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择期与急诊腹部手术伤口感染的比较研究:一项回顾性队列研究。

Comparative study of wound infection between elective and emergency abdominal surgeries: a retrospective cohort study.

作者信息

Jadoon Sarosh Khan, Khan Raja Muhammad Ijaz, Khan Taufeeq Ahmed, Akhtar Naheed, Qayyum Yasir, Kumar Kamlesh, Kumar Rahul Robaish, Shahab Ramsha, Asghar Muhammad Sohaib

机构信息

Department of General Surgery, SKBZ CMH Muzaffarabad, Azad Jammu and Kashmir.

Department of Internal Medicine, Jinnah Sindh Medical University.

出版信息

Ann Med Surg (Lond). 2023 Apr 7;85(5):1490-1495. doi: 10.1097/MS9.0000000000000549. eCollection 2023 May.

DOI:10.1097/MS9.0000000000000549
PMID:37229097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10205225/
Abstract

UNLABELLED

The objective of this study was to determine the frequency of wound infection among patients with abdominal surgeries and to compare the surgical site infection following elective versus emergency abdominal surgeries in a tertiary care hospital.

SUBJECTS AND METHODS

All patients who fulfilled the inclusion criteria in the Department of General Surgery were included in the study. After taking informed written consent history was taken, clinical examination and patients were divided into two groups: group A (elective abdominal surgery) and group B (emergency abdominal surgery), patients in both groups were compared for the outcome that is surgical site infection.

RESULT

A total of 140 patients who underwent abdominal surgery were included. Wound infection in abdominal surgeries was noted in 26 patients (18.6%), in group A wound infection was noted in 7 (5%), while in group B wound infection was seen in 19 (13.6%).

CONCLUSION

The rate of wound infection in patients with abdominal surgeries was not low among the study population and the rate of wound infection was higher in emergency abdominal surgeries as compared with elective abdominal surgeries.

摘要

未标注

本研究的目的是确定腹部手术患者伤口感染的发生率,并比较三级医院择期与急诊腹部手术后手术部位感染情况。

研究对象与方法

普通外科所有符合纳入标准的患者均纳入本研究。在获得知情书面同意后,采集病史、进行临床检查,并将患者分为两组:A组(择期腹部手术)和B组(急诊腹部手术),比较两组患者手术部位感染这一结局。

结果

共纳入140例接受腹部手术的患者。腹部手术患者中26例(18.6%)出现伤口感染,A组7例(5%)出现伤口感染,而B组19例(13.6%)出现伤口感染。

结论

在研究人群中,腹部手术患者的伤口感染率不低,且急诊腹部手术的伤口感染率高于择期腹部手术。

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STROCSS 2019 Guideline: Strengthening the reporting of cohort studies in surgery.STROCSS 2019 指南:加强外科学队列研究报告。
Int J Surg. 2019 Dec;72:156-165. doi: 10.1016/j.ijsu.2019.11.002. Epub 2019 Nov 6.
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Human Wounds and Its Burden: An Updated Compendium of Estimates.《人类伤口及其负担:最新估计汇编》
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Timing of preoperative antibiotic prophylaxis in 54,552 patients and the risk of surgical site infection: A systematic review and meta-analysis.54552例患者术前抗生素预防的时机与手术部位感染风险:一项系统评价和荟萃分析
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Clinical relevance and effect of surgical wound classification in appendicitis: Retrospective evaluation of wound classification discrepancies between surgeons, Swissnoso-trained infection control nurse, and histology as well as surgical site infection rates by wound class.阑尾炎手术伤口分类的临床相关性及影响:外科医生、接受瑞士医院感染控制培训的感染控制护士与组织学之间伤口分类差异的回顾性评估以及按伤口类别划分的手术部位感染率
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Is gallbladder inflammation more severe in male patients presenting with acute cholecystitis?男性急性胆囊炎患者的胆囊炎症是否更严重?
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Estimating the costs associated with the management of patients with chronic wounds using linked routine data.利用关联的常规数据估算慢性伤口患者管理相关成本。
Int Wound J. 2016 Dec;13(6):1193-1197. doi: 10.1111/iwj.12443. Epub 2015 Mar 26.
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An evaluation of differences in risk factors for individual types of surgical site infections after colon surgery.结肠手术后不同类型手术部位感染危险因素差异的评估。
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