围手术期抗菌药物的预防性应用 解放军总医院第一附属医院 黎沾良
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围手术期抗菌药物的预防性应用 解放军总医院第一附属医院 黎沾良. 外科医生的困惑 ★ 围手术期应用抗生素是预防哪些感染? ★ 什么情况下需要预防用抗生素? ★ 怎样选择预防用抗生素? ★ 什么时候开始用药? ★ 抗生素要用多长时间?. 围手术期预防性应用抗菌药物的目的. ★ 是预防 手术部位感染 ( surgical site infection, SSI ) ,指发生在切口或手术深部器官或腔隙的感染 ★ SSI 的概念比切口感染宽,但比术后感染窄 ★ SSI 约占全部医院感染的 15% ★ 约占外科病人医院感染的 35% 40%. - PowerPoint PPT PresentationTRANSCRIPT
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surgical site infection, SSI) SSI SSI15%35%40%
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SSI*,SSI
dCruse198010$ 2000Martone19927.2$ 3152 199817.82 3232200210 3368200315 1176*
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SSI
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30 1 2 3 4SSI
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301 1. 2. 3. 4.
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/
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SSI 19861996593344SSI 155232.62% 19972001, 152747343151SSI4.22%SSI
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SSI
SSI(%)a109364564.240563187.82642911.01201512.58222.4
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6466610.27116919.771271722.429781234.1128419014.8267818303.1133522591.9
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SSI
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GUIDELINESIGNScottish Intercollegiate Guideline Network
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GUIDELINESIGNScottish Intercollegiate Guideline Network
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1354 -11.22.4g, 8g, 6g15.6%