预防非体外循环冠状动脉搭桥术后耐甲氧西林金黄色葡萄球菌胸骨伤口感染的护理包。
Care bundle to prevent methicillin-resistant Staphylococcus aureus sternal wound infection after off-pump coronary artery bypass.
作者信息
Chien Chen-Yen, Lin Cheng-Hsin, Hsu Ron-Bin
机构信息
Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan; Department of Surgery, Makay Memorial Hospital, Mackay Medicine, Nursing and Management College, Taipei, Taiwan.
Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan; Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
出版信息
Am J Infect Control. 2014 May;42(5):562-4. doi: 10.1016/j.ajic.2014.01.016.
Methicillin-resistant Staphylococcus aureus (MRSA) sternal wound infection (SWI) after cardiac surgery is endemic in our hospital. An infection control care bundle with preoperative chlorhexidine showering and povidone iodine paint before bathing was introduced in 2006. From 2001 to 2012, 23 (2.3%) of 1,010 patients undergoing off-pump coronary artery bypass had SWIs. SWI significantly decreased after 2006 (1.4% vs 3.4%, respectively; P = .03). Care bundle was more protective against MRSA infection (2.3% vs 0.5%, respectively; P = .021). SWI remained a common complication after off-pump coronary artery bypass. MRSA infection was most common, and the mortality was high. Care bundle can effectively decrease the incidence of SWI, especially infection caused by MRSA.
心脏手术后耐甲氧西林金黄色葡萄球菌（MRSA）胸骨伤口感染（SWI）在我院呈地方性流行。2006年引入了一个感染控制护理包，包括术前洗必泰沐浴以及术前沐浴前使用聚维酮碘涂抹。2001年至2012年，1010例接受非体外循环冠状动脉搭桥术的患者中有23例（2.3%）发生了胸骨伤口感染。2006年后胸骨伤口感染显著减少（分别为1.4%和3.4%；P = 0.03）。护理包对MRSA感染的防护作用更强（分别为2.3%和0.5%；P = 0.021）。胸骨伤口感染仍然是非体外循环冠状动脉搭桥术后的常见并发症。MRSA感染最为常见，且死亡率很高。护理包可有效降低胸骨伤口感染的发生率，尤其是由MRSA引起的感染。
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