Antimicrobial prophylaxis for surgery: An advisory statement from the National Surgical Infection Prevention Project
Antimicrobial prophylaxis for surgery: An advisory statement from the National Surgical Infection Prevention Project
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DOI：
10.1086/421095
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发表时间：
2004-06-15
影响因子：
11.8
通讯作者：
Houck, PM
中科院分区：
文献类型：
--
作者：
Bratzler, DW;Houck, PM
2003年1月，医疗保险国家外科感染预防项目领导主持了外科感染预防指南编写工作组(SIPGWW)会议。目的是审查最新发表的外科抗菌预防指南之间的一致之处，解决不一致之处，并讨论目前尚未解决的问题。参与者包括来自大多数出版了北美抗菌预防指南的团体的作者，以及来自几所专业学院的作者。采用名义小组程序起草了一份协商一致文件，并广泛分发征求意见。SIPGWW的共识立场是，第一剂抗菌药应在手术切开前60分钟内开始输注，预防性抗菌药应在手术结束后24小时内停止使用。本咨询声明概述了与抗菌素预防有关的其他问题，包括关于抗菌剂选择的具体建议。
In January 2003, leadership of the Medicare National Surgical Infection Prevention Project hosted the Surgical Infection Prevention Guideline Writers Workgroup (SIPGWW) meeting. The objectives were to review areas of agreement among the most-recently published guidelines for surgical antimicrobial prophylaxis, to address inconsistencies, and to discuss issues not currently addressed. The participants included authors from most of the groups that have published North American guidelines for antimicrobial prophylaxis, as well as authors from several specialty colleges. Nominal group process was used to draft a consensus paper that was widely circulated for comment. The consensus positions of SIPGWW include that infusion of the first antimicrobial dose should begin within 60 min before surgical incision and that prophylactic antimicrobials should be discontinued within 24 h after the end of surgery. This advisory statement provides an overview of other issues related to antimicrobial prophylaxis, including specific suggestions regarding antimicrobial selection.