|
请教各位老师:在SSI监测和SSI防控措施的执行上,首先要明确“手术”是包括哪些操作,有没有比较明确的规定或定义?比如气管切开算不算?为了透析做的动静脉造瘘算不算?宫腔镜手术算不算?等等。
2010年卫生部发布的关于手术部位感染防控等三个技术规范上没有对手术做明确定义,监测规范上也没有。全国院感横断面调查方案上有了定义:患者在手术室接受外科医生至少在其皮肤或黏膜上做一个切口,包括腹腔镜,并在患者离开手术室前缝合切口。
基维百科:Surgery is an ancient medical specialty that uses operative manual and instrumental techniques on a patient to investigate and/or treat a pathological condition such as disease or injury, to help improve bodily function or appearance or to repair unwanted ruptured areas (for example, a perforated ear drum)
美国CDC1999年SSI prevention guideline:“procedures performed outside of the operating room (e.g., endoscopic proceedures), nor does it provide guidance for infection prevention for invasive procedures such as cardiac catheterization or interventional radiology” 排除了手术室外做的手术(如内镜手术)、心内科介入手术、介入放疗手术。
但是还是不全面和具体,临床工作中经常碰到这恼人的问题。
上一篇:手术切口清洁程度如何分?下一篇:请问大家介入手术需要手术院感风险评估表吗?
|
|