外科感染防治部分指南解读

Interpretation of the guidelines for the prevention and treatment of surgical infection

外科感染的防治一直是外科临床的重点,是改善外科病人治疗效果的关键环节。尽管国内外提出多个针对外科感染(尤其是手术部位感染)的防治指南,但外科感染的发生率并没有明显变化。目前,国内外指南关于预防感染的各方面,如血糖、术中体温、皮肤消毒、切口保护器、无菌灌洗、抗菌缝线、预防性抗生素使用等,均明确提出了实施方案,然而具体内容各有不同,其中部分指南根据最新循证医学证据进行了更新。

Prevention and treatment of surgical infection has been the point of clinical surgery, the key to improving the surgical treatment of patients. Although several guidelines concerning on surgical infection, especially surgical site infection, have been raised to prevent the infection. However, according to current data, surgical infection rate did not change significantly. At present, guidelines have focused on various aspects of prevention of surgical infection, such as blood sugar, temperature during operation, skin preparation, cut protectors, sterile irrigation, antimicrobial sutures, prophylactic antibiotic usage and et al. However, details varied and there were some updates recommendations based on evidence-based medicine.