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麻醉中的患者安全:手部卫生与围手术期感染控制。

Patient Safety in Anesthesia: Hand Hygiene and Perioperative Infection Control.

作者信息

Simmons Colby G, Hennigan Andrew W, Loyd Jacob M, Loftus Randy W, Sharma Archit

机构信息

Department of Anesthesiology, University of Colorado- Anschutz Medical Campus, Mail Stop B113, Leprino Building, 12401 E 17th Ave. Leprino Bldg #734, Aurora, CO 80045 USA.

Department of Anesthesia, University of Iowa Roy J. and Lucille A. Carver College of Medicine, 200 Hawkins Drive, 6618 John Colloton Pavillion, Iowa City, IA 52242 USA.

出版信息

Curr Anesthesiol Rep. 2022;12(4):493-500. doi: 10.1007/s40140-022-00545-x. Epub 2022 Nov 3.

Abstract

PURPOSE OF REVIEW

This review highlights the importance of the anesthesia team in minimizing perioperative infection risks and prevention of surgical site infection. Due to the immense financial and patient care burden that results from perioperative infection, a foundational knowledge in preventive measures is essential.

RECENT FINDINGS

Perioperative infection control, the role of the anesthesia team in reducing infection risk, and more specifically the outsized importance of hand hygiene in this space have become increasingly apparent. Maintenance of workspace cleanliness along with hand hygiene forms the cornerstone of preventing microbial transmission. Unfortunately, improvements around perioperative infection control are lacking.

SUMMARY

The importance of the anesthesia team in maintaining proper hand hygiene, a clean work environment, and appropriate patient conditions to minimize risk of perioperative infection cannot be overstated. Poor clinical outcomes, economic burden, and external pressure from payers highlight the need for anesthesia providers to have an up-to-date knowledge of best practices in this area. In this article, we will review the current recommendations for hand hygiene practices and perioperative infection prevention.

摘要

综述目的

本综述强调了麻醉团队在将围手术期感染风险降至最低及预防手术部位感染方面的重要性。由于围手术期感染会带来巨大的经济负担和患者护理负担,所以掌握预防措施的基础知识至关重要。

最新发现

围手术期感染控制、麻醉团队在降低感染风险中的作用,尤其是手部卫生在这方面的格外重要性已日益明显。保持工作区域清洁以及手部卫生是预防微生物传播的基石。不幸的是,围手术期感染控制方面仍缺乏改进。

总结

麻醉团队在保持正确的手部卫生、清洁的工作环境以及合适的患者条件以将围手术期感染风险降至最低方面的重要性再怎么强调也不为过。糟糕的临床结果、经济负担以及来自支付方的外部压力凸显了麻醉医护人员掌握该领域最新最佳实践知识的必要性。在本文中,我们将回顾当前关于手部卫生实践和围手术期感染预防的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19b6/9631600/53b772b42146/40140_2022_545_Fig1_HTML.jpg

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