妇科手术中手术部位感染的预防：危险因素及建议综述
Prevention of Surgical Site Infections in Gynecologic Surgery: A Review of Risk Factors and Recommendations.
作者信息
Gillispie-Bell Veronica
机构信息
Department of Obstetrics and Gynecology, Ochsner Clinic Foundation, New Orleans, LA and The University of Queensland Faculty of Medicine, Ochsner Clinical School, New Orleans, LA.
出版信息
Ochsner J. 2020 Winter;20(4):434-438. doi: 10.31486/toj.20.0044.
Surgical site infections (SSIs) are a type of health care-associated infection that can cause significant patient harm. Many are preventable. Postoperative courses complicated by an SSI can equate to longer hospital stays, lost time from work, and the need for reoperation. This review addresses types of SSIs, risk factors, and best practices for preventing SSIs associated with gynecologic surgery. Best practices to reduce SSIs are divided into preoperative, intraoperative, and postoperative activities. Preoperative considerations include patient showering, hair removal, glycemic control, and hand and forearm scrub. Intraoperative concerns are antibiotic prophylaxis, skin preparation prior to the start of surgery, and the operating room environment. Postoperative concerns are surgical dressing, vacuum-assisted wound closure, and patient instructions. Best practices should be established and followed to reduce the risk of SSI associated with gynecologic surgery.
手术部位感染（SSIs）是一种与医疗保健相关的感染类型，会对患者造成严重伤害。许多此类感染是可以预防的。因手术部位感染而复杂化的术后病程可能意味着更长的住院时间、工作时间的损失以及再次手术的必要性。本综述探讨了手术部位感染的类型、风险因素以及预防妇科手术相关手术部位感染的最佳做法。减少手术部位感染的最佳做法分为术前、术中和术后活动。术前考虑因素包括患者沐浴、毛发去除、血糖控制以及手部和前臂擦洗。术中关注点是抗生素预防、手术开始前的皮肤准备以及手术室环境。术后关注点是手术敷料、负压伤口闭合以及患者指导。应确立并遵循最佳做法以降低与妇科手术相关的手术部位感染风险。
Zotero 插件