手术部位感染的危险因素及风险分层
Surgical site infection risk factors and risk stratification.
作者信息
Florschutz Anthony V, Fagan Ryan P, Matar Wadih Y, Sawyer Robert G, Berrios-Torres Sandra I
出版信息
J Am Acad Orthop Surg. 2015 Apr;23 Suppl(Suppl):S8-S11. doi: 10.5435/JAAOS-D-14-00447.
Abstract
Preoperative identification of the risk factors for surgical site infection and patient risk stratification are essential for deciding whether surgery is appropriate, educating patients on their individual risk of complications, and managing postoperative expectations. Early identification of these factors is also necessary to help guide both patient medical optimization and perioperative care planning. Several resources are currently available to track and analyze healthcare-associated infections, including the Centers for Disease Control and Prevention's National Healthcare Safety Network. In addition, the Centers for Disease Control and Prevention and the American Academy of Orthopaedic Surgeons are exploring collaborative opportunities for the codevelopment of a hip and/or knee arthroplasty national quality measure for periprosthetic joint infection.
摘要
术前识别手术部位感染的风险因素以及对患者进行风险分层，对于决定手术是否合适、让患者了解自身发生并发症的个体风险以及管理术后预期至关重要。尽早识别这些因素对于指导患者医疗优化和围手术期护理规划也很有必要。目前有多种资源可用于跟踪和分析医疗保健相关感染，包括疾病控制与预防中心的国家医疗安全网络。此外，疾病控制与预防中心和美国矫形外科医师学会正在探索合作机会，以共同制定髋部和/或膝部关节置换术假体周围关节感染的全国质量指标。
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