Prävention postoperativer Infektionen im Operationsgebiet

Epidemiology, Prevention and Management of Ventriculoperitoneal Shunt Infections in Children

“…Hair in the immediate area of the operation field is not to be shaved but cut by means of sterile scissors [70,71]. Intraoperative manipulation of material and skin should be kept to an absolute minimum [18,72,73].…”

“…Hitherto, there have been no controlled studies investigating the frequency of postoperative wound dressing changes and the repeated application of antiseptics in the area of the primarily closed wound. In either case, the accurate application of hygiene standards in wound dressing changes (hand disinfection and no-touch technique in direct contact with the sterile wound dressing material) is recommended to avoid an infection of the wound [71]. A postoperative liquor fistula has to be diagnosed at an early stage and immediately treated with a suture [18].…”

“…A thorough repeated skin disinfection of the operation field with an approved antiseptic, with due consideration of the necessary residence time, and sterile coverings around the operation field are required [71]. Hair in the immediate area of the operation field is not to be shaved but cut by means of sterile scissors [70,71].…”

Hygienemanagement im OP und in der Endoskopie

“…Candida spp. sind dagegen, wie die in der vorantibiotischen Ära gefürchteten Streptokokken, von untergeordneter Bedeutung [14]. …”

“…Wichtige Beispiele für Maßnahmen, die das patienteneigene Risiko senken helfen, sind ein MRSA-Screening und gegebenenfalls Dekolonisierung, Einstellung des Stoffwechsels, Gewichtsreduktion, Einstellung des Rauchens mindestens 30 Tage vor der Operation und der Ausgleich von Mangelernährung [14]. …”