Young Pang Y, Khadaroo Rachel G
Division of General Surgery, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, 8440-112 Street Northwest, Edmonton, Alberta T6G 2B7, Canada.
Division of General Surgery, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, 8440-112 Street Northwest, Edmonton, Alberta T6G 2B7, Canada; Division of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, 8440-112 Street Northwest, Edmonton, Alberta T6G 2B7, Canada.
Surg Clin North Am. 2014 Dec;94(6):1245-64. doi: 10.1016/j.suc.2014.08.008. Epub 2014 Oct 3.
Surgical site infections are a major contributor to morbidity and mortality in postsurgical care. Risk for surgical site infection is multifactorial and includes a host of microbial, patient-related, and procedure-related factors. Prevention of surgical infection relies on optimization of patient factors and use of a variety of evidence-based pharmacologic and nonpharmacologic measures. At the forefront of these measures is antimicrobial prophylaxis, which has been shown to be effective at reducing risk of surgical site infection. As guidelines for prevention of surgical site infection become increasingly complex and nuanced, surgical infection outcomes are increasing tied to quality outcome and performances measures.
手术部位感染是术后护理中导致发病和死亡的主要因素。手术部位感染的风险是多因素的，包括许多微生物、患者相关和手术相关因素。手术感染的预防依赖于优化患者因素以及使用各种基于证据的药物和非药物措施。这些措施中最重要的是抗菌预防，已证明其在降低手术部位感染风险方面是有效的。随着手术部位感染预防指南变得越来越复杂和细致入微，手术感染结果与质量结果和绩效指标的关联也越来越紧密。
