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Klinisk retningslinje om forebyggelse af postoperative infektioner ...

Klinisk retningslinje om forebyggelse af postoperative infektioner ...

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Thorax kirurgisk indgreb<br />

Thoraxkirurgi <strong>om</strong>fatter diagnostik, behandling, palliation og<br />

rehabilitering <strong>af</strong> patienter med sygd<strong>om</strong>me, skader og<br />

medfødte misdannelser i brystvæg, hjerte, lunger,<br />

spiserør, mellemgulv samt brysthulens øvrige organer og<br />

kar, hvor kirurgisk indgreb kan blive et led i behandlingen<br />

(12).<br />

Postoperative k<strong>om</strong>plikationer<br />

“Pathologic processes that <strong>af</strong>fect patients <strong>af</strong>ter surgery.<br />

Postoperative c<strong>om</strong>plications may (or may not) be directly<br />

related to the disease for which the surgery was done or to<br />

the surgery itself.” (14)<br />

Nosok<strong>om</strong>ielle <strong>infektioner</strong><br />

En nosok<strong>om</strong>iel infektion kaldes også sygehuserhvervet<br />

infektion.<br />

Det er en infektion, der hverken er påvist, beskrevet eller<br />

under udvikling på indlæggelsestidspunktet, og regnes<br />

derfor s<strong>om</strong> erhvervet i løbet <strong>af</strong> hospitalsopholdet –også<br />

selv<strong>om</strong> infektionen først viser sig efter udskrivelse eller<br />

behandling.<br />

“Nosoc<strong>om</strong>ial infection as a localized or systemic condition<br />

1) that results fr<strong>om</strong> adverse reaction to the presence of an<br />

infectious agent(s) or its toxin(s) and 2) that was not<br />

present or incubating at the time of admission to the<br />

hospital.<br />

For most bacterial nosoc<strong>om</strong>ial infections, this means that<br />

the infection usually bec<strong>om</strong>es evident 48 hours (i.e., the<br />

typical incubation period) or more <strong>af</strong>ter admission.”<br />

(15, 16).<br />

Postoperativ pneumoni (lungebetændelse)<br />

“Postoperative penumonia is hospital-acquired pneumonia<br />

that occurs in a <strong>postoperative</strong> patient.”<br />

Pneumoni (Lungebetændelse) er en betændelsestilstand i<br />

lungevævet forårsaget hyppigst <strong>af</strong> bakterier, vira,<br />

parasitter eller svampe (17)<br />

Afdeling for Sygeplejevidenskab • Høegh-Guldbergs Gade 6a • 8000 Aarhus C • Mobil: 2230 8757

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