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預防手術部位感染組合式照護

Bundle Care Strategies in Surgical Site Infection Prevention

摘要


手術部位感染指發生於手術過程中所涵蓋之傷口部位感染。依手術傷口差異,發生率約為2%至20%之間,占了醫療照護相關感染的17%至30%。不止造成病患發生敗血症風險,延長住院天數及增加花費,並對抗生素抗藥性產生壓力。本篇文章介紹國內外指引及醫學實証建議之組合式照顧,內容包括:糖尿病患血糖控制、預防性抗生素、適當皮膚準備、維持正常體溫、傷口照護及術後感染率監控等,以期提高手術病患照顧品質及降低手術部位感染率。

並列摘要


Surgical site infections are caused by bacteria that get in through incisions made during surgery. They threaten the lives of millions of patients each year and contribute to the spread of antibiotic resistance. The incidence of surgical site infection is 2%-20% depends on wound classification and is estimated 17% to 30% health care associated infection. This article gives a short introduction to prevention surgical site infection based on current guidelines evidence practice. The aim is to reduce surgical site infection rates and to provide better patient care.

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