New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective.
New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective.
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DOI：
10.1016/s1473-3099(16)30398-x
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发表时间：
2016-12-01
期刊：
影响因子：
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通讯作者：
Solomkin, Joseph S
中科院分区：
文献类型：
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作者：
Allegranzi, Benedetta;Bischoff, Peter;Solomkin, Joseph S
手术部位感染(SSI)是最可预防的卫生保健相关感染之一，在患者发病率、死亡率和额外费用方面对世界各地的卫生保健系统和服务支付者来说是一个巨大的负担。SSI的预防是复杂的，需要在手术前、手术中和手术后综合采取一系列措施。没有现有的国际准则，在解释证据和国家准则的建议方面也发现了不一致之处。考虑到全世界SSIS的负担、循证指导方面的许多差距以及标准化和全球方法的必要性，世卫组织决定优先制定预防SSI的循证建议。指南考虑了益处和危害、证据质量、成本和资源使用影响以及患者价值和偏好之间的平衡。在系统的文献回顾和专家共识的基础上，我们提出了13条关于术前预防措施的建议。
Surgical site infections (SSIs) are among the most preventable health-care-associated infections and are a substantial burden to health-care systems and service payers worldwide in terms of patient morbidity, mortality, and additional costs. SSI prevention is complex and requires the integration of a range of measures before, during, and after surgery. No international guidelines are available and inconsistencies in the interpretation of evidence and recommendations of national guidelines have been identified. Given the burden of SSIs worldwide, the numerous gaps in evidence-based guidance, and the need for standardisation and a global approach, WHO decided to prioritise the development of evidence-based recommendations for the prevention of SSIs. The guidelines take into account the balance between benefits and harms, the evidence quality, cost and resource use implications, and patient values and preferences. On the basis of systematic literature reviews and expert consensus, we present 13 recommendations on preoperative preventive measures.