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[Strategies to prevent surgical site infections].

作者信息

Chaberny I F, Graf K

机构信息

Institut für Medizinische Mikrobiologie und Krankenhaushygiene, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland.

出版信息

Unfallchirurg. 2011 Mar;114(3):236-40. doi: 10.1007/s00113-010-1895-4.

DOI:10.1007/s00113-010-1895-4
PMID:21373929
Abstract

Surgical site infections (SSI) are a severe complication following surgical or orthopaedic procedures and are associated with significant increases in hospital length of stay (LOS), additional costs, morbidity and mortality. Hence, the prevention of SSI is essential and poses a major challenge in the healthcare system. Strategies and key points are presented and discussed. Infection control measures such as active surveillance of SSI, implementation of a checklist, compliance observations and instruction/training of healthcare workers as well as Staphylococcus aureus/MRSA screening, clipping instead of shaving, adherence to perioperative antibiotic prophylaxis, maintaining intraoperative normothermia and blood glucose control are essential for a comprehensive bundle in order to prevent SSI.

摘要

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Effects of moderate intensity glycemic control after cardiac surgery.心脏手术后中等强度血糖控制的效果。
Ann Thorac Surg. 2010 Dec;90(6):1825-32. doi: 10.1016/j.athoracsur.2010.07.063.
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Feedback mechanisms including real-time electronic alerts to achieve near 100% timely prophylactic antibiotic administration in surgical cases.
反馈机制,包括实时电子警报,以实现手术病例中近 100%的预防性抗生素及时给药。
Anesth Analg. 2010 Nov;111(5):1293-300. doi: 10.1213/ANE.0b013e3181f46d89. Epub 2010 Sep 14.
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Importance of alcohol in skin preparation protocols.酒精在皮肤准备方案中的重要性。
Infect Control Hosp Epidemiol. 2010 Sep;31(9):977. doi: 10.1086/655843.
5
Bacterial migration through punctured surgical gloves under real surgical conditions.细菌在真实手术条件下穿透穿孔手术手套的迁移。
BMC Infect Dis. 2010 Jul 1;10:192. doi: 10.1186/1471-2334-10-192.
6
Standardized comparison of antiseptic efficacy of triclosan, PVP-iodine, octenidine dihydrochloride, polyhexanide and chlorhexidine digluconate.聚维酮碘、奥替尼啶二盐酸盐、双氯苯双胍己烷和洗必泰葡萄糖酸盐的杀菌效果标准化比较。
J Antimicrob Chemother. 2010 Aug;65(8):1712-9. doi: 10.1093/jac/dkq212. Epub 2010 Jun 15.
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Preoperative hyperglycemia predicts infected total knee replacement.术前高血糖预示着全膝关节置换术后感染。
Eur J Intern Med. 2010 Jun;21(3):196-201. doi: 10.1016/j.ejim.2010.02.006. Epub 2010 Mar 15.
8
Preventing surgical-site infections in nasal carriers of Staphylococcus aureus.预防金黄色葡萄球菌鼻腔携带者的手术部位感染。
N Engl J Med. 2010 Jan 7;362(1):9-17. doi: 10.1056/NEJMoa0808939.
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Peri-operative glycaemic control regimens for preventing surgical site infections in adults.用于预防成人手术部位感染的围手术期血糖控制方案。
Cochrane Database Syst Rev. 2009 Jul 8(3):CD006806. doi: 10.1002/14651858.CD006806.pub2.