Thermoregulation and Risk of Surgical Site Infection

被引:23
作者
Beltramini, Amanda M. [1 ,2 ]
Salata, Robert A. [1 ,2 ]
Ray, Amy J. [1 ,2 ]
机构
[1] Univ Hosp Case Med Ctr, Dept Med, Div Infect Dis & HIV Med, Cleveland, OH 44106 USA
[2] Case Western Reserve Univ, Cleveland, OH 44106 USA
关键词
MILD PERIOPERATIVE HYPOTHERMIA; WOUND-INFECTION; THERAPEUTIC HYPOTHERMIA; NITROUS-OXIDE; BLOOD-LOSS; SURGERY; OXYGEN; TRANSFUSION; TEMPERATURE; PREVENTION;
D O I
10.1086/660017
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Surgical site infections (SSIs) occur in approximately 2%-5% of patients undergoing surgery in the acute care setting in the United States. These infections result in increased length of stay, higher risk of death, and increased cost of care compared with that in uninfected surgical patients. Given the inclusion of maintenance of perioperative normothermia for all major surgeries as a means of lowering the risk of infection in the Surgical Care Improvement Project 2009, we prepared a summary of the literature to determine the strength and quantity of the evidence underlying the performance measure. Although the data are generally supportive of perioperative normothermia as a means of reducing the risk of SSIs, a more rigorous approach using standard SSI definitions as well as standardized temperature measurements (and timing thereof) will further delineate the role played by temperature regulation in SSI development. Infect Control Hosp Epidemiol 2011; 32(6):603-610
引用
收藏
页码:603 / 610
页数:8
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