Moylan J A, Kennedy B V
Minerva Chir. 1981 Oct 31;36(20):1365-72.
The gown and drape barrier system has been shown to be an important factor in the prevention of wound infection. Performance differences between disposable and reusable materials as influencing wound infections were demonstrated. A disposable spun-bonded olefin gown and drape system significantly reduced the postoperative wound infection rate. No therapeutic benefit in clean surgical operations was observed for either the preoperative antibiotic group of local wound irrigation group. Factors indicating populations at higher risks for wound infection include age, sex and those requiring long and an emergency type operations. Special attention should be given to the infection prone groups. Unless factors, such as percentage of type of operation, emergency nature, age and sex, are weighed, a comparison of wound infections between hospitals is invalid.
手术衣和手术巾屏障系统已被证明是预防伤口感染的一个重要因素。研究表明了一次性和可重复使用材料在影响伤口感染方面的性能差异。一次性纺粘烯烃手术衣和手术巾系统显著降低了术后伤口感染率。对于术前抗生素组或局部伤口冲洗组,在清洁手术中未观察到治疗益处。表明伤口感染风险较高人群的因素包括年龄、性别以及那些需要进行长时间和急诊类型手术的人群。应特别关注易感染人群。除非对诸如手术类型百分比、急诊性质、年龄和性别等因素进行权衡,否则医院之间伤口感染情况的比较是无效的。