Avtor/Urednik		Kotnik-Kevorkijan, Božena; Koren, Zoran; Saletinger, Rajko; Ferk, Jože
Naslov		Dejavniki tveganja za nastanek okužb v kirurgiji
Prevedeni naslov		Surgical site infections risk factors
Tip		članek
Vir		In: Reberšek Gorišek J, editor. Okužbe v kirurgiji. Zbornik predavanj in praktikum 6. Bedjaničev simpozij; 2007 maj 25-26; Maribor. Maribor: Splošna bolnišnica,
Leto izdaje		2007
Obseg		str. 14-23
Jezik		slo
Abstrakt		Surgical site infections (SSI) are the most common type of nosocomial infection. They place an enormous burden on health care in terms of increased lenght of stay, increase of health care costs and attributable mortality. SSI occur within 30 days after surgery or within one year if an implant is left in place and the infection appears to be related to the operation. SSI are classified as either superficial, deep incisional or organ/space. The risk of the development of SSI can be increased by several factors. The risk factors are categorized as host-related and procedure-related. Preventive measures for SSI include reducing the microbiologic contamination of the wound and reducing the susceptibility of the patient to develop an infection according to the phase of the patient (prehospitalization, preoperative, intraoperative, postoperative) and the effectiveness. Effective infection control measures can decrease SSI by 30-50 %.
Izvleček		Okužbe kirurških ran so na drugem mestu po pogostosti med vsemi bolnišničnimi okužbami. Predstavljajo zdravstveni in finančni problem, saj se zaradi okužb kirurških ran podaljša ležalna doba, povečajo se stroški zdravljenja in poveča se umrljivost kirurških bolnikov. Pojavijo se do 30 dni po operativnem posegu ali do eno leto po operativnem posegu, če je prisoten vstavek iz nehumanega materiala. Okužbe ran delimo na površinske, globoke in okužbe organov ali telesnih votlin. Dejavniki tveganja so številni, vezani na bolnika ali pa na operativni poseg. Preventivne ukrepe za preprečevanje okužb kirurških ran izvajamo pred sprejemom v bolnišnico, pred operacijo, med samim operativnim posegom in po operativnem posegu. Z dobrim nadzorom in ukrepi za preprečevanje okužb kirurških ran lahko zmanjšamo njihov delež za 30-50 %.
Deskriptorji		SURGICAL WOUND INFECTION SURGERY INFECTION