你无需成为百万富翁：在资源匮乏环境中实施感染控制和肠道恢复路径的务实方法。 - Suppr

You don't need to be a millionaire: pragmatic approach to implementing infection control and bowel recovery pathways in low resource environment.

作者信息

Poylin Vitaliy Y, Tyselskyi Volodymyr, Pereyra Maria Navaez, Kebkalo Andrey

机构信息

Division of Gastrointestinal Surgery, Northwestern University Feinberg School of Medicine, Northwestern Medical Group, Northwestern Medicine, 676 N. St. Clair St., Suite 650, Chicago, IL, 60611, USA.

Department of Endoscopic and Robotic Surgery, Shupyk National Medical Academy of Postgraduate Education, Kiev, Ukraine.

出版信息

Surg Endosc. 2024 Aug;38(8):4670-4676. doi: 10.1007/s00464-024-11031-2. Epub 2024 Jul 10.

DOI:10.1007/s00464-024-11031-2

PMID:38987481

Abstract

摘要

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You don't need to be a millionaire: pragmatic approach to implementing infection control and bowel recovery pathways in low resource environment.你无需成为百万富翁：在资源匮乏环境中实施感染控制和肠道恢复路径的务实方法。

Surg Endosc. 2024 Aug;38(8):4670-4676. doi: 10.1007/s00464-024-11031-2. Epub 2024 Jul 10.

Multi-cohort evaluation of "Don't know" responders to self-report oral health questions: Implications for etiologic research.对自我报告口腔健康问题中“不知道”回答者的多队列评估：对病因学研究的启示

J Periodontol. 2025 Aug 2. doi: 10.1002/jper.11378.

Routine sterile glove and instrument change at the time of abdominal wound closure to prevent surgical site infection (ChEETAh): a model-based cost-effectiveness analysis of a pragmatic, cluster-randomised trial in seven low-income and middle-income countries.常规腹部伤口缝合时更换无菌手套和器械以预防手术部位感染（ChEETAh）：在七个低收入和中等收入国家进行的一项实用、整群随机试验的基于模型的成本效益分析。

Lancet Glob Health. 2024 Feb;12(2):e235-e242. doi: 10.1016/S2214-109X(23)00538-7.

Perioperative Care Pathways in Low- and Lower-Middle-Income Countries: Systematic Review and Narrative Synthesis.中低收入国家围手术期护理路径：系统评价和叙述性综合。

World J Surg. 2022 Sep;46(9):2102-2113. doi: 10.1007/s00268-022-06621-x. Epub 2022 Jun 22.

"If You Haven't Slept a Lot (…) You Don't Want to Go Out for a Run, You Don't Want to Ride a Bike, You Just Kind of Sit and You Just (…) Do Nothing"-Perceptions of 24-Hour Movement Behaviours Among Adolescents Living with Type 1 Diabetes.“如果你没睡好（……）你就不想出去跑步，不想骑自行车，你就只想坐着，什么都不做”——1型糖尿病青少年对24小时运动行为的认知。

Int J Environ Res Public Health. 2025 Aug 19;22(8):1295. doi: 10.3390/ijerph22081295.

Interventions to prevent surgical site infection in adults undergoing cardiac surgery.预防接受心脏手术的成人手术部位感染的干预措施。

Cochrane Database Syst Rev. 2024 Dec 2;12(12):CD013332. doi: 10.1002/14651858.CD013332.pub2.

Prevention of nosocomial infections in developing countries, a systematic review.发展中国家医院感染的预防：一项系统综述

Paediatr Int Child Health. 2013 May;33(2):61-78. doi: 10.1179/2046905513Y.0000000054.

Investigating the implementation of infection prevention and control practices in neonatal care across country income levels: a systematic review.调查不同国家收入水平下新生儿护理中感染预防与控制措施的实施情况：一项系统综述

Antimicrob Resist Infect Control. 2025 Feb 7;14(1):8. doi: 10.1186/s13756-025-01516-7.

Return to normal activity after abdominal surgery: a pre-planned secondary analysis of a randomised controlled trial across seven low- and middle-income countries.腹部手术后恢复正常活动：一项针对七个低收入和中等收入国家的随机对照试验的预先计划的二次分析

BMC Surg. 2025 Aug 29;25(1):399. doi: 10.1186/s12893-025-03079-1.

Analysis of the effect of infection control strategy in preventing and controlling infectious endophthalmitis after cataract surgery.感染控制策略对预防和控制白内障手术后感染性眼内炎效果的分析。

BMC Ophthalmol. 2025 Aug 12;25(1):455. doi: 10.1186/s12886-025-04291-6.

本文引用的文献

Scalability and Sustainability of a Surgical Infection Prevention Program in Low-Income Environments.在低收入环境中实施手术感染预防计划的可扩展性和可持续性。

JAMA Surg. 2024 Feb 1;159(2):161-169. doi: 10.1001/jamasurg.2023.6033.

Enhanced recovery programme after colorectal surgery in high-income and low-middle income countries: a systematic review and meta-analysis.高收入和中低收入国家结直肠手术后的加速康复方案：系统评价和荟萃分析。

Int J Surg. 2023 Nov 1;109(11):3609-3616. doi: 10.1097/JS9.0000000000000644.

Surgical Site Infection Prevention: A Review.手术部位感染的预防：综述

JAMA. 2023 Jan 17;329(3):244-252. doi: 10.1001/jama.2022.24075.

Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal and Endoscopic Surgeons.美国结肠和直肠外科医师协会以及美国胃肠和内镜外科医师协会发布的《结肠和直肠手术后加速康复临床实践指南》

Dis Colon Rectum. 2023 Jan 1;66(1):15-40. doi: 10.1097/DCR.0000000000002650. Epub 2022 Dec 7.

Colorectal surgical outcomes following implementation of an enhanced recovery after surgery programme in Cape Town.开普敦实施术后加速康复方案后结直肠手术的结果。

S Afr J Surg. 2021 Dec;59(4):157-163.

Unbundling Bundles: Evaluating the Association of Individual Colorectal Surgical Site Infection Reduction Bundle Elements on Infection Rates in a Statewide Collaborative.解开捆绑：在全州协作中评估单个结直肠手术部位感染减少捆绑要素与感染率的关联。

Dis Colon Rectum. 2022 Aug 1;65(8):1052-1061. doi: 10.1097/DCR.0000000000002223. Epub 2022 Jul 5.

Implementation of World Health Organization Guidelines in the Prevention of Surgical Site Infection in Low- and Middle-Income Countries:What We Know and Do Not Know.世界卫生组织指南在中低收入国家预防手术部位感染中的实施情况：我们已知和未知的内容。

Surg Infect (Larchmt). 2020 Sep;21(7):592-598. doi: 10.1089/sur.2020.163. Epub 2020 Jun 1.

The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Use of Bowel Preparation in Elective Colon and Rectal Surgery.美国结肠和直肠外科医师协会关于择期结肠和直肠手术中肠道准备应用的临床实践指南。

Dis Colon Rectum. 2019 Jan;62(1):3-8. doi: 10.1097/DCR.0000000000001238.

Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2018.择期结直肠手术围手术期护理指南：术后加速康复（ERAS）学会推荐意见：2018年版

World J Surg. 2019 Mar;43(3):659-695. doi: 10.1007/s00268-018-4844-y.

Surgical Instrument Reprocessing in Resource-Constrained Countries: A Scoping Review of Existing Methods, Policies, and Barriers.资源受限国家的手术器械再处理：现有方法、政策及障碍的范围综述

Surg Infect (Larchmt). 2018 Aug/Sep;19(6):593-602. doi: 10.1089/sur.2018.078.

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You don't need to be a millionaire: pragmatic approach to implementing infection control and bowel recovery pathways in low resource environment.

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