机构:[1]Department of Pharmacy, Beijing Tiantan Hospital, Capital Medical University, Beijing, P. R. China首都医科大学附属天坛医院[2]Department of Pharmacy, Beijing United Family Hospital, Beijing, P. R. China[3]Department of Neurosurgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, P. R. China[4]Department of Gynecology,Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, P. R. China浙江大学医学院附属妇产科医院[5]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, P. R. China首都医科大学附属天坛医院[6]Centre for Evidence-Based Medicine, Beijing University of Chinese Medicine, Beijing, P. R. China[7]The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, P. R. China浙江大学医学院附属第一医院[8]Department of Respiratory and Critical CareMedicine, Peking University Third Hospital, Beijing, P. R. China[9]Institute ofMedicinal Biotechnology, Chinese Academy ofMedical Sciences, Beijing, P. R. China[10]Department of General Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, P. R. China首都医科大学附属天坛医院[11]Department of Pharmacy, Fuwai Hospital, Chinese Academy ofMedical Sciences, Beijing, P. R. China[12]Department of Orthopedics, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, P. R. China北京朝阳医院[13]Department of Pharmacy, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, P. R. China中山大学附属第一医院[14]Department of Pharmacy, Hebei General Hospital, Shijiazhuang, P. R. China[15]Department of Pharmacy, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, P. R. China[16]Department of Emergency, Beijing Tiantan Hospital, Capital Medical University, Beijing, P. R. China首都医科大学附属天坛医院[17]Department of Pharmacy, Beijing Hospital, Beijing, P. R. China[18]Department of Pharmacy, The First Affiliated Hospital of Shandong First Medical University/Shandong Province Qianfoshan Hospital, Jinan, P. R. China[19]Department of Pharmacy, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, P. R. China[20]Department of Nursing, Beijing Tiantan Hospital, Capital Medical University, Beijing, P. R. China首都医科大学附属天坛医院[21]Department of Orthopedics, Beijing Tiantan Hospital, Capital Medical University, Beijing, P. R. China首都医科大学附属天坛医院[22]Department of Pharmacy, Tongji Hospital, Tongji Medical College, HUST,Wuhan, P. R. China华中科技大学同济医学院附属同济医院[23]Department of Pharmacy, The Second Affiliated Hospital of Air ForceMedical University, Xi’an, P. R. China[24]Department of General Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, P. R. China[25]Department of Pharmacy, Qilu Hospital of Shandong University, Jinan, P. R. China[26]Department of Pharmacy, The First Affiliated Hospital of Soochow University, Suzhou, P. R. China[27]Department of Pharmacy, Tianjin First Central Hospital, Tianjin, P. R. China[28]Department of Intensive Care Unit, Beijing Tiantan Hospital, Capital Medical University, Beijing, P. R. China首都医科大学附属天坛医院[29]Department of Pharmaceutical Administration, School of Pharmaceutical Sciences, Peking University, Beijing, P. R. China[30]Department of Pediatrics, Nanfang Hospital of Southern Medical University, Guangzhou, P. R. China[31]Department of Pharmacy, Second Affiliated Hospital of Naval Medical University, Shanghai, P. R. China[32]Department of Pharmacy, Sichuan Academy ofMedical Sciences, Sichuan Provincial People’s Hospital, Chengdu, P. R. China四川省人民医院[33]Department of Pharmacy, The Affiliated Suzhou Science & Technology Town Hospital of Nanjing Medical University, Suzhou, P. R. China[34]Department of Pharmacy, Huashan Hospital, Fudan University, Shanghai, P. R. China[35]OrthopaedicMedical Center, The 2nd Hospital of Jilin University, Changchun, P. R. China[36]Department of Pharmacy, Xijing Hospital, Fourth MilitaryMedical University, Xi′an, P. R. China[37]Department of Pharmacy, Beijing Children’s Hospital, Capital Medical University, Beijing, P. R. China首都医科大学附属北京儿童医院[38]Department of Cardiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, P. R. China首都医科大学附属天坛医院[39]Department of Pharmacy, Shenzhen People’s Hospital, Shenzhen, P. R. China深圳市康宁医院深圳市人民医院深圳医学信息中心[40]Department of Neurosurgery, The Affiliated Hospital of Guizhou Medical University, Guiyang, P. R. China[41]Department of Intervention Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, P. R. China首都医科大学附属天坛医院[42]Department of Neurosurgery,West China Hospital Sichuan University, Chengdu, P. R. China四川大学华西医院[43]Department of Pharmacy, Tianjin First Central Hospital, Tianjin, P. R. China[44]Department of Pharmacy, The First Affiliated Hospital of Soochow University, Jiangsu Suzhou, P. R. China[45]Department of Pharmacy, General Hospital of Northern Theater Command, Shenyang, P. R. China[46]Clinical Pharmacy, General Hospital of Southern Theatre Command of PLA, Guangzhou, P. R. China[47]Department of Neurosurgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, P. R. China[48]Department of Gynecological Oncology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, P. R. China[49]Department of Endocrinology and Metabolism/China Evidence-based Medicine Center,West China Hospital Sichuan University, Chengdu, P. R. China四川大学华西医院[50]Department of Pharmacy, Xiangya Hospital, Central South University, Changsha, P. R. China[51]Department of Drug Clinical Trial, PLA General Hospital, Beijing, P. R. China
BackgroundWe have updated the guideline for preventing and managing perioperative infection in China, given the global issues with antimicrobial resistance and the need to optimize antimicrobial usage and improve hospital infection control levels. MethodsWe conducted a comprehensive evaluation of the evidence for prevention and management of perioperative infection, based on the concepts of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The strength of recommendations was graded and voted using the Delphi method and the nominal group technique. Revisions were made to the guidelines in response to feedback from the experts. ResultsThere were 17 questions prepared, for which 37 recommendations were made. According to the GRADE system, we evaluated the body of evidence for each clinical question. Based on the meta-analysis results, recommendations were graded using the Delphi method to generate useful information. ConclusionsThis guideline provides evidence to perioperative antimicrobial prophylaxis that increased the rational use of prophylactic antimicrobial use, with substantial improvement in the risk-benefit trade-off.
基金:
China Health Promotion Foundation; Antibiotic Committee of Chinese Pharmaceutical Association and the Division of Therapeutic Drug Monitoring; Chinese Pharmacological Society
第一作者机构:[1]Department of Pharmacy, Beijing Tiantan Hospital, Capital Medical University, Beijing, P. R. China
通讯作者:
通讯机构:[1]Department of Pharmacy, Beijing Tiantan Hospital, Capital Medical University, Beijing, P. R. China[28]Department of Intensive Care Unit, Beijing Tiantan Hospital, Capital Medical University, Beijing, P. R. China[51]Department of Drug Clinical Trial, PLA General Hospital, Beijing, P. R. China[*1]Department of Pharmacy, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, P. R. China[*2]Department of Drug Clinical Trial, PLA General Hospital, Beijing 100853, P. R. China.[*3]Department of Intensive Care Unit, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, P. R. China
推荐引用方式(GB/T 7714):
QiaoyuWang,Mingnan Cao,Hua Tao,et al.Evidence-based guideline for the prevention and management of perioperative infection[J].JOURNAL OF EVIDENCE BASED MEDICINE.2023,16(1):50-67.doi:10.1111/jebm.12514.
APA:
QiaoyuWang,Mingnan Cao,Hua Tao,Zhimin Fei,Xiufeng Huang...&Zhigang Zhao.(2023).Evidence-based guideline for the prevention and management of perioperative infection.JOURNAL OF EVIDENCE BASED MEDICINE,16,(1)
MLA:
QiaoyuWang,et al."Evidence-based guideline for the prevention and management of perioperative infection".JOURNAL OF EVIDENCE BASED MEDICINE 16..1(2023):50-67