Abstract
摘要
Objective: The objective of this study is to provide updated guidelines for the prevention of surgical wound infections based upon review and interpretation of the current and past literature.
目的：基于对目前和以往文献的复习和解释为手术部位感染预防提供更新的指南。
Background: The development and treatment of surgical wound infections has always been a limiting factor to the success of surgical treatment. Although continuous improvements have been made, surgical site infections continue to occur at an unacceptable rate, annually costing billions of dollars in economic loss caused by associated morbidity and mortality.
背景：手术部位感染的发生和治疗始终是制约外科手术治疗是否成功的一个因素。尽管对手术部位感染的发生有所持续改进，但手术部位感染率依然有较高发生率，手术部位感染相关的发病与死亡所导致的经济损失每年有数十亿美元之多。
Methods: The Centers for Disease Control (CDC) provided extensive recommendations for the control of surgical infections in 1999. Review of the current literature with interpretation of the findings has been done to update the recommendations.
方法：1999年，疾病控制中心发布了手术部位感染预防指南，本研究充分复习了现有文献、对其结果进行解读，以更新手术部位感染控制的建议措施。
Results: New and sometimes conflicting studies indicate that coordination and application of techniques and procedures to decrease wound infections will be highly successful, even in patients with very high risks.
结果：新的研究、而且有时相互矛盾的研究结果表明，综合运用手术部位感染预防措施可有效降低手术部位感染，即使是对于SSI高危病人也将具有明显效果。
Conclusions: This review suggests that uniform adherence to the proposed guidelines for the prevention of surgical infections could reduce wound infections significantly; namely to a target of less than 0.5% in clean wounds, less than 1% in clean contaminated wounds and less than 2% in highly contaminated wounds and decrease related costs to less than one-half of the current amount.
结论：本综述认为，遵从手术部位感染控制指南，可显著降低手术部位感染发生，达到预期的清洁手术<0.5%、清洁-污染手术<1%、污染手术<2%手术部位感染率的目标，并可使手术部位感染相关花费降低到目前的1/2以下。
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