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Postoperative Wundinfektionen

  • Chapter
Praktische Krankenhaushygiene und Umweltschutz

Zusammenfassung

Infektionen gehören zu den häufigsten Todesursachen nach chirurgischen Eingriffen. Vor mehr als 60 Jahren schrieb ein Beobachter: »Es gab Zeiten im Krankenhaus, da sind alle chirurgischen Patienten verstorben. Eine Operation kam einer Exekution gleich.« Die Zeiten haben sich geändert, chirurgische Wundinfektionen nach Routineeingriffen lassen sich heutzutage in der großen Mehrzahl vermeiden, dank Asepsis und Fortschritten in der chirurgischen Technik. Im Folgenden werden die Grundsätze der Epidemiologie und Prävention von postoperativen Wundinfektionen entsprechend dem aktuellen Stand des Wissens präsentiert.

Wichtigste Eckpfeiler zur Prävention von postoperativen Wundinfektionen sind:

  • saubere und aseptisch ausgeführte Operationstechnik

  • Kontrolle endogener Risikofaktoren durch optimale OP-Vorbereitung

  • Vermeidung exogener Kontaminationsquellen

  • adäquate Antibiotikaprophylaxe.

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  1. Hôpitaux Universitaires de Genève, Rue Micheli-du-Crest 24, 1211, Genève 14, Schweiz

    S. J. Harbarth (Dr. med.)

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  1. Institut für Umweltmedizin und Krankenhaushygiene, Klinikum der Albert-Ludwigs-Universität, Hugstetter Straße 55, 79106, Freiburg

    Franz Daschner , Markus Dettenkofer , Uwe Frank  & Martin Scherrer , ,  & 

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Harbarth, S.J. (2006). Postoperative Wundinfektionen. In: Daschner, F., Dettenkofer, M., Frank, U., Scherrer, M. (eds) Praktische Krankenhaushygiene und Umweltschutz. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-34525-6_6

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