手术部位感染：创伤和骨科手术中的流行病学和微生物学方面。
Surgical site infections: epidemiology and microbiological aspects in trauma and orthopaedic surgery.
机构信息
Centre for Biomedical Sciences, Cardiff School of Health Sciences, Cardiff Metropolitan University, Cardiff, UK.
出版信息
Int Wound J. 2013 Dec;10 Suppl 1(Suppl 1):3-8. doi: 10.1111/iwj.12179.
Abstract
Causative agents of wound infections and the routes by which they access surgical incision sites have been recognised for more than a century. Despite knowledge of the factors that influence the risks of surgical site infections (SSIs) and the means to prevent and/or control them, surgical patients still get infections. Traditional systems of classifying and diagnosing SSIs and the diversity of microbial flora reported in contemporary SSIs will be described. Strategies available to prevent and control SSIs will be critically reviewed and the need to develop alternative approaches will be discussed.
摘要
导致伤口感染的病原体以及它们进入手术切口部位的途径，一个多世纪以来一直为人所知。尽管人们已经了解了影响手术部位感染（SSI）风险的因素以及预防和/或控制这些感染的手段，但手术患者仍然会受到感染。本文将描述传统的 SSI 分类和诊断系统以及当代 SSI 中报告的微生物菌群多样性。将对预防和控制 SSI 的现有策略进行批判性评估，并讨论开发替代方法的必要性。
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本文引用的文献
1
Preoperative hair removal to reduce surgical site infection.
Cochrane Database Syst Rev. 2011 Nov 9(11):CD004122. doi: 10.1002/14651858.CD004122.pub4.
2
Identification of risk factors by systematic review and development of risk-adjusted models for surgical site infection.
Health Technol Assess. 2011 Sep;15(30):1-156, iii-iv. doi: 10.3310/hta15300.
3
Guide to the elimination of orthopedic surgery surgical site infections: an executive summary of the Association for Professionals in Infection Control and Epidemiology elimination guide.
Am J Infect Control. 2012 May;40(4):384-6. doi: 10.1016/j.ajic.2011.05.011. Epub 2011 Aug 25.
4
Surgical site infection prevention: time to move beyond the surgical care improvement program.
Ann Surg. 2011 Sep;254(3):494-9; discussion 499-501. doi: 10.1097/SLA.0b013e31822c6929.
5
Chasing zero: the drive to eliminate surgical site infections.
Ann Surg. 2011 Sep;254(3):430-6; discussion 436-7. doi: 10.1097/SLA.0b013e31822cc0ad.
6
Executive summary: Guidelines for the prevention of infections associated with combat-related injuries: 2011 update: endorsed by the Infectious Diseases Society of America and the Surgical Infection Society.
J Trauma. 2011 Aug;71(2 Suppl 2):S202-9. doi: 10.1097/TA.0b013e318227ac37.
7
Multidrug-resistant bacterial colonization of combat-injured personnel at admission to medical centers after evacuation from Afghanistan and Iraq.
J Trauma. 2011 Jul;71(1 Suppl):S52-7. doi: 10.1097/TA.0b013e31822118fb.
8
Antimicrobial prophylaxis in adults.
Mayo Clin Proc. 2011 Jul;86(7):686-701. doi: 10.4065/mcp.2011.0012.
9
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Int Orthop. 2011 Sep;35(9):1415-20. doi: 10.1007/s00264-011-1274-y. Epub 2011 May 17.
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