Braun M
Orthop. Klinik Volmarstein, Wetter.
Z Orthop Ihre Grenzgeb. 1989 Jul-Aug;127(4):471-3. doi: 10.1055/s-2008-1044705.
In 1983 we started our statistical control for postoperative infections. The data are checked every half year. Most common bacteria was Staph. aureus followed by Staph. epidermidis. We found a difference in the spectrum of bacteria between our postop. patients and the referred cases. A surgeon related control and our new operating theatres reduced the infection rate from 2.2% to 0.8%. For our total joint replacements we additionally used perioperative antibiotics. The change in the antibiotic from Cefoxitine to Cefacedone reduced the infection rate from 4.7% to 0.8%. The permanent control of bacteria and of their resistance to antibiotics allows us to reduce the number of drugs used and to simplify treatment without loosing efficiency of therapy. This is--in a double sense--a good way for reducing costs.
1983年，我们开始对术后感染进行统计控制。数据每半年检查一次。最常见的细菌是金黄色葡萄球菌，其次是表皮葡萄球菌。我们发现，我们的术后患者与转诊病例的细菌谱存在差异。外科医生相关的控制措施以及我们新建的手术室将感染率从2.2%降至0.8%。对于全关节置换手术，我们还使用了围手术期抗生素。抗生素从头孢西丁改为头孢地尼后，感染率从4.7%降至0.8%。对细菌及其对抗生素耐药性的持续控制使我们能够减少所用药物的数量，并简化治疗，同时不降低治疗效果。从双重意义上讲，这是降低成本的好方法。
