Zbornik XXVI - perioperativna zdravstvena nega

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Zbornik XXVI – OBVLADOVANJE BOLNIŠNIČNIH OKUŽB V OPERACIJSKI SOBI pacientov z dejavniki tveganja. Znanje je temelj obvladovanja BO in OKR, vendar je za izvajanje nadzora nad BO in OKR zagotoviti tudi zadostno število osebja, računalniško podporo sistemu. Poseben pomen imajo povratne informacije o uspešnosti pri preprečevanju OKR in stalno sledenje napredku na tem področju. Literatura 1. Mangram AJ, Horan TC, Pearson ML, Silver LH, Jarvis WR. Guideline for prevention of surgical site infection. Infection control and hospital epidemiology 1999; 20: 247–78. 2. Culver DH, Horan TC, Gaynes RP et al. Surgical wound infection rates by wound class, operative procedure and patient risk index. National nosocomial infections surveillance system. Am J Med 1991; 91: Suppl 3B: 152S-157S. 3. Haley RW, Culver DH, Morgan WM et al. Identifying patients at high risk of surgical wound infection. A simple multivariate index of patient susceptibility and wound contamination. Am J Epidemiol 1985; 121: 206–15. 4. Bowler PG, Duerden BI, Armstrong DG. Wound Microbiology and Associated Approaches to Wound Managment. Clin Microbiol Rev 2001; 14: 244–69. 5. Plowman R, Graves N, Griffin MA et al. The rate and cost of hospital-acquired infections occurring in patients admitted to selected specialties of a district general hospital in England and the national burden imposed. J Hosp Infect 2001; 47 (3): 198–209. 6. Latham R, Lancaster AD, Covington JF, Priolo LS, Thomas CS. The association of diabetes and glucose control with surgical-site infection among cardiothoracic surgery patients. Control Hosp Epidemiol 2001; 22: 607–612. 7. Sessler DI. Non-pharmacological prevention of surgical wound infection. Anesthesiol Clin 2006; 24(2): 279–97. 8. Healey MA, Shackford SR, Osler TM, Rogers FB, Burns E. Complications in surgical patients. Arch Surg 2002; 137 (5): 611–8. 9. Bolton LL. Evidence corner: Preventing surgical site infection. Wounds 2006; 18(7): A20-2. 10. Byrne DJ, Napier A, Buscheri A. Rationalizing whole body disinfection. J Hosp Infect 1990; 15: 183–7. 11. Melling AC, Ali B, Scott EM, Leaper DJ. Effects of preoperative warming on the incidence of wound infection after clean surgery: a randomised controlled trial. Lancet 2001; 358: 876–80. 38
Zbornik XXVI – OBVLADOVANJE BOLNIŠNIČNIH OKUŽB V OPERACIJSKI SOBI 12. Geubbels EL, Mintjes-de Groot AJ, Van den Berg JM, De Boer AS. An operating surveillance system of surgical-site infections in The Netherlands: results of the PREZIES national surveillance network. Preventie van Ziekenhuisinfecties door Surveillance. Infect Control Hosp Epidemiol 2000; 21 (5): 311–8. 13. Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. N Engl J Med 1996; 334: 1209–16. 14. Greif R, Akca O, Horn E, Kurz A, Sessler DI. Supplemental perioperative oxygen to reduce the incidence of surgical-wound infection. N Engl J Med 200; 342: 161–9. 15. Pryor KO, Fahey TJ 3rd, Lien CA, Goldstein PA. Surgical site infection and the routine use of perioperative hyperoxia in a general surgical population: a randomized controlled trial. 2004; 291: 79–87. 16. Teare L, Cookson B, Stone S. Hand hygiene. Br Med J 2001; 323: 411–2. 39
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