Aleman-Ortega Heidi, Lee Rebecca, Shambo Lyda, Czinn Edward
AORN J. 2017 Feb;105(2):184-192. doi: 10.1016/j.aorn.2016.12.004.
Epidural or spinal anesthesia-related infections cause serious and devastating morbidity and mortality. The possible infectious complications of neuraxial anesthesia have become better understood in the past 10 years. We assessed information from published case series, studies, randomized controlled trials, and retrospective cohort studies to determine the rate of neuraxial infection and to evaluate iatrogenic causes of infection. The use of sterile gowning appears to be a factor associated with the decreased infection rates noted in some studies. A review of the literature demonstrated that personnel in interdisciplinary specialties use gowns for invasive procedures to prevent infection, and national and international multidisciplinary health care professionals appear to be increasing their use of sterile gowning to prevent infections. We undertook this literature review to explore the incidence of neuraxial infection, provide additional insight into multidisciplinary standards, and evaluate whether the use of sterile gowns while performing neuraxial anesthesia decreases infection rates.
硬膜外或脊髓麻醉相关感染会导致严重且具有毁灭性的发病和死亡。在过去10年里，人们对神经轴索麻醉可能的感染并发症有了更深入的了解。我们评估了已发表的病例系列、研究、随机对照试验和回顾性队列研究中的信息，以确定神经轴索感染的发生率，并评估感染的医源性原因。在一些研究中，使用无菌手术衣似乎是感染率降低的一个相关因素。文献综述表明，跨学科专业人员在侵入性操作中使用手术衣来预防感染，并且国内和国际多学科医疗保健专业人员似乎在增加无菌手术衣的使用以预防感染。我们进行这项文献综述，旨在探讨神经轴索感染的发生率，深入了解多学科标准，并评估在进行神经轴索麻醉时使用无菌手术衣是否能降低感染率。
