Profilaktif Negatif Basınçlı Yara Tedavisinin Cerrahi Alan Enfeksiyonlarının Önlenmesindeki Etkisi

Yıl 2018, Cilt: 27 Sayı: 3, 299 - 310, 30.09.2018

Hatice Yüceler Kaçmaz , Özlem Ceyhan

https://doi.org/10.17827/aktd.382577

Cited By: 1

Öz

Sağlık hizmeti ile ilişkili enfeksiyon türlerinden biri olan cerrahi alan enfeksiyonları her yıl milyonlarca hastayı etkilemektedir. Cerrahi alan enfeksiyonlarının önlenmesi ve uygun tedavinin sağlanmasında çok disiplinli bir ekip çalışmasının şarttır. Her gün yeni araştırmalar ve kanıtların geliştirildiği düşünülürse cerrahi alan enfeksiyonları önleme stratejileri konusunda sağlık profesyonellerinin güncel yaklaşımları takip etmeleri önemlidir.  Bu makale cerrahi alan enfeksiyonlarının önlenmesinde profilaktif negatif basınçlı yara tedavisi kullanımı hakkında farkındalık yaratmayı amaçlanmıştır.

Anahtar Kelimeler

Cerrahi yara enfeksiyonu, negatif-basınçlı yara terapisi, hemşirelik

Effect of Prophylactic Negative Pressure Wound Therapy on Prevention of Surgical Site Infections

Öz

Surgical site infections, one of the healthcare-associated infections, affect millions of patients every year. A multidisciplinary team is essential for the prevention of surgical site infections and the provision of appropriate treatment. It is important for health professionals to follow current approaches to surgical site infections prevention strategies if new research and evidence are developed every day. This im of this article was to create awareness about the use of prophylactic negative pressure wound therapy.

Anahtar Kelimeler

Surgical wound infection, negative-pressure wound therapy, nursing

Kaynakça

• 1. World Health Organization. Global Guidelines for the Prevention of Surgical Site Infection. Erişim tarihi:15 Aralık 2017. Available from: http://www.who.int/gpsc/ssi-guidelines/en/
• 2. Berríos-Torres SI, Umscheid CA, Bratzler DW, Brian Leas L, Stone EC, Kelz RR,et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection. JAMA Surg. 2017;152(8):784-791.
• 3. Aygin D, Marul F. Cerrahi Alan Enfeksiyonu Tanımlarında Yenilikler ve Ameliyat Öncesi Tüy Temizliğinde Güncel Uygulamalar. Online Türk Sağlık Bilimleri Dergisi 2016; 1(3): 28-36.
• 4. European Centre for Disease Prevention and Control. Annual Epidemiological Report 2016-Surgical site infections. Erişim tarihi:15 Aralık 2017. Available from: https://ecdc.europa.eu/en/publications-data/surgical-site-infections-annual-epidemiological-report-2016-2014-data
• 5. Spencer MP, Christie J. A 7 S Bundle Approach To Preventing Surgical Site Infections. Erişim tarihi:15 Aralık 2017. Available from: http://www.ajicjournal.org/article/S0196-6553(14)00453-2/abstract
• 6. Tanner J, Padley W, Assadian O, Leaper D, Kiernan M, Edmiston C. Do surgical care bundles reduce the risk of surgical site infections in patients undergoing colorectal surgery? A systematic review and cohort meta-analysis of 8,515 patient. Surgery 2015; 158: 66-77.
• 7. Miller C. The History of Negative Pressure Wound Therapy (NPWT): From "Lip Service" to the Modern Vacuum System. J Am Coll Clin Wound Spec. 2013;4(3):61-2.
• 8. Korkmaz F, Uçar H. Topikal Negatif Basınç Terapisinin III. Ve IV. Evre Basınç Yaralarının İyileşmesine Etkisi. Hemşirelikte araştırma ve Geliştirme Dergisi 2014;16(3):28-37.
• 9. Fleischmann W, Strecker W, Bombelli M, Kinzl L: Vakuum versiegelung zur Behandlung des Weichteilschadens bei offenen Frakturen. Unfallchirurg 1993; 96: 488–92.
• 10. Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg1997;38: 563–76. 11. Lalezari S, Lee CJ, Borovikova AA, Banyard DA, Paydar KZ, Wirth GA, Widgerow AD. Deconstructing negative pressure wound therapy. Int Wound J. 2017;14(4):649-57.
• 12. Kubek ED, Badeau A, Materazzi S, Berlin N, Wormer BA, Arton JB, Gurunluoglu R. Negative-pressure wound therapy and the emerging role of incisional negative pressure wound therapy as prophylaxis against surgical site infections, Microbial pathogens and strategies for combating them: science, technology and education Volume 3. ,(Eds Méndez-Vilas A): 1833-46,Spain, Formatex, 2013. Erişim: http://www.formatex.info/microbiology4/vol3.html
• 13. Xia CY, Yu AX, Qi B, Zhou M, Li ZH, Wang WY. Analysis of blood flow and local expression of angiogenesisassociated growth factors in infected wounds treated with negative pressure wound therapy. Mol Med Rep 2014;9:1749–54.
• 14. Erba P, Ogawa R,Ackermann M, Adini A,Miele LF, Dastouri P, Helm D, Mentzer SJ, D’Amato RJ,Murphy GF, KonerdingMA. Angiogenesis in wounds treated by microdeformational wound therapy. Ann Surg 2011;253:402–9.
• 15. Seo SG, Yeo JH, Kim JH, Kim JB, Cho TJ, Lee DY. Negative-pressure wound therapy induces endothelial progenitor cell mobilization in diabetic patients with foot infection or skin defects. Exp Mol Med 2013;45:e62.
• 16. Daigle P, Despatis MA, Grenier G. How mechanical deformations contribute to the effectiveness of negative-pressure wound therapy. Wound Repair Regen 2013;21:498–502.
• 17. Yang SL, Han R, Liu Y, Hu LY, Li XL, Zhu LY. Negative pressure wound therapy is associated with up-regulation of bFGF and ERK1/2 in human diabetic foot wounds. Wound Repair Regen 2014;22:548–54.
• 18. Lu F, Ogawa R, Nguyen DT, Chen B, Guo D, Helm DL, Zhan Q,Murphy GF, Orgill DP. Microdeformation of three-dimensional cultured fibroblasts induces gene expression and morphological changes. Ann Plast Surg 2011;66:296–300.
• 19. Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W. Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann Plast Surg 1997;38:553–62.
• 20. Kairinos N, Solomons M, Hudson DA. Negative-pressure wound therapy I: the paradox of negative-pressure wound therapy. Plast Reconstr Surg 2009;123:589–98; discussion 599–600.
• 21. Borgquist O, Gustafsson L, Ingemansson R, Malmsjö M. Micro- and macromechanical effects on thewound bed of negative pressure wound therapy using gauze and foam. Ann Plast Surg 2010;64:789–93.
• 22. Kilpadi DV, Cunningham MR. Evaluation of closed incision management with negative pressure wound therapy (CIM): hematoma/seroma and involvement of the lymphatic system. Wound Repair Regen 2011;19:588–96.
• 23. Chadi SA, Vogt KN, Knowles S, Murphy PB, Koughnett JAV, Brackstone M, Ott MC. Negative pressure wound therapy use to decrease surgical nosocomial events in colorectal resections (NEPTUNE): study protocol for a randomized controlled trial. Trials 2015; 16:322-8.
• 24. Gomoll AH, Lin A, Harris MB. Incisional vacuum-assisted closure therapy.J Orthop Trauma. 2006;20:705–9.
• 25. Atkins BZ, Wooten MK, Kistler J, Hurley K, Hughes GC, Wolfe WG. Does negative pressure wound therapy have a role in preventing poststernotomy wound complications? Surg Innov. 2009;16:140–6.
• 26. Strugala V, Martin R. Meta-Analysis of Comparative Trials Evaluating a Prophylactic Single-Use Negative Pressure Wound Therapy System for the Prevention of Surgical Site Complications. Surg Infect (Larchmt) 2017;18(7):810-9.
• 27. Ingargiola MJ, Daniali LN, Lee ES. Does the application of incisional negative pressure therapy to high-risk wounds prevent surgical site complications? A systematic review. Eplasty. 2013;13:e49.
• 28. Stannard JP; Volgas DA, McGwin G, Stewart RL, Obremskey W, Moore T, Anglen JO. Incisional Negative Pressure Wound Therapy After High-Risk Lower Extremity Fractures. J Orthop Trauma. 2012;26(1):37-42.
• 29. Swanson EW, Cheng HT, Susarla SM, Lough DM, Kumar AR. Does negative pressure wound therapy applied to closed incisions following ventral hernia repair prevent wound complications and hernia recurrence? A systematic review and meta-analysis. Plast Surg (Oakv). 2016;24(2):113-8.
• 30. Gillespie BM, Kang E, Roberts S, Lin F, Morley N, Finigan T, Homer A, Chaboyer W. Reducing the risk of surgical site infection using a multidisciplinary approach: an integrative review. J Multidiscip Healthc. 2015;8:473-87.
• 31. Spruce L. Back to basics: preventing surgical site infections. AORN J. 2014;99(5):600-8.
• 32. Teshager FA, Engeda EH, Worku WZ. Knowledge, Practice, and Associated Factors towards Prevention of Surgical Site Infection among Nurses Working in Amhara Regional State Referral Hospitals, Northwest Ethiopia. Surgery Research and Practice 2015; 2015:1-6.
• 33. Green LR. Preventing surgical-site infections. American nurse today 2015. Erişim tarihi:15 Aralık 2017. Available from: https://www.americannursetoday.com/preventing-surgical-site-infections/
• 34. Kiernan M (2012) Reducing the risk of surgical site infection. Nursing Times; 108: 27, 12-14.
• 35. Allen G. Implementing AORN recommended practices for environmental cleaning. AORN J. 2014;99(5):570-9.
• 36. National Collaborating Centre for Women’s and Children’s Health. prevention and treatment of surgical site infection 2008. Erişim tarihi:15 Aralık 2017. Available from: https://www.nice.org.uk/guidance/cg74/evidence/full-guideline-242005933