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面向医疗保健专业人员的手术部位感染预防临床指南全球视野:一项范围综述

Global View of Clinical Guidelines on Prevention of Surgical Site Infections for Health Care Professionals: A Scoping Review.

作者信息

Niyomugabo Aloys, Mukeshimana Madeleine, Collins Anita, Chironda Geldine

机构信息

School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera campus, Kigali, Rwanda.

School of Nursing and Public Health, University of KwaZulu Natal, Durban, South Africa.

出版信息

Rwanda J Med Health Sci. 2023 Nov 30;6(3):398-410. doi: 10.4314/rjmhs.v6i3.13. eCollection 2023 Nov.

Abstract

BACKGROUND

Even though there may be clinical guidelines for surgical site infections prevention, no review has been conducted on them. Therefore, a scoping review was undertaken to map and synthesize the available surgical site infections prevention guidelines.

METHODOLOGY

A scoping review methodology as defined by the Joanna Briggs institute was conducted. Eligible English and French published articles with guidelines were identified from data bases, search engines, and websites of professional organizations. The Search terms included: "health care professionals AND guidelines for surgical site infections prevention OR clinical practice guidelines". First level selection was based on title and abstract while full text for second level.

RESULTS

Out of the 106 articles with guidelines, 7 were selected for the period 1999 to 2021. Four showed methods used to formulate guidelines. Five guidelines comprised recommendations for surgical site infections prevention for pre, intra and post-operative phases. WHO guideline appeared to be robust as it contained all the characteristics.

CONCLUSION

Of all the guidelines identified, the WHO guideline indicated population used to develop guidelines; method used and set recommendations, validation including all phases of surgical management. Hence, a recommendation to adapt WHO guideline to health care settings of low resources countries like Rwanda.

摘要

背景

尽管可能存在手术部位感染预防的临床指南,但尚未对其进行综述。因此,开展了一项范围综述,以梳理和综合现有的手术部位感染预防指南。

方法

采用乔安娜·布里格斯研究所定义的范围综述方法。从数据库、搜索引擎和专业组织网站中识别出符合条件的发表有指南的英文和法文文章。检索词包括:“医疗保健专业人员 AND 手术部位感染预防指南 OR 临床实践指南”。一级筛选基于标题和摘要,二级筛选基于全文。

结果

在106篇有指南的文章中,1999年至2021年期间选出了7篇。4篇展示了制定指南所使用的方法。5项指南包含了术前、术中和术后阶段手术部位感染预防的建议。世界卫生组织的指南似乎很全面,因为它具备所有特征。

结论

在所有识别出的指南中,世界卫生组织的指南表明了制定指南所针对的人群、所使用的方法并提出了建议,包括手术管理的所有阶段的验证。因此,建议将世界卫生组织的指南应用于卢旺达等资源匮乏国家的医疗保健环境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbe/12110507/5aa311db20ed/RJMHS0603-0398Fig1.jpg

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