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当前位置：微生物与免疫学研究 > 2024年 1卷 (1)期

Open Access Article

Journal of Microbiology and Immunology. 2024; 1: (1) ; 15-18 ; DOI: 10.12208/j.jmi.20240004.

Advances in the Prevention and Treatment of Spinal Surgical Site Infections
脊柱手术部位感染预防和治疗进展

作者： Longhui Yuan *, Xukai Zeng

湖南省人民医院（第一附属医院）湖南长沙

*通讯作者： Longhui Yuan,单位：湖南省人民医院（第一附属医院）湖南长沙；

发布时间: 2024-11-15 总浏览量: 144

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摘要

手术部位感染是脊柱手术的重要术后并发症，发生率为1%~9%。美国疾病控制与预防中心将手术部位感染定义为术后一年内发生的与手术相关的感染，并导致切口部位深部软组织感染。手术相关感染发生在手术后一年内，影响切口深部软组织，其特征至少有以下一项：1）深部切口流出脓液；2）深部切口自然裂开或有脓液排出；3）切口自然裂开或有脓性分泌物，伴有发热和局部疼痛；4）手术探查或影像学检查提示深部软组织感染。手术探查或影像学检查发现深部脓肿；5）临床医生根据临床证据诊断的深部切口感染临床医生根据临床证据诊断的深部切口感染。脊柱手术部位感染会延长治疗时间、增加治疗费用，甚至增加死亡率，因此预防脊柱手术部位感染是保障医疗安全的关键。

关键词： 手术部位感染；危险因素；综述文献；细菌感染

Abstract

Surgical site infections are a significant postoperative complication of spinal surgery, with an incidence ranging from 1% to 9%. The Centers for Disease Control and Prevention defines a surgical site infection as an infection related to surgery that occurs within one year of the procedure and leads to a deep soft tissue infection at the incision site. Surgery-related infection occurs within one year of surgery, affecting the deep soft tissues of the incision. It is characterized by at least one of the following: 1) drainage of pus from the deep incision; 2) natural fissure or Pus discharge from the deep incision; 3) natural fissure or purulent discharge from the incision, accompanied by fever and localized pain; 4) surgical exploration or imaging examinations indicating deep soft tissue infections. Surgical exploration or imaging examination revealed a deep abscess; 5) clinicians based on clinical evidence diagnosed deep incision infection deep incisional infection diagnosed by clinicians based on clinical evidence. Spinal surgical site infections prolong treatment time, increase treatment costs, and can even raise mortality rates. Therefore, it is crucial to prevent spinal surgical infections to ensure medical safety.

Key words： Surgical site infections, Risk factors, Review literature, Bacterial infections

参考文献 References

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引用本文

LonghuiYuan, XukaiZeng, 脊柱手术部位感染预防和治疗进展[J]. 微生物与免疫学研究, 2024; 1: (1) : 15-18.

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