《外科手术部位感染的预防指南(2017)》更新解读

Interpretation of update in Guideline for the Prevention of Surgical Site Infection, 2017

预防外科手术部位感染(SSI)一直是外科技术的重要部分。2017年版《外科部位感染预防指南》进行了要点首次更新,主要针对手术中的14个核心领域,根据最全、最广泛、最新的循证医学证据,给出了证据级别和推荐等级,最终得出了42条指南建议,这其中包括广泛应用的手术皮肤准备、无菌手术贴膜及预防抗生素使用等。新指南较为全面地反映了SSI预防的最新与最权威的观点,不仅更新了临床操作规范,而且有助于临床一线医生有关手术感染的观念更新,故对新指南的重要观点作一解读。

Surgical site infection （SSI） prevention is an essential component of surgical practice. The bullet points of Guideline for the Prevention of Surgical Site Infection have been updated for the first time in its 2017 edition, which adapted the levels of evidence and grades of recommendations mainly targeting toward 14 core areas of surgical practice based on the most comprehensive and extensive as well as the latest data of evidence-based medicine, and finally developed 42 sets of guideline recommendations that include the commonly used skin preparation, sterile surgical masks, and prophylactic use of antibiotics, etc.. The new guideline version relatively fully reflects the newest and most authoritative point of view on SSI prevention and not only renovated the clinical procedure standards, but also may help frontline physicians renew their concept on surgical infections. So the authors interpret the important viewpoints of the new guideline.