Porcu A, Noya G, Dessanti A, Niolu P, Cottu P, Castiglia P, Dettori G
Istituto di Clinica Chirurgica Generale, Università degli Studi di Sassari.
Minerva Chir. 1996 Sep;51(9):691-6.
A study was made of the risk factors causing a high incidence of surgical wound infections in clean operations. Identification of these factors in the preoperative stage allows the patients to be divided into two categories: a high risk (about 10% of patients for surgery) and low risk. By giving antibiotic prophylaxis only to patients at high risk, the incidence of postoperative infections can be reduced, decreasing the number of extra days in hospital and consequently lowering costs. This is a new approach to the problem of surgical wound infections since not only is it based on the usual classification of operations into clean, clean-contaminated, contaminated and dirty, but it also takes into account the defensive capacity of the target of the infection: the patient.
一项关于清洁手术中导致手术伤口感染高发的风险因素的研究。在术前阶段识别这些因素可将患者分为两类：高风险（约占手术患者的10%）和低风险。仅对高风险患者进行抗生素预防，可降低术后感染发生率，减少额外住院天数，从而降低成本。这是解决手术伤口感染问题的一种新方法，因为它不仅基于手术通常的清洁、清洁-污染、污染和脏污分类，还考虑了感染目标即患者的防御能力。
