手术部位感染预防及管理策略思考  

Thoughts on prevention and management strategies for surgical site infection

作　　者：郭逸君 杨旭颖 饶友花[1] 李连红[1] GUO Yijun;YANG Xuying;RAO Youhua;LI Lianhong(Department of Infection Management,the Second Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu 210011,P.R China)

机构地区：[1]南京医科大学第二附属医院感染管理处,南京210011

出　　处：《华西医学》2025年第3期447-453,共7页West China Medical Journal

摘　　要：手术部位感染(surgical site infection,SSI)是常见的医院获得性感染,可导致医疗负担加重并影响患者预后,其发生涉及患者基础情况及围手术期管理质量等多重因素。尽管国内外指南已就SSI预防形成基本共识,但指南推荐与感染预防与控制管理间仍存在差异。为进一步推动指南的落实,该文从术前皮肤准备、术中规范操作及术后切口管理等环节,回顾国内外指南中SSI的关键预防措施,并深入探讨了SSI的管理策略,以期为构建SSI全流程感染预防与控制体系提供借鉴。Surgical site infection(SSI)is a common hospital acquired infection that can increase medical burden and affect patient prognosis.Its occurrence involves multiple factors such as the patient’s basic condition and perioperative management quality.Although there is a basic consensus on SSI prevention in domestic and foreign guidelines,there are still differences between the recommendations in the guidelines and infection prevention and control management.To further promote the implementation of the guidelines,this article reviews the key preventive measures for SSI in domestic and foreign guidelines from preoperative skin preparation,intraoperative standardized operation,and postoperative incision management,and explores in depth the management strategies of SSI,in order to provide a reference for building a full process infection prevention and control system for SSI.

关 键 词：手术部位感染 预防 医院感染管理 策略 

分 类 号：R47[医药卫生—护理学]