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手术核对清单对降低犬胃肠道异物取出术后切口感染的影响。

Effects of a surgical checklist on decreasing incisional infections following foreign body removal from the gastrointestinal tract in dogs.

作者信息

Launcelott Zoë A, Lustgarten Jonathan, Sung Jed, Samuels Sirrika, Davis Spencer, Davis Garrett J

机构信息

Red Bank Veterinary Hospital, 197 Tinton Falls, New Jersey 07724, USA (Launcelott, Lustgarten, S. Davis, G. Davis); Long Island Veterinary Specialists, 163 South Service Road, Plainview, New York 11803, USA (Sung); Virginia Veterinary Surgical Associates, 5918 West Broad Street, Richmond, Virginia 23230, USA (Samuels).

出版信息

Can Vet J. 2019 Jan;60(1):67-72.

PMID:30651653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6294029/
Abstract

Two similar populations of dogs were evaluated in either a retrospective or prospective manner for 2 weeks after gastrointestinal foreign body surgery to determine the impact of a surgical checklist on the surgical site infection (SSI) rate. The medical records of 201 gastrointestinal foreign body surgeries were reviewed to determine the SSI rate without the use of a surgical checklist (SC-) and 101 consecutive gastrointestinal foreign body surgeries were performed using a surgical checklist (SC+). The SSI rate had a significant decrease from 19.9% to 11.9% with the use of the surgical checklist. When combining the cohorts, statistically significant predictors for development of an SSI following gastrointestinal foreign body removal included: a combined gastrotomy and enterotomy, an enterotomy, and known self-trauma.

摘要

对两组相似的犬群进行回顾性或前瞻性评估,在胃肠道异物手术后观察2周,以确定手术检查表对手术部位感染(SSI)率的影响。回顾了201例胃肠道异物手术的病历,以确定未使用手术检查表(SC-)时的SSI率,并对101例连续的胃肠道异物手术使用手术检查表(SC+)。使用手术检查表后,SSI率从19.9%显著降至11.9%。合并队列时,胃肠道异物清除术后发生SSI的统计学显著预测因素包括:胃切开术和肠切开术联合、肠切开术以及已知的自我创伤。

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World J Surg. 2017 Nov;41(11):2715-2722. doi: 10.1007/s00268-017-4082-8.
2
Impact of Checklist Use on Wellness and Post-Elective Surgery Appointments in a Veterinary Teaching Hospital.检查表的使用对一家兽医教学医院的健康状况和择期手术后预约的影响。
J Vet Med Educ. 2017 Summer;44(2):364-368. doi: 10.3138/jvme.0316-059R. Epub 2016 Oct 25.
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Reduction of Surgical Complications in Dogs and Cats by the Use of a Surgical Safety Checklist.使用手术安全检查表降低犬猫手术并发症的发生率
Vet Surg. 2016 Jul;45(5):571-6. doi: 10.1111/vsu.12482. Epub 2016 May 14.
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Active surveillance of hospital-acquired infections in South Africa: Implementation, impact and challenges.南非医院获得性感染的主动监测:实施、影响及挑战。
S Afr Med J. 2016 Apr 7;106(5):59. doi: 10.7196/SAMJ.2016.v106i5.10783.
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An overview of the use and implementation of checklists in surgical specialities - a systematic review.手术专科中检查表的使用和实施概述——系统评价。
Int J Surg. 2014 Dec;12(12):1317-23. doi: 10.1016/j.ijsu.2014.10.031. Epub 2014 Oct 28.
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J Small Anim Pract. 2014 Nov;55(11):560-5. doi: 10.1111/jsap.12271.
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[Prevention of surgical site infection in abdominal surgery. A critical review of the evidence].[腹部手术中手术部位感染的预防。对证据的批判性综述]
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