Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO.
Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO.
Am J Obstet Gynecol. 2017 Aug;217(2):121-128. doi: 10.1016/j.ajog.2017.02.014. Epub 2017 Feb 14.
Surgical-site infections (SSIs) represent a well-known cause of patient morbidity as well as added health care costs. In gynecologic surgery, particularly hysterectomy, SSIs are often the result of a number of risk factors that may or may not be modifiable. As both the Centers for Medicaid and Medicare Services and the Joint Commission on the Accreditation of Healthcare Organizations have identified SSIs as a patient safety priority, gynecologic surgeons continue to seek out the most effective interventions for SSI prevention. This review studies the epidemiology and pathophysiology of SSIs in gynecologic surgery and evaluates the current literature regarding possible interventions for SSI prevention, both as individual measures and as bundles. Data from the obstetrical and general surgery literature will be reviewed when gynecological data are either unclear or unavailable. Practitioners and hospitals may use this information as they develop strategies for SSI prevention in their own practice.
手术部位感染（SSI）是患者发病和增加医疗保健成本的一个众所周知的原因。在妇科手术中，特别是子宫切除术，SSI 通常是许多不可改变或可改变的危险因素的结果。由于医疗补助和医疗保险服务中心以及医疗机构联合委员会都将 SSI 确定为患者安全的优先事项，妇科外科医生继续寻找预防 SSI 的最有效干预措施。本综述研究了妇科手术中 SSI 的流行病学和病理生理学，并评估了关于预防 SSI 的可能干预措施的当前文献，包括作为单独措施和作为一揽子措施的干预措施。当妇科数据不明确或不可用时，将参考产科和普通外科文献中的数据。从业者和医院可以在制定自己的实践中的 SSI 预防策略时使用这些信息。
