[SURVEILLANCE OF PERIOPERATIVE INFECTIONS AND INFECTION CONTROL].

Nihon Geka Gakkai zasshi Pub Date : 2016-05-01
Manabu Watanabe, Shinya Kusachi
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Abstract

Postoperative infections are classified into surgical site infections and remote infections. The risk factors associated with postoperative infections are related to medical practice, the patient, and bacteria. Postoperative infections not only prolong hospitalizations and increase patient burden but also affect prognosis. It is therefore important to conduct surveillance of postoperative complications at each facility to elucidate the risk factors for infection and to implement and evaluate infection control measures. Moreover, with the aging of the population, more surgeries are being performed in elderly individuals. However, the elderly tend to have age-related declines in the function of major organs as well as comorbidities, and surgeries in them carry a high risk despite advances in operative techniques and perioperative management. It is therefore important to determine surgical indications carefully by sufficiently assessing the risk preoperatively and performing appropriate perioperative management.

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围手术期感染监测及感染控制。
术后感染分为手术部位感染和远处感染。与术后感染相关的危险因素与医疗实践、患者和细菌有关。术后感染不仅延长住院时间,增加患者负担,而且影响预后。因此,重要的是在每个机构进行术后并发症监测,以阐明感染的危险因素,并实施和评估感染控制措施。此外,随着人口老龄化,越来越多的手术在老年人身上进行。然而,老年人往往会出现与年龄相关的主要器官功能下降和合并症,尽管手术技术和围手术期管理有所进步,但对老年人进行手术的风险很高。因此,通过术前充分评估风险并进行适当的围手术期管理,仔细确定手术指征是很重要的。
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