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预防剖宫产手术部位感染。

Prevention of Cesarean Delivery Surgical Site Infections.

机构信息

Maternal-Fetal Medicine Fellow.

Professor and Director, Division of Specialists in Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC.

出版信息

Obstet Gynecol Surv. 2019 Feb;74(2):99-110. doi: 10.1097/OGX.0000000000000645.

DOI:10.1097/OGX.0000000000000645
PMID:30756124
Abstract

IMPORTANCE

Surgical site infection (SSI) is a common complication of cesarean delivery. Seen in up to 12% of cesarean deliveries, it is a major cause of prolonged hospital stay and a burden to the healthcare system. Interventions and techniques must be identified to decrease the risk of cesarean delivery SSIs.

OBJECTIVE

We review the categories of SSI, current studies that have focused on various interventions to decrease SSI, and preoperative, intraoperative, and postoperative recommendations for cesarean delivery SSI prevention.

EVIDENCE ACQUISITION

A thorough search of PubMed for all current literature was performed. Various surgical interventions and techniques were reviewed. We included studies that looked at preoperative, intraoperative, and postoperative interventions for SSI prevention.

RESULTS

We have summarized several surgical interventions and techniques as well as current consensus statements to aid the practitioner in preventing SSIs after cesarean delivery.

CONCLUSIONS AND RELEVANCE

Upon analysis of current data and consensus statements pertaining to cesarean deliveries, there are certain preoperative, intraoperative, and postoperative interventions and techniques that can be recommended to decrease the risk of cesarean delivery SSI.

摘要

重要性

手术部位感染(SSI)是剖宫产的常见并发症。在高达 12%的剖宫产中可见到它,它是延长住院时间的主要原因,也是医疗保健系统的负担。必须确定干预措施和技术,以降低剖宫产 SSI 的风险。

目的

我们回顾了 SSI 的类别,目前专注于各种干预措施以降低 SSI 的研究,以及剖宫产预防 SSI 的术前、术中和术后建议。

证据采集

对 PubMed 中的所有现有文献进行了彻底搜索。审查了各种手术干预措施和技术。我们纳入了研究剖宫产预防 SSI 的术前、术中、术后干预措施的研究。

结果

我们总结了一些手术干预措施和技术以及当前的共识声明,以帮助医生在剖宫产术后预防 SSI。

结论和相关性

对与剖宫产相关的现有数据和共识声明进行分析后,存在某些术前、术中、术后干预措施和技术,可以推荐以降低剖宫产 SSI 的风险。

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