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Bedeutung und Prävention postoperativer Wundkomplikationen
- Source :
- Der Hautarzt. 65:26-31
- Publication Year :
- 2014
- Publisher :
- Springer Science and Business Media LLC, 2014.
-
Abstract
- Although surgical site infections (SSI) in dermatologic operative procedures are extremely rare, it is important to understand risks and etiological factors to initiate risk assessment and specific preventive measures. SSI commonly are associated with a complicated, long-term and expensive outcome. Typical wound pathogens of these infections include a variety of multiresistant organisms along with Staphylococcus aureus, Staphylococcus epidermidis, hemolytic streptococci and the gram-negative bacilli Escherichia coli and Pseudomonas aeruginosa. Effective hygienic measures as part of an adequate quality management system should consider the critical points in the development of SSI, particularly in the setting of an outpatient dermatologic unit, such as preparation of the operative area, preoperative skin antisepsis, hand hygiene, safe and skilled technique by surgeons, and barrier nursing to prevent spread of pathogens. The baseline infection incidence in dermatologic surgery inherently is low; nevertheless significant improvements can be achieved by implementation of risk-adapted infection control measures.
- Subjects :
- medicine.medical_specialty
biology
Barrier nursing
business.industry
media_common.quotation_subject
Incidence (epidemiology)
Dermatology
biology.organism_classification
medicine.disease_cause
Hygiene
Staphylococcus epidermidis
Staphylococcus aureus
medicine
Dermatologic surgery
Infection control
Intensive care medicine
Risk assessment
business
media_common
Subjects
Details
- ISSN :
- 14321173 and 00178470
- Volume :
- 65
- Database :
- OpenAIRE
- Journal :
- Der Hautarzt
- Accession number :
- edsair.doi...........eecce1abfcb3fe8b4d8986e713729fcf