Checklist for the prevention of sternal wound infections

被引:0
|
作者
Graf, Karolin [1 ]
Doebler, K. [2 ]
Schaefer, E. [2 ]
Koetting, J. [2 ]
Haverich, A. [3 ]
Gastmeier, P. [4 ]
Beckmann, A. [5 ]
机构
[1] Hannover Med Sch, Inst Med Mikrobiol & Krankenhaushyg, Carl Neuberg Str 1, D-30625 Hannover, Germany
[2] BQS Inst Qualitat & Patientensicherheit, Dusseldorf, Germany
[3] Hannover Med Sch, Klin Herz Thorax Transplantat & Gefasschirurg, Hannover, Germany
[4] Charite Univ Med Berlin, Inst Hyg & Umweltmed, Berlin, Germany
[5] Deutsch Gesell Thorax Herz & Gefasschirurg, Berlin, Germany
来源
ZEITSCHRIFT FUR HERZ THORAX UND GEFASSCHIRURGIE | 2011年 / 25卷 / 03期
关键词
Surveillance; Infection control; Surgical wound infection; Guideline adherence; Heart surgery;
D O I
10.1007/s00398-011-0854-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Deep sternal wound infections (DSWI) are a severe complication after cardiac surgery. They are associated with higher morbidity and mortality as well as prolonged hospital stay of patients and additional costs. The strategy for specific infection prevention is complex and has to involve all healthcare professionals providing care to patients undergoing cardiac surgery. Preoperative Staphylococcus aureus/MRSA screening, decolonization measures, hair clipping instead of shaving, adherence to perioperative antibiotic prophylaxis, intraoperative blood glucose control, and change of dressings as well as infection control measures (e.g., active surveillance of surgical site infections (SSO, compliance observations, and instruction/training of healthcare professionals) are essential in order to prevent SSI. By implementing and using a checklist, R has already been proven that the complex measures during the pre-, intra-, and postoperative course of events could be reliably reproduced.
引用
收藏
页码:148 / 153
页数:6
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