Moriyama Kiyoshi, Nakazawa Harumasa, Kawada Yoshiki, Kasuya Youhei, Yorozu Tomoko
Department of Anesthesiology, Kyorin University, School of Medicine, Mitaka 181-8611.
Masui. 2014 Feb;63(2):215-7.
There are growing interests in perioperative preventation of surgical site infection, since the World Health Organization has published surgical safety checklist with the slogan "safe surgery saves lives" in 2008. According to the surgical safety checklist, the surgical team needs to check whether antibiotic prophylaxis has been given within 60 minutes of skin incision. In this study, we investigated whether anesthesiologists in our institution completed the administration of antibiotics before skin incision.
Anesthetic records of patients who had undergone elective surgery between April to October 2011 were collected. The records were retrospectively analyzed to examine whether administration of antibiotics had been completed before skin incision or not.
Although all the anesthesiologists were aware of the necessity of antibiotic prophylaxis, the administration of antibiotics before skin incision was not completed in 22.8% of 880 patients. The administration of antibiotics tended to delay patients receiving general surgery.
Anesthesiologists should have knowledge on the preventation of surgical site infection especially on antibiotic prophylaxis, because it starts in the operating room.
自世界卫生组织于2008年发布手术安全核对表并提出“安全手术拯救生命”的口号以来，人们对围手术期预防手术部位感染的兴趣日益浓厚。根据手术安全核对表，手术团队需要检查是否在皮肤切开后60分钟内给予了预防性抗生素。在本研究中，我们调查了我院麻醉医生是否在皮肤切开前完成了抗生素的给药。
收集2011年4月至10月接受择期手术患者的麻醉记录。对记录进行回顾性分析，以检查抗生素给药是否在皮肤切开前完成。
尽管所有麻醉医生都意识到预防性使用抗生素的必要性，但在880例患者中，有22.8%的患者在皮肤切开前未完成抗生素给药。抗生素给药往往会延迟接受普通外科手术的患者。
麻醉医生应具备手术部位感染预防的知识，尤其是预防性使用抗生素的知识，因为这始于手术室。
