Mishriki S F, Law D J W, Jeffery P J
A locum consultant urologist. Central Middlesex Hospital.
Formerly senior registrar in public health, West Dorset District and Bath Health Authorities.
J Wound Care. 1993 Sep 2;2(5):286-288. doi: 10.12968/jowc.1993.2.5.286.
A prospective study of 702 postoperative surgical patients was undertaken to determine whether clinicians showed consistency in their interpretation of signs of infection in wounds. In the 62 cases where symptoms suggestive of such infection were noted, clinical signs were recorded, as were the clinicians' subjective impressions. The application of different criteria would have resulted in a substantial variation in the apparent rates of infection, which raises questions about the need for an agreed definition of the term 'wound infection'. The lack of a specific definition has implications for surgical audit.
对702名外科术后患者进行了一项前瞻性研究，以确定临床医生对伤口感染迹象的解读是否一致。在记录到有此类感染症状的62例病例中，记录了临床体征以及临床医生的主观印象。应用不同的标准会导致明显的感染率出现很大差异，这引发了对于“伤口感染”一词是否需要一个统一界定的疑问。缺乏具体定义对外科审计有影响。
