外科手术病人要避免术后感染-凯发k8官网

外科手术病人要避免术后感染
文章来源:未知 文章作者:meng 发布时间:2009-12-16 01:42 字体: [ ] 
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post-1 infections significantly increase the chance of hospital readmission再入院 and death and cost as much as $60,000 per patient, according to duke university medical center researchers who conducted the largest study of its kind to date. "we conducted a multi-center study of multiple surgical procedure types among 659 patients to determine clinical and financial outcomes of surgical site infections that are directly attributable to mrsa耐甲氧西林金黄色葡萄球菌 (methicillin-resistant stapylococcus aureus)," said deverick j. anderson, m.d., mph, an infectious diseases specialist at duke university medical center and lead author of the study. "we found the impact of methicillin甲氧西林-resistance on surgical patients is substantial and that preventing a single case of surgical site infection due to mrsa can potentially save hospitals as much as $60,000."

2 published research on surgical site infections provided conflicting conclusions. for the duke study, researchers looked at the 90-day postoperative手术后的 period for patients over a five-year period in one tertiary care center and six community hospitals in the duke infection control outreach network (dicon). created in 1997, dicon assists community hospitals in improving quality of care and enhancing patient safety, while minimizing the costs associated with non-evidence based approaches to infection control.

the researchers compared hospital readmission, mortality, length of hospital stay and hospital charges for patients in three groups. some had surgical site infections due to mrsa, some were infected with methicillin-susceptible staphylococcus aureus (mssa), and some were uninfected. the study evaluated deep-3 and organ/space infections, which are more severe than superficial表面的,肤浅的 infections at the site of incision. the findings are published in plos one.

"we found that patients with surgical site infections due to mrsa were 35 times more likely to be readmitted and seven times more likely to die within 90 days compared to uninfected surgical patients," anderson said. "these patients also required more than three weeks of additional hospitalization住院治疗 and 4 more than $60,000 in additional charges."

the researchers found most of the outcomes for mrsa compared to mssa were worse, as anticipated预期的,盼望的, however one finding was surprising, according to anderson. "our findings show that methicillin-resistance contributed to longer hospital stays and increased hospital charges but did not increase the risk of mortality," he said.

the data shows that patients with surgical site infections due to mrsa compared to mssa on average required six more days of hospitalization and incurred遭受,招致 $24,000 in additional charges.

"for the seven hospitals we looked at, the total estimated cost resulting from surgical site infections due to mrsa was more than $19 million," anderson said. "that's a staggering amount, which demonstrates an area of cost-saving potential for these institutions and other community hospitals."

the duke study provides the first cost impact data tied to post-surgical mrsa infection in a large group of hospitals. "given our estimated cost of one mrsa case, we can conclude that a $60,000 6妨碍,调停 to prevent even one of these infections would be cost-effective for an institution," anderson said. "with this new financial data, greater emphasis should be placed on an effort to design and evaluate specific preventative 7."



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1 0hxzv3     
adj.外科的,外科医生的,手术上的
参考例句:
  • he performs the surgical operations at the red cross hospital.他在红十字会医院做外科手术。
  • all surgical instruments must be sterilised before use.所有的外科手术器械在使用之前,必须消毒。
2 bkzzzc     
adv.以前,先前(地)
参考例句:
  • the bicycle tyre blew out at a previously damaged point.自行车胎在以前损坏过的地方又爆开了。
  • let me digress for a moment and explain what had happened previously.让我岔开一会儿,解释原先发生了什么。
3 w4dy7     
n.切口,切开
参考例句:
  • the surgeon made a small incision in the patient's cornea.外科医生在病人的眼角膜上切开一个小口。
  • the technique involves making a tiny incision in the skin.这项技术需要在皮肤上切一个小口。
4 dzqzsi     
adj.权责已发生的v.增加( accrue的过去式和过去分词 );(通过自然增长)产生;获得;(使钱款、债务)积累
参考例句:
  • the company had accrued debts of over 1000 yuan. 该公司已积欠了1000多万元的债务。 来自《简明英汉词典》
  • i have accrued a set of commemoration stamps. 我已收集一套纪念邮票。 来自《简明英汉词典》
5 a782097e79bccb0f289640bab05f0f6c     
[医]招致的,遭受的; incur的过去式
参考例句:
  • she had incurred the wrath of her father by marrying without his consent 她未经父亲同意就结婚,使父亲震怒。
  • we will reimburse any expenses incurred. 我们将付还所有相关费用。
6 e5sxz     
n.介入,干涉,干预
参考例句:
  • the government's intervention in this dispute will not help.政府对这场争论的干预不会起作用。
  • many people felt he would be hostile to the idea of foreign intervention.许多人觉得他会反对外来干预。
7 b4e9b73905db5b0213891229ce84fdd3     
n.介入,干涉,干预( intervention的名词复数 )
参考例句:
  • economic analysis of government interventions deserves detailed discussion. 政府对经济的干预应该给予充分的论述。 来自辞典例句
  • the judge's frequent interventions made a mockery of justice. 法官的屡屡干预是对正义的践踏。 来自互联网
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