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[手术部位感染:危险因素、预防、诊断与治疗]

[Surgical site infection: risk factors, prevention, diagnosis and treatment].

作者信息

Di Benedetto C, Bruno A, Bernasconi E

机构信息

Servizio Malattie Infettive (Service des maladies infectieuses), Ospedale Civico Lugano, Via Tesserete 46, 6900 Lugano.

出版信息

Rev Med Suisse. 2013 Oct 9;9(401):1832-4, 1836-9.

Abstract

Surgical site infection comprises the cutaneous tissues until the intraabdominal or pleural cavity. The infectious risk depends on the degree of bacterial contamination, the general conditions of the patient and procedure-related factors. The causal microbes originate from the flora of the skin or the mucosal surfaces that have been touched during the operation. Superficial non-complicated infections are treated locally. However, an infected surgical wound can be the top of a deep infection. Infections with foreign material underneath deserve particular attention. Empiric antibiotic therapy is prohibited in these cases. Treatment is normally a combination of surgical debridement and specific antimicrobial therapy.

摘要

手术部位感染包括皮肤组织直至腹腔或胸腔。感染风险取决于细菌污染程度、患者的一般状况以及与手术相关的因素。致病微生物源自手术过程中接触过的皮肤或黏膜表面的菌群。表浅非复杂性感染采用局部治疗。然而,感染的手术伤口可能是深部感染的开端。伴有下方异物的感染值得特别关注。在这些情况下禁止经验性抗生素治疗。治疗通常是手术清创和特异性抗菌治疗相结合。

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