Myths and facts in the operating theatre

被引:1
作者
Lemmen, Sebastian [1 ]
Lewalter, Karl [2 ]
机构
[1] Uniklin RWTH Aachen, Krankenhaus Hyg & Infektiol, Aachen, Germany
[2] Uniklin RWTH Aachen Tatig, Krankenhaus Hyg & Infektiol, Aachen, Germany
来源
ANASTHESIOLOGIE INTENSIVMEDIZIN NOTFALLMEDIZIN SCHMERZTHERAPIE | 2013年 / 48卷 / 09期
关键词
bundle; evidence based measures; guidelines; myths; Surgical site infection;
D O I
10.1055/s-0033-1355230
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Surgical site infections are the most common nosocomial infections. Strategies to prevent these infections are crucial. Evidence based measures like hand hygiene, treatment of nasal carriage of S. aureus, surveillance, prophylactic application of antibiotics or hair removal with electric clippers are listed in national and international guidelines. Beside these measures several myths and traditions like the application of antibiotic prophylaxis for several days or hygienic rituals in a septic operating theatre still exist. These measures are not helpful and should not be used any more. It is helpful to include effective measures in a bundle, the compliance with the bundle should be monitored regularly. Only the consequent implementation of evidence based and effective measures can help to prevent surgical site infections. © Georg Thieme Verlag KG Stuttgart · New York.
引用
收藏
页码:518 / 523
页数:6
相关论文
共 22 条
[1]  
Ruden H., Gastmeier P., Daschner F.D., Et al., Nosocomial and community-acquired infections in Germany. Summary of the results of the first national prevalence study (NIDEP), Infection, 25, pp. 199-202, (1997)
[2]  
RKI: Deutsche Daten im Rahmen der ersten europäischen Prävalenzerhebung zum Vorkommen nosokomialer Infektionen und zur Antibiotikaanwendung, Epid Bull, 26, pp. 239-240, (2012)
[3]  
Chaberny I.F., Graf K., Strategien zur Prävention von postoperativen Wundinfektionen, Unfallchirurg, 114, pp. 236-240, (2011)
[4]  
Empfehlungen zur Prävention postoperativer Infektionen im Operationsgebiet, Bundesgesundheitsblatt, 50, pp. 377-393, (2007)
[5]  
Mangram A.J., Horan T.C., Pearson M.L., Et al., Guideline for prevention of surgical site infection, Infect Control Hosp Epidemiol, 20, pp. 247-278, (1999)
[6]  
Alexander J.W., Solomkin J.S., Edwards M.J., Updated recommendations for control of surgical site infections, Ann Surg, 253, pp. 1082-1093, (2011)
[7]  
Brandt C., Sohr D., Behnke M., Et al., Reduction of surgical site infection rates associated with active surveillance, Infect Control Hosp Epidemiol, 27, pp. 1347-1351, (2006)
[8]  
Gastmeier P., Sohr D., Schwab F., Et al., Ten years of KISS: The most important requirements for success, J Hosp Inf, 70, pp. 11-16, (2008)
[9]  
Surveillance nosokomialer Infektionen sowie die Erfassung von Krankheitserregern mit speziellen Resistenzen und Multiresistenzen, Bundesgesundheitsbl, 56, pp. 580-583, (2013)
[10]  
Bode L.G.M., Kluytmans J., Wertheim H.F.L., Et al., Preventing surgical-site infections in nasal carriers of Staphylococcus aureus, N Engl J Med, 362, pp. 9-17, (2010)