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外科医生对感染预防和管理的知识、意识和态度:确定外科医生的倡导者。

Knowledge, awareness, and attitude towards infection prevention and management among surgeons: identifying the surgeon champion.

机构信息

Department of Surgery, Macerata Hospital, Via Santa Lucia, 62100 Macerata, Italy.

2Department of General Surgery, Division of Surgery, Rambam Health Care Campus, Haifa, Israel.

出版信息

World J Emerg Surg. 2018 Aug 17;13:37. doi: 10.1186/s13017-018-0198-x. eCollection 2018.

DOI:10.1186/s13017-018-0198-x
PMID:30140304
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6098571/
Abstract

Despite evidence supporting the effectiveness of best practices of infection prevention and management, many surgeons worldwide fail to implement them. Evidence-based practices tend to be underused in routine practice. Surgeons with knowledge in surgical infections should provide feedback to prescribers and integrate best practices among surgeons and implement changes within their team. Identifying a local opinion leader to serve as a champion within the surgical department may be important. The "surgeon champion" can integrate best clinical practices of infection prevention and management, drive behavior change in their colleagues, and interact with both infection control teams in promoting antimicrobial stewardship.

摘要

尽管有证据支持感染预防和管理的最佳实践的有效性,但世界上仍有许多外科医生未能实施这些实践。循证实践在常规实践中往往未被充分利用。具有外科感染知识的外科医生应向处方医生提供反馈,在外科医生之间整合最佳实践,并在其团队内实施变革。在外科部门确定一位当地意见领袖作为拥护者可能很重要。“外科医生拥护者”可以整合感染预防和管理的最佳临床实践,推动同事的行为改变,并与感染控制团队互动,以促进抗菌药物管理。

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本文引用的文献

1
A survey to identify the breach between evidence and practice in the prevention of surgical infection: Time to take action.一项旨在确定预防手术感染方面的证据与实践之间差距的调查:是采取行动的时候了。
Int J Surg. 2018 Jun;54(Pt A):290-297. doi: 10.1016/j.ijsu.2018.04.038. Epub 2018 Apr 25.
2
Impact of the Antibiotic Stewardship Program on Prevention and Control of Surgical Site Infection during Peri-Operative Clean Surgery.抗菌药物管理计划对围手术期清洁手术中手术部位感染防控的影响
Surg Infect (Larchmt). 2018 Apr;19(3):326-333. doi: 10.1089/sur.2017.201. Epub 2018 Feb 20.
3
Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study.高收入、中等收入和低收入国家胃肠道手术后手术部位感染:一项前瞻性、国际、多中心队列研究。
Lancet Infect Dis. 2018 May;18(5):516-525. doi: 10.1016/S1473-3099(18)30101-4. Epub 2018 Feb 13.
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A Global Declaration on Appropriate Use of Antimicrobial Agents across the Surgical Pathway.《关于在手术全程合理使用抗菌药物的全球宣言》
Surg Infect (Larchmt). 2017 Nov/Dec;18(8):846-853. doi: 10.1089/sur.2017.219.
5
Surgical Infection Society: We Endorse Antimicrobial Stewardship We Stand by Our International Colleagues and Societies in the Fight for Proper Antimicrobial Therapy.外科感染协会:我们支持抗菌药物管理。在争取合理抗菌治疗的斗争中,我们与国际同行及协会站在一起。
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J Am Coll Surg. 2017 Jan;224(1):59-74. doi: 10.1016/j.jamcollsurg.2016.10.029. Epub 2016 Nov 30.
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