Checkliste zur Prävention sternaler Wundinfektionen

Karolin Graf1, K. Doebler2, E. Schaefer2, J. Koetting2, A. Haverich3, P. Gastmeier4, A. Beckmann5
1Institut für Medizinische Mikrobiologie und Krankenhaushygiene, Medizinische Hochschule Hannover, Hannover, Deutschland
2BQS Institut für Qualität und Patientensicherheit, Düsseldorf, Deutschland
3Klinik für Herz-, Thorax-, Transplantations- und Gefäßchirurgie, Medizinische Hochschule Hannover, Hannover, Deutschland
4Institut für Hygiene und Umweltmedizin, Charité Universitätsmedizin Berlin, Berlin, Deutschland
5Deutsche Gesellschaft für Thorax-, Herz- und Gefäßchirurgie, Berlin, Deutschland

Tóm tắt

Sternale Wundinfektionen stellen ernste Komplikationen nach herzchirurgischen Eingriffen dar, gehen mit erhöhter Morbidität und Letalität einher, führen zu einer Verlängerung der Krankenhausverweildauer und verursachen somit zusätzliche Kosten. Die Strategie zur gezielten Infektionsprävention ist vielschichtig und muss alle Berufsgruppen involvieren, die den herzchirurgischen Patienten betreuen und behandeln. Präoperative Maßnahmen wie Staphylococcus-aureus-/MRSA-Screening, Dekolonisation, Clipping statt Rasur, die korrekte Einhaltung der perioperativen Antibiotikaprophylaxe sowie die intraoperative Blutglukosekontrolle, postoperative Verbandwechsel und eine systematische Überwachung postoperativer Wundinfektionen, Compliancebeobachtungen und Schulungen/Training des medizinischen Personals sind essenzielle Bestandteile eines umfassenden Bündels zur Infektionsprävention, um postoperative Wundinfektionen zu vermeiden. Um nachvollziehbar sicherzustellen, dass diese vielschichtigen prä-, intra- und postoperativen Maßnahmen eingehalten werden, haben sich die Etablierung und der Einsatz einer Checkliste bewährt.

Từ khóa


Tài liệu tham khảo

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