Waltz Paul K, Zuckerbraun Brian S
Department of Surgery, University of Pittsburgh, and VA Pittsburgh Healthcare System, Surgical Service Line , Pittsburgh, Pennsylvania.
Surg Infect (Larchmt). 2017 May/Jun;18(4):447-450. doi: 10.1089/sur.2017.062. Epub 2017 Apr 27.
Surgical site infection (SSI) contributes significantly to surgical morbidity. Patient factors and operative factors contribute to the risk of development of SSI. This review focuses on understanding operative characteristics that are associated with an increased risk of SSI. Much attention has been given to protocol care to reduce SSI, such as hair removal, skin preparation, and pre-operative antibiotic agents. Even with this, the appropriate antibiotic and re-dosing regimens often remain a challenge. Other operative factors such as blood loss/transfusion, emergency/urgent cases, duration of the operation, type of anesthesia, and resident involvement are also potentially modifiable to reduce the risk of SSI. Data are reviewed to highlight the increased risk associated with such factors. Strategies to reduce risk, such as operative care bundles, have significant promise to reduce the incidence of SSI for any given procedure.
手术部位感染（SSI）是导致手术并发症的重要因素。患者因素和手术因素都会增加SSI的发生风险。本综述旨在探讨与SSI风险增加相关的手术特征。人们已经对减少SSI的规范护理给予了很多关注，如毛发去除、皮肤准备和术前使用抗生素。即便如此，合适的抗生素及再次给药方案仍然是一个挑战。其他手术因素，如失血/输血、急诊/紧急手术、手术时长、麻醉类型和住院医生参与情况等，也可能通过调整来降低SSI风险。本文回顾相关数据以强调这些因素所带来的风险增加情况。降低风险的策略，如手术护理套餐，对于减少任何特定手术的SSI发生率具有重大意义。
