LEVEL OF TRAINING, WOUND CARE PRACTICES, AND INFECTION-RATES

被引：22

作者：

SINGER, AJ ^{[1
]}

HOLLANDER, JE ^{[1
]}

CASSARA, G ^{[1
]}

VALENTINE, SM ^{[1
]}

THODE, HC ^{[1
]}

HENRY, MC ^{[1
]}

机构：

[1] SUNY STONY BROOK,MED CTR,DEPT EMERGENCY MED,STONY BROOK,NY 11794

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1995年 / 13卷 / 03期

关键词：

TRAUMATIC WOUNDS; INFECTIONS; MEDICAL EDUCATION; CONTINUOUS QUALITY IMPROVEMENT; MEDICAL STUDENT; RESIDENT PHYSICIAN; LACERATION; SUTURE;

D O I：

10.1016/0735-6757(95)90197-3

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

This prospective, nonrandomized descriptive study compares the traumatic wound infection rates in patients based on level of training of emergency department (ED) practitioners. Wounds were evaluated in 1,163 patients. A wound registry data sheet was prospectively completed on all patients sutured in the ED. All practitioners were assigned a unique identification number. Follow-up data was obtained at the time of the return visit. Patients failing to return were contacted by telephone. Data were analyzed for patient wound infection rates by practitioner level of training. Patient wound infection rates by practitioner level of training were: medical students, 0/60 (0%); all resident physicians, 17/547 (3.1%); physician assistants, 11/305 (3.6%); and attending physicians 14/251 (5.6%), P was not significant. Comparison of junior (medical students and interns) to senior practitioners (all other practitioners) found no difference in infection rates (8/262 [3.1%] v 34/901 [3.8%], P = .58). In conclusion, carefully selected patients sutured by closely supervised medical students and junior residents have infection rates as low as those sutured by more experienced practitioners. Copyright (C) 1995 by W.B. Saunders

引用

页码：265 / 268

页数：4

共 19 条

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