Kramer Axel, Maassen Alexander
Institute for Hygiene and Environmental Medicine, Ernst Moritz Arndt University Greifswald, Germany.
GMS Krankenhhyg Interdiszip. 2009 Dec 16;4(2):Doc11. doi: 10.3205/dgkh000136.
Nosocomial infections present a growing challenge in wound care, especially in light of the rising distribution of multiresistant bacterial strains. Because wounds are an ideal breeding ground for pathogens, special care must be taken in choosing the right dressing. Following the traditional preventive approach, exposure of the nursing staff as well as the wounds to pathogens should be reduced. Dressings allowing a reduced frequency of dressing changes may help accomplish this. During dressing changes the dressing should allow for safe handling with a low risk of contamination. To protect the patient, the dressing should minimise exposure to pathogens during wear time as well as promote healing even if the dressing remains on the wound for a longer period of time. The dressing sorbion sachet S is used as an example to examine possible strategies.
医院感染在伤口护理中构成了日益严峻的挑战,尤其是考虑到多重耐药菌株的分布不断增加。由于伤口是病原体的理想滋生地,因此在选择合适的敷料时必须格外小心。按照传统的预防方法,应减少护理人员以及伤口接触病原体的机会。允许减少换药频率的敷料可能有助于实现这一点。在换药期间,敷料应便于安全操作,污染风险低。为了保护患者,敷料应在佩戴期间尽量减少病原体暴露,并且即使在伤口上保留较长时间也能促进愈合。以sorbion sachet S敷料为例来研究可能的策略。