手术部位感染必威体育精装版建议措施--发表于2011年美国《外科年鉴》.pdf

本文是发表于2011年美国《外科年鉴》的手术部位感染防控必威体育精装版建议措施 --Updated recommendations for surgical site infection。该文充分综述了 现有文献、并对其结果进行了解读，对手术部位感染的预防极具临床指导意义、 而且对今后进行研究也具有极大参考价值。该文是1999年美国CDC发表SSI防 控指南以来首篇全面的SSI防控更新案。 （译者注） Annals of Surgery. 2011;253(6):1082-1093 Updated Recommendations for Control of Surgical Site Infections 手术部位感染控制的更新推荐措施 (放飞梦想译) J. Wesley Alexander, MD, ScD; Joseph S. Solomkin, MD; Michael J. Edwards, MD Abstract 摘要 Objective: The objective of this study is to provide updated guidelines for the prevention of surgical wound infections based upon review and interpretation of the current and past literature. 目的：基于对目前和以往文献的复习和解释为手术部位感染预防提供更新的指 南。 Background: The development and treatment of surgical wound infections has always been a limiting factor to the success of surgical treatment. Although continuous improvements have been made, surgical site infections continue to occur at an unacceptable rate, annually costing billions of dollars in economic loss caused by associated morbidity and mortality. 背景：手术部位感染的发生和治疗始终是制约外科手术治疗是否成功的一个因 素。尽管对手术部位感染的发生有所持续改进，但手术部位感染率依然有较高发 生率，手术部位感染相关的发病与死亡所导致的经济损失每年有数十亿美元之 多。 Methods: The Centers for Disease Control (CDC) provided extensive recommendations for the control of surgical infections in 1999. Review of the current literature with interpretation of the findings has been done to update the recommendations. 方法：1999 年，疾病控制中心发布了手术部位感染预防指南，本研究充分复习 了现有文献、对其结果进行解读，以更新手术部位感染控制的建议措施。 Results: New and sometimes conflicting studies indicate that coordination and application of techniques and procedures to decrease wound infections will be highly successful, even in patients with very high risks. 结果：新的研究、而且有时是相互矛盾的研究结果表明，综合运用手术部位感染 预防措施可有效降低手术部位感染，即使是对于 SSI 高危险性病人也将具有明 显效果。 Conclusions: This review suggests that uniform adherence to the proposed guidelines for the prevention of surgical