Bashaw Marie A, Keister Kathy J
AORN J. 2019 Jan;109(1):68-78. doi: 10.1002/aorn.12451.
Surgical site infections (SSIs) are some of the most common and costly health care-associated infections. Although the rate of SSIs has declined significantly in the past decade, patient safety remains at risk. Perioperative nurses employ a variety of evidence-based best practices to prevent SSIs and facilitate a safe surgical experience for their patients, including hand hygiene, preoperative patient skin antisepsis, and antimicrobial irrigation. This article explores the causes of SSIs, such as modifiable and nonmodifiable patient factors and preoperative, intraoperative, and postoperative procedural factors, and discusses some of the specific recommended strategies related to the prevention of SSIs that perioperative nurses can initiate in their workplace.
手术部位感染(SSIs)是一些最常见且成本高昂的医疗保健相关感染。尽管在过去十年中手术部位感染率已显著下降,但患者安全仍面临风险。围手术期护士采用各种循证最佳实践来预防手术部位感染,并为患者提供安全的手术体验,包括手部卫生、术前患者皮肤消毒和抗菌冲洗。本文探讨了手术部位感染的原因,如可改变和不可改变的患者因素以及术前、术中和术后的程序因素,并讨论了围手术期护士可在其工作场所实施的一些与预防手术部位感染相关的具体推荐策略。