Cawich Shamir O, Teelucksingh Sachin, Hassranah Samara, Naraynsingh Vijay
Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, Trinidad and Tobago, West Indies.
World J Gastrointest Surg. 2017 Dec 27;9(12):246-255. doi: 10.4240/wjgs.v9.i12.246.
Over the past few decades, surgeons have made many attempts to reduce the incidence of surgical site infections (SSI) after elective colorectal surgery. Routine faecal diversion is no longer practiced in elective colonic surgery and mechanical bowel preparation is on the verge of being eliminated altogether. Intravenous antibiotics have become the standard of care as prophylaxis against SSI for elective colorectal operations. However, the role of oral antibiotics is still being debated. We review the available data evaluating the role of oral antibiotics as prophylaxis for SSI in colorectal surgery.
在过去几十年里,外科医生为降低择期结直肠手术后手术部位感染(SSI)的发生率做了许多尝试。择期结肠手术中不再常规进行粪便转流,机械肠道准备也几乎要被完全摒弃。静脉使用抗生素已成为择期结直肠手术预防SSI的标准治疗方法。然而,口服抗生素的作用仍存在争议。我们回顾了评估口服抗生素在结直肠手术中预防SSI作用的现有数据。