狗咬伤患者伤口感染预防及管理的最佳证据总结  

Best Evidence Summary of Prevention and Management of Dog Bite Wound Infection

作　　者：吴玉洁 吴利平[1] 冷虹瑶[1] 王燕[1] 林光燕[2] WU Yu-jie;WU Li-ping;LENG Hong-yao;WANG Yan;LIN Guang-yan(Dept.of Nursing Administration,National Clinical Research Center for Child Health and Disorders,Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China;Dept.of Outpatient,Children’s Hospital of Chongqing Medical University,National Clinical Research Center for Child Health and Disorders,Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室儿科学重庆市重点实验室护理部,重庆400014 [2]重庆医科大学附属儿童医院,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室儿科学重庆市重点实验室门诊外科,重庆400014

出　　处：《护理学报》2022年第5期52-56,共5页Journal of Nursing（China）

基　　金：重庆市教委护理学十三五重点学科资助项目(2019hlxk09)。

摘　　要：目的总结狗咬伤患者伤口感染预防及管理的最佳证据,为伤口护理实践提供参考。方法采用PIPOST工具确立循证问题,计算机检索Up To Date、BMJ、JBI、NICE、SIGN、RNAO、EWMA、Cochrane Library、Embase、CINAHL、PubMed、Web of Science、CBM、Wanfang、CNKI,筛选符合纳入标准的文献,由2名研究生对文献进行独立评价、证据提取与证据整合。结果最终纳入8篇文献,包括1篇临床指南,1篇系统评价,2篇证据总结,1篇临床决策,3篇专家共识,最佳证据涉及伤口准备、伤口缝合、感染伤口的处理及抗菌药物的应用,共4个维度,12条最佳证据。结论临床医护人员处理狗咬伤时需综合考虑伤口情况、患者意愿、应用证据的促进与阻碍因素等,并及时关注证据更新情况,选用针对性的循证证据改进临床实践、降低伤口感染率。Objective To summarize the best evidence of the prevention and management of dog bite wound infection. Methods Databases including Up To Date, BMJ, JBI, NICE, SIGN, RNAO, EWMA, Cochrane Library, Embase, CINAHL, PubMed, Web of Science, CBM, Wanfang, and CNKI were searched for literature that met the inclusion criteria, and two graduate students independently evaluated the literature, extracted and integrated the evidence. Results There were 8 articles, including 1 clinical guideline, 1 systematic evaluation, 2 evidence summaries, 1 clinical decision and 3 expert consensus. Twelve pieces of best evidences were summarized into 4 themes: wound preparation, wound suture, treatment of infected wound and application of antibiotics were summarized. Conclusion When dealing with dog bite wounds, clinical medical staffs should take the wound, patient willingness,promotion and obstruction factors of evidence application into account, pay attention to the updated evidence, so as to select targeted evidence-based evidence to improve clinical practice and reduce wound infection rate.

关 键 词：狗咬伤 伤口感染 伤口护理 证据总结 循证护理 

分 类 号：R473[医药卫生—护理学]