手术结束时应立即停止使用抗生素，附最新指南

美国医疗保健流行病学协会（The Society for Healthcare Epidemiology of America）发表预防手术部位感染指南：2022年版（Strategies to prevent surgical site infections in acute-care hospitals: 2022 Update）。

指南指出：

• 手术室手术结束时应立即停止使用抗生素。

Modified recommendation to administer prophylaxis according to evidence-based standards and guidelines to emphasize that antimicrobial prophylaxis should be discontinued at the time of surgical closure in the operating room.

• 在择期结肠直肠手术前使用肠外和口服抗生素现在被认为是一种必要的做法。

The use of parenteral and oral antibiotics prior to elective colorectal surgery is now considered an essential practice. This recommendation was included in the 2014 document but was a sub-bullet recommendation. This recommendation was elevated to its own recommendation for increased emphasis.

• 心胸外科和骨科手术中使用抗葡萄球菌药物的患者去菌落的重新分类从一种额外的方法到一种必要的实践。

Reclassified decolonization of surgical patients with an antistaphylococcal agent for cardiothoracic and orthopedic procedures from an Additional Approach to an Essential Practice.

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