本。据报道，脊柱手术后的感染率在1.9%至10%之间。本研究旨在证明一种新的围手术期管理内部理念是否能降低脊柱手术后的感染率。
基于当前文献，我们制定了脊柱手术围手术期护理概念，以预防术后深部伤口感染。我们回顾性比较了2006年和2007年在脊柱手术患者中实施围手术期护理概念后的感染率。每年的手术总数具有可比性。
在引入我们以循证为主的脊柱手术患者围手术期护理概念后，我们发现感染率从2006年的0.6%大幅降至2007年的0%。
发现一种用于预防深部伤口感染的脊柱手术围手术期护理新概念可有效降低感染率。由于我们单中心回顾性选择队列的局限性，需要进一步研究来支持我们的结果。
