Vasseur P B, Levy J, Dowd E, Eliot J
Department of Veterinary Surgery, University of California, Davis 95616.
Vet Surg. 1988 Mar-Apr;17(2):60-4. doi: 10.1111/j.1532-950x.1988.tb00278.x.
Two thousand sixty-three surgical procedures were performed on 1992 patients (1715 dogs and 277 cats). In a retrospective analysis, the procedures were categorized according to the expected degree of wound contamination, and corresponding wound infection rates were determined. The number of procedures in each category and the percent that became infected were as follows: clean (1100, 2.5%), clean-contaminated (554, 4.5%), contaminated (172, 5.8%), and dirty (237, 18.1%). The administration of antibiotics significantly reduced the frequency of wound infection in clean surgical procedures performed by senior veterinary students (p less than 0.05), but not in clean elective procedures performed by faculty or resident surgeons that required 90 minutes or less to complete. There was a significant correlation between elevation of rectal temperature postoperatively and increased duration of the surgical procedure. However, the rectal temperature measured the day after surgery was not an accurate predictor of wound infection.
对1992只动物(1715只犬和277只猫)实施了2063例外科手术。在一项回顾性分析中,根据预期的伤口污染程度对手术进行分类,并确定相应的伤口感染率。各分类中的手术数量及感染百分比分别如下:清洁手术(1100例,2.5%)、清洁-污染手术(554例,4.5%)、污染手术(172例,5.8%)和感染手术(237例,18.1%)。抗生素的使用显著降低了高年级兽医学生实施的清洁手术中的伤口感染频率(p<0.05),但对于由教员或住院外科医生实施的、耗时90分钟或更短时间的清洁择期手术则无此效果。术后直肠温度升高与手术时间延长之间存在显著相关性。然而,术后第一天测得的直肠温度并非伤口感染的准确预测指标。