At Kisiizi Hospital in Uganda’s southwest, a World Health Organization programme to reduce the risk of life-threatening infections for patients who undergo surgery is helping to turn the tide with some remarkably simple changes.
Closing the doors to operating theatres, reducing the number of people in theatre, limiting traffic in and out of theatre, and ensuring patients bathe before surgery, are all helping to reduce the number of infections in surgical patients.
Other measures include improving surgicalskin preparation by using a locally produced alcohol-based antiseptic and waiting for the skin to dry before incision, and using appropriate surgical antibiotic prophylaxis.
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使感染率减半
Infections halved
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结果令人鼓舞。
The results are encouraging.
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2014年一项涉及650余名手术患者的研究显示，在采取这些新措施后，感染率下降了一半。
In a 2014 study involving more than 650 surgical patients, the rate of infections halved after the new measures were introduced.
“Patients used to spend a lot of time and money, and a lot of health workers’ time was spent on management of surgical site infections,” said Gabriel Okumu, Kisiizi Hospital’s general surgeon.
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“现在变化十分显著。”
“Thechange has been remarkable.”
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手术部位感染是低收入和中等收入国家最常见的卫生保健相关感染，影响多达三分之一接受手术的患者。
Surgical site infections are the most common health care-associated infections in low-and middle-income countries, affecting up to one third of patients who undergo surgery.