美国在预防膝和髋关节置换SSI方面又有新举措
http://www.ihi.org/explore/SSIHipKnee/Pages/default.aspxPrevent Surgical Site Infection for Hip and Knee Arthroplasty Share on facebookShare on twitterShare on linkedinShare on printShare on emailMore Sharing ServicesPage Content
Among surgical procedures, arthroplastic (hip and knee) surgeries are key high-cost, high-volume surgeries targeted for surgical site infection prevention. Infections following hip or knee replacement surgery are devastating for the patient and those caring for the patient. Treatment often requires additional surgery and hospitalization; prolonged systemic antibiotic therapy; and impaired mobility during treatment. Patients generally require intensive rehabilitation in a skilled nursing facility or at home, where the burden of care, as well as considerable out-of-pocket expense, falls upon family members.
Key Changes for Improvement
[*]Use an alcohol-containing antiseptic agent for preoperative skin preparation
[*]Instruct patients to bathe or shower with chlorhexidine gluconate (CHG) soap for at least three days before surgery
[*]Screen patients for Staphylococcus aureus (SA) and decolonize SA carriers with five days of intranasal mupirocin and bathing or showering with chlorhexidine gluconate soap for at least three days before surgery
[*]Appropriate use of prophylactic antibiotics
[*]Appropriate hair removal
美国医疗质量促进协会在预防膝和髋关节置换SSI方面又有新举措：
1、使用含酒精的消毒剂进行皮肤消毒；
2、指导患者在术前至少三天使用CHG洗澡或淋浴；
3、筛查金黄色葡萄球菌，定植患者鼻内涂抹莫匹罗星5天和术前至少三天使用氯己定皂洗澡或淋浴；
4、合适的预防性使用抗菌药物；
5、合适的毛发清除方法。
The IHI How-to Guide contains detailed information on key changes to prevent surgical site infection for hip and knee arthroplasty and measures to guide improvement.
很好的资料，学习了。感谢楚楚老师的分享{:1_17:} 谢谢楚楚老师及时发来的资料，我院从本月起开始做关节置换的目标性监测，也希望能多一些这方面你的知识 很好的资料！一同分享真快乐！ 又学习了新东东，会对我们有帮助。
谢谢老师的分享，学习了。
学习了，正在找SSI方面的新进展 准备SSI目标监测，学习啦，谢谢！
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