Evidence-based Strategy for Perioperative Infection Control-New Findings from Guidelines, Systematic Reviws and Meta-analyses-:New Findings from Guidelines, Systematic Reviws and Meta-analyses

概要

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Perioperative infection is a leading cause of postoperative death. Nosocomial infection increases the length of the hospital stay and medical costs, leading hospitals into financial difficulties.Many high-quality clinical studies, metaanalyses, systematic reviews and guidelines for controlling perioperative infection in abdominal surgery have been reported. The present review evaluates the knowledge contained in these reports and comments on the control of perioperative infections. As with pneumonia, the flora thought to cause these infections and, therefore, management strategies are determined by whether the infection was a community-acquired infections or a health care-associated (nosocomial) infections. Surveillance should be performed in each institution to gather information on the causative microorganism and the characteristics of those sensitive to antimicroorganism agents. Evidence-based perioperative infection control should be managed according to each institution's manual that in turn should be based on evidencebased guidelines and knowledge.
日本腹部救急医学会の論文