CDC预防手术部位感染指南1983年版.pdfVIP

Bryan P. Simmons, M.D. IftWOdUCMWl material, it is also useful to consider a wound in- Patients who undergo a surgical operation are at fected (but not to consider a purulent wound unin- high risk of having 1or more nosocomial infections. fected) if the attending physician believes it to be. These infections develop in more surgical patients Unless the incision is involved, stitch abscesses (8%) than in any other patient group, and about 70% probably should not be considered infected wounds, of all nosocomial infections throughout the hospital but should be monitored and listed separately from develop in patients who have an operation.’ Most other infections. infections in surgical patients, however, are not re- Wounds can be classified according to the like- lated to the wound but to instrumentation of the uri- lihood and degree of wound contamination at the nary and respiratory tracts. Thus, personnel who time of operation. A widely accepted classification take care of these patients should be aware of mea- scheme3-5 is listed below: sures to prevent nosocomial infections at all sites Clean wound.3 (see other guidelines in the notebook). Moreover, to These are uninfected operative wounds jn which prevent surgical wound infections, personnel who no inflammation is encountered, and nher the perform the operation must take the lead in institut- respiratory, alimentary, or genitourinary tract ing prevention measures, because the most impor- nor the oropharyngeal ca