Perioperative antibiotics in thoracic surgery.

Perioperative antibiotics in thoracic surgery.
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DOI:
10.1016/j.thorsurg.2011.08.012
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发表时间:
2012-02
影响因子:
2.1
通讯作者:
Krupnick AS
Krupnick AS
中科院分区:
医学3区
文献类型:
--
作者:
Chang SH;Krupnick AS

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1992年,手术伤口感染工作组将手术感染重新定义为手术部位感染(SSI),涉及手术干预期间操作的切口或器官/空间感染1。不包括与SSI相关的血流感染的远端感染不包括在SSI的定义中1。该工作组将SSI分为浅表切口、深部切口和器官/间隙SSI(表1)。SSI需要在手术后30天内出现,除非涉及植入物,在这种情况下,深部切口和器官/间隙SSI的时间范围增加到1年。浅表SSI仅限于皮肤和皮下组织,深部切口SSI涉及更深的软组织,如筋膜平面和肌肉层,器官/间隙SSI包括手术期间操作的任何解剖位置,不包括切口区域。当器官/间隙感染与皮肤相通并沿切口部位沿着引流时,这些SSI分类的例外情况发生,因为这被认为是切口并发症,并被定义为深部切口SSI。值得注意的是,手术部位感染的严格定义不包括“远程”术后感染,例如非胸外科手术后的肺炎或非泌尿外科手术后的尿路感染。
In 1992, the Surgical Wound Infection Task Force redefined surgical infections as surgical site infections (SSI), involving infection of the incision or organs/spaces manipulated during a operative intervention1. Remote infections, not including bloodstream infections related to a SSI, are not included in the definition of SSI1. This task force split the categorization of SSIs into superficial incisional, deep incisional, and organ/space SSI (Table 1). SSIs need to manifest within 30 days of the operation, unless an implant was involved, in which case the time frame for deep incisional and organ/space SSIs is increased to 1 year. Superficial SSIs are confined to the skin and subcutaneous tissue, deep incisional SSIs involves deeper soft tissues such as fascial planes and muscle layers, and organ/space SSIs include any anatomic location, excluding incisional area, that was manipulated during an operation. An exception to these SSI classifications occurs when an organ/space infection communicates with the skin and drains along the incision site, as this is considered an incisional complication, and defined as a deep incisional SSI. Of note, the strict definition of a surgical site infection does not include “remote” postoperative infections such as pneumonia after a non-thoracic surgery or a urinary tract infection after a non-urologic procedure.
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发表时间: 1991-01-01
影响因子: 3.4
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