頁籤選單縮合
題名 | 降低顱骨重建手術部位感染率之專案=Reduction of Incision Infection Rate Post-Skull Reconstruction Operation |
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作者姓名(中文) | 葉慧敏; 邱怡貞; 楊惠琄; 陳家蘭; | 書刊名 | 志為護理 |
卷期 | 13:3 2014.06[民103.06] |
頁次 | 頁82-93 |
分類號 | 419.73 |
關鍵詞 | 顱骨重建手術; 手術部位; 感染率; Cranial reconstruction; Surgical site; Infection; |
語文 | 中文(Chinese) |
中文摘要 | 神經外科術後照護病房顱骨重建手術部位感染率於2009年12月高達37.5%,引發進行此專案,目的為降低顱骨重建手術部位感染率。主要導因有:術前手術部位皮膚破損、預防性抗生素給予不確實、人員進出手術房間頻繁、外科刷手步驟正確性不佳、手術房間清潔完整性不佳、換藥車使用後消毒不確實、人員洗手步驟正確性及遵從性不佳。介入之解決方案包括:修訂毛髮準備及預防性抗生素給予規範、增設手術房門控制鈕、以乾式刷手法取代傳統刷手法、修訂清潔手術房間環境規範、改變換藥車配備內容、舉辦洗手教育等。專案實施後,感染率由37.5%降低至0%。期望將此專案推動措施全面應用於神經外科手術病人,以預防手術部位感染。 |
英文摘要 | In the postsurgical ward of neurosurgery, surgical site infection rate after cranial reconstruction operation, in December 2009, was as high as 37.5%. The high infection rate prompted the birth of the project, which was aimed to find strategies to reduce the rate of infection at the incision site. Current problems include: preoperative skin damage, inconsistent administration of prophylactic antibiotics, frequent entering and exiting the operating room, suboptimal pre-operative scrubbing procedure, poor compliance of operating room cleaning, substandard post-operative disinfection, and incorrect or non-compliant hand-washing. The following interventions were implemented: revising rules on hair preparation and prophylactic antibiotics administration, adding extra control button for the operating room door, replacing the traditional scrubbing techniques with dry scrubbing, amending the post-operative surgical room cleaning procedures, changing the content of the dressing/equipment cart, and providing hand-washing education. After the project was implemented, the infection rate decreased from 37.5% to 0%. We hope that through this project, the new comprehensive measures can be widely applied to neurosurgical wards to decrease the rate of surgical site infection. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。