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手术部位感染:临床及经济影响

Surgical Site Infection: The Clinical and Economic Impact.

作者信息

Turner Megan C, Migaly John

机构信息

Department of Surgery, Duke University Medical Center, Durham, North Carolina.

Division of Advanced GI and Oncologic Surgery, Duke University Medical Center, Durham, North Carolina.

出版信息

Clin Colon Rectal Surg. 2019 May;32(3):157-165. doi: 10.1055/s-0038-1677002. Epub 2019 Apr 2.

Abstract

Surgical site infection (SSI) following colorectal surgery is associated with worse postoperative outcomes, longer length of stay, and higher rates of readmission. SSI rates have been established as a surrogate metric for the overall quality of surgical care and are intricately tied to financial incentives and the public reputation of an institution. While risk factors and prevention mechanisms for SSI are well established, the rates of SSI remain high. This article discusses the clinical and economic impact of SSI and strategies for mitigating the risk of SSI through bundled prevention practices.

摘要

结直肠手术后的手术部位感染(SSI)与更差的术后结果、更长的住院时间和更高的再入院率相关。SSI发生率已被确立为手术护理整体质量的替代指标,并且与经济激励措施以及机构的公众声誉密切相关。虽然SSI的风险因素和预防机制已广为人知,但SSI的发生率仍然很高。本文讨论了SSI的临床和经济影响,以及通过综合预防措施降低SSI风险的策略。

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