Preoperative evaluation of risk factors of surgical site infections and administration of antibiotic prophylaxis in perioperative period in gynecologic surgery.

doi:10.7504/fk2014100103

Abstract

Abstract:

Abstract: Surgical site infections remain the most common gynecologic surgical complication. Surgical site infection leading to a longer hospital stay and increased cost. The prevention of surgical site infections encompasses meticulous operative technique, preoperative testing and management for genital tract infections , vaginal preparation ,timely administration of appropriate antibiotics, and a variety of preventive measures aimed at neutralizing the threat of bacterial,viral, and fungal contamination posed by operative staff, the operating room environment, and the

null

Key words: gynecologic surgery, surgical site infection, antibiotic prophylaxis, genital tract infection, evaluation

摘要：

手术部位感染是妇科手术患者最常见的并发症，可导致住院时间延长、住院费用增加。预防术后感染包括多方面：术前进行生殖道感染的检查并进行相应治疗；正确术前阴道准备；合理使用预防性抗生素；以及对手术室、工作人员、患者皮肤内源性细菌、病毒、真菌污染等危险因素的管理。

关键词: 妇科手术, 手术部位感染, 预防性应用抗生素, 生殖道感染, 评估

CLC Number:

R713

ZHANG Yan*，LIAO Qin-ping.. Preoperative evaluation of risk factors of surgical site infections and administration of antibiotic prophylaxis in perioperative period in gynecologic surgery.[J]. Acta Metallurgica Sinica, DOI: 10.7504/fk2014100103.

张岩，廖秦平. 妇科手术术前感染因素评估及围手术期预防性抗生素应用规范[J]. 中国实用妇科与产科杂志, DOI: 10.7504/fk2014100103.

References

［1］    Mangram AJ, Horan TC, Pearson ML, et al.Guideline for prevention of surgical site infection,1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee［J］. Am J Infect Control，1999,27:97-132.

［2］    Reichman DE, Greenberg JA. Reducing surgical site infections:a review［J］. Rev Obstet Gynecol, 2009,2(4):212-221.

［3］    Edwards J, Peterson K, Mu Y, et al. National Healthcare Safety Network (NHSN) report:data summary for 2006 through 2008, issued December 2009［J］. Am J Infect Control, 2009，37:783-805.

［4］    de Lissovoy G, Fraeman K, Hutchins V, et al. Surgical site infection: incidence and impact on hospital utilization and treatment costs［J］. Am J Infect Control,2009,37:387-397.

［5］    Broex EC, van Asselt AD, Bruggeman CA, et al. Surgical site infections: how high are the costs? ［J］. J Hosp Infect,2009,72:193-201.

［6］   Wenzel RP. Minimizing surgical-site infections［J］. N Engl J Med,2010,362(1):75-77.

［7］   Young H, Knepper B, Vigil C,et al.Sustained Reduction in Surgical Site Infection after Abdominal Hysterectomy［J］. Surg Infect (Larchmt),2013 ,14(5):460-463.

［8］    Larsson PG, Carlsson B. Does pre- and postoperative metronidazole treatment lower vaginal cuff infection rate after abdominal hysterectomy among women with bacterial vaginosis? ［J］. Infect Dis Obstet Gynecol, 2002,10(3):133-140.

［9］    Eason E, Wells G, Garber G, et al.Antisepsis for abdominal hysterectomy: a randomised controlled trial of povidone-iodine gel［J］. BJOG, 2004,111(7):695-699.

［10］   Buppasiri P, Chongsomchai C, Wongproamas N, et al. Effectiveness of vaginal douching on febrile and infectious morbidities after total abdominal hysterectomy: a multicenter randomized controlled trial［J］. J Med Assoc Thai, 2004,87(1):16-23.

［11］    American College of Obstetricians and Gynecologists Women's Health Care Physicians, Committee on Gynecologic Practice. Committee Opinion No. 571: Solutions for surgical preparation of the vagina［J］. Obstet Gynecol, 2013,122:718-720.

［12］   Shippey SH, Malan TK. Desquamating vaginal mucosa from chlorhexidine gluconate［J］. Obstet Gynecol, 2004,103(5 Pt 2):1048-1050.

［13］   Megan OS,Michelle Y, Rebecca UM,et al.Surgeon practice patterns for antibiotic prophylaxis in gynecologic surgery［J］. Female Pelvic Med Reconstr Surg, 2012,18: 281-285.

［14］   Allen RH. Antibiotic prophylaxis during gynecologic surgery: are we following the recommendations? ［J］. OB/GYN Clin Alert,2014, 30(10):76-77.

［15］ ACOG Committee on Practice Bulletins--Gynecology.ACOG practice bulletin No. 104: antibiotic prophylaxis for gynecologic procedures［J］. Obstet Gynecol,2009 ,113(5):1180-1189.

［16］   中华医学会妇产科学分会感染性疾病协作组.妇产科抗生素使用指南［J］.中华妇产科杂志,2011,46(3):230-233.

［17］   Morrill MY，Schimpf MO，Abed H，et al.Antibiotic prophylaxis for selected gynecologic surgeries［J］. Int J Gynecol Obstet, 2013,120:10–15.

（2014-07-09收稿    2014-08-10修回）

[1]	. [J]. Chinese Journal of Practical gynecology ang obstetric, 2022, 38(6): 577-579.
[2]	GUO Wei, LI Rong. Assessment of female fertility. [J]. Chinese Journal of Practical gynecology ang obstetric, 2022, 38(6): 585-589.
[3]	. [J]. Chinese Journal of Practical gynecology ang obstetric, 2022, 38(6): 622-627.
[4]	. [J]. Chinese Journal of Practical gynecology ang obstetric, 2022, 38(5): 524-528.
[5]	LIANG Jing, LING Bin. Quality control of laparoscopic myomectomy. [J]. Chinese Journal of Practical gynecology ang obstetric, 2022, 38(1): 32-36.
[6]	LIU Fen-ting, LI Rong. Significance of reproductive tract infection in assisted reproduction. [J]. Chinese Journal of Practical gynecology ang obstetric, 2021, 37(10): 1007-1012.
[7]	LIU Ping，LI Peng-fei. Standardized evaluation of cervical cancer patients before treatment. [J]. Acta Metallurgica Sinica, 2021, 37(1): 41-44.
[8]	WU Yan-xin，WANG Zi-lian. Evaluation of different intrauterine monitoring methods for fetal growth restriction. [J]. Acta Metallurgica Sinica, 2020, 36(8): 698-702.
[9]	NAN Zi-qing，HU Ya-li. Reevaluation of the significance of fetal movement monitoring. [J]. Acta Metallurgica Sinica, 2019, 35(4): 399-402.
[10]	CHEN Juan-juan，CHEN Dun-jin. Surgical site infection following cesarean section. [J]. Acta Metallurgica Sinica, 2019, 35(2): 167-171.
[11]	JI Mei，LIU Ya-fen. Application of robot-assisted Laparoscopy in gynecological natural orifice transluminal endoscopic surgery. [J]. Acta Metallurgica Sinica, 2019, 35(12): 1321-1324.
[12]	. [J]. Acta Metallurgica Sinica, 2019, 35(10): 1123-1125.
[13]	. [J]. Acta Metallurgica Sinica, 2018, 34(9): 1016-1018.
[14]	SUN Wen，LIU Shi-liang. Genital tract infection and preterm birth. [J]. Acta Metallurgica Sinica, 2018, 34(2): 140-143.
[15]	ZHANG Dai. Key to diagnosis evaluation system of vaginal microecology. [J]. Acta Metallurgica Sinica, 2017, 33(8): 785-787.