Taw qhia:
Cov txheej txheem tshuaj loog feem ntau ua nyob rau hauv cov tshuaj.Txawm li cas los xij, intraoperative bacterial kis tau tus mob tseem ceeb rau cov neeg mob noj qab haus huv.Kev tshawb fawb tsis ntev los no qhia tias kev sib kis ntawm tes ntawm cov neeg ua haujlwm tshuaj loog yog qhov tseem ceeb ntawm kev pheej hmoo kis tus kab mob hauv lub sijhawm phais.
Txoj kev:
Txoj kev tshawb no tau tsom mus rau Dartmouth-Hitchcock Medical Center, qib III kev saib xyuas neeg mob thiab theem kuv qhov chaw raug mob nrog 400 lub txaj pw hauv tsev kho mob thiab 28 chav ua haujlwm.Cuaj caum-ob khub ntawm kev phais mob, tag nrho 164 tus neeg mob, raug xaiv los ntawm kev txheeb xyuas.Siv cov txheej txheem uas tau lees paub yav dhau los, cov kws tshawb fawb tau txheeb xyuas qhov xwm txheej ntawm cov kab mob sib kis mus rau cov khoom siv tshuaj tua kab mob thiab cov tshuaj loog ib puag ncig.Tom qab ntawd lawv muab piv cov kab mob sib kis no nrog cov neeg uas raug cais tawm ntawm tes ntawm cov neeg muab tshuaj loog kom txiav txim siab txog qhov cuam tshuam ntawm tes kis.Tsis tas li ntawd, qhov ua tau zoo ntawm cov txheej txheem ntxuav tu tam sim no tau raug soj ntsuam.
Cov txiaj ntsig:
Txoj kev tshawb no tau qhia tias ntawm 164 tus neeg mob, 11.5% tau nthuav tawm cov kab mob sib kis mus rau cov khoom siv tshuaj tua kab mob, nrog rau 47% ntawm kev sib kis los ntawm cov kws kho mob.Tsis tas li ntawd, intraoperative kab mob kis mus rau ib puag ncig tshuaj loog tau pom nyob rau hauv 89% ntawm cov neeg mob, nrog rau 12% ntawm kis tau los ntawm cov kws kho mob.Txoj kev tshawb no kuj tau txheeb xyuas tias cov chav ua haujlwm tau saib xyuas los ntawm tus kws kho mob tshuaj loog, hnub nyoog ntawm tus neeg mob, thiab kev hloov ntawm tus neeg mob los ntawm chav ua haujlwm mus rau chav saib xyuas mob hnyav yog qhov kev kwv yees tsis txaus ntseeg rau kev kis kab mob, tsis cuam tshuam rau cov kws kho mob.
Kev sib tham thiab qhov tseem ceeb:
Txoj kev tshawb nrhiav pom tau hais tias qhov tseem ceeb ntawm kev sib kis ntawm tes ntawm cov neeg ua haujlwm tshuaj loog hauv kev sib kis ntawm chav ua haujlwm ib puag ncig thiab cov khoom siv tshuaj tua kab mob intravenous.Cov xwm txheej kis kab mob tshwm sim los ntawm cov kws kho mob suav nrog feem ntau ntawm kev sib kis ntawm kev sib kis, ua rau muaj kev pheej hmoo rau cov neeg mob noj qab haus huv.Yog li ntawd, kev tshawb nrhiav ntxiv mus rau lwm qhov chaw ntawm cov kab mob intraoperative kis tau tus mob thiab ntxiv dag zog rau intraoperative cleaning xyaum yog tsim nyog.
Thaum kawg, kev sib kis ntawm tes ntawm cov neeg ua haujlwm tshuaj loog yog qhov tseem ceeb ntawm kev pheej hmoo rau kev sib kis ntawm cov kab mob intraoperative.Los ntawm kev siv cov kev tiv thaiv tsim nyog xws li kev ntxuav tes tsis tu ncua, siv hnab looj tes kom raug,Xaiv cov khoom siv tshuaj loog kom zoothiab siv cov tshuaj tua kab mob kom zoo, kev pheej hmoo ntawm kev kis kab mob tuaj yeem raug txo.Cov kev tshawb pom no tseem ceeb heev rau kev txhim kho kev huv thiab kev tu cev hauv chav ua haujlwm, thaum kawg txhim kho cov neeg mob kev nyab xeeb.
Cov ntawv sau cia:
Loftus RW, Muffly MK, Brown JR, Beach ML, Koff MD, Corwin HL, Surgenor SD, Kirkland KB, Yeager MP.Kev kis kab mob ntawm tes ntawm cov neeg muab tshuaj loog yog ib qho tseem ceeb ntawm kev pheej hmoo rau kev kis kab mob hauv lub cev.Anesth Analg.2011 Jan; 112(1:98-105).doi: 10.1213/ANE.0b013e3181e7ce18.Epub 2010 Aug 4. PMID: 20686007