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[术后感染的预防:循证原则]

[Prevention of postoperative infections : Evidence-based principles].

作者信息

Pianka F, Mihaljevic A L

机构信息

Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.

出版信息

Chirurg. 2017 May;88(5):401-407. doi: 10.1007/s00104-017-0384-5.

Abstract

BACKGROUND

Surgical site infections (SSI) are one of the most frequent postoperative complications worldwide and preventive measures are still an important research topic. High infection rates are not uncommon, especially in visceral surgery. At the same time, frequently not all evidence-based measures are carried out in a standardized manner. The aim of this article is to summarize the relevant literature on evidence-based measures for prevention of SSI. Although evidence-based medicine has already become well-established in surgery, the opinion of experts often still prevails.

MATERIAL AND METHODS

The current literature on preventive measures and recommendations was reviewed and the results are appraised.

RESULTS

Many different preventive measures could be identified in the literature, which can be classified into preoperative, intraoperative and postoperative measures. Recommendations for implementation of individual measures are made depending on the underlying evidence.

CONCLUSION

The occurrence of SSI can effectively be reduced by adhering to evidence-based principles.

摘要

背景

手术部位感染(SSI)是全球最常见的术后并发症之一,预防措施仍是一个重要的研究课题。高感染率并不罕见,尤其是在内脏手术中。与此同时,并非所有基于证据的措施都能以标准化方式实施。本文旨在总结预防手术部位感染的循证措施的相关文献。尽管循证医学在外科领域已得到广泛认可,但专家意见往往仍占主导地位。

材料与方法

回顾了关于预防措施和建议的当前文献,并对结果进行了评估。

结果

文献中可识别出许多不同的预防措施,可分为术前、术中和术后措施。根据相关证据对各项措施的实施提出了建议。

结论

遵循循证原则可有效降低手术部位感染的发生率。

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