SOP: Postoperative Wundinfektion und Wundreinigung

Wundinfektionen stellen weltweit eine der häufigsten postoperativen Komplikationen dar. Sie sind sowohl für Patient*innen als auch für das Gesundheitssystem eine enorme Belastung. Die Vorbeugung und eine rechtzeitige adäquate Behandlung haben daher einen hohen Stellenwert.

Schlüsselwörter

Wundinfektion - Infektion - nosokomial - Wundinspektion - OP-KISS

• Literatur

• 1 Eckmann C, Kramer A, Assadian O. et al. Clinical and economic burden of surgical site infections in inpatient care in Germany: A retrospective, cross-sectional analysis from 79 hospitals. PLoS One 2022; 17
• 2 Seidelman JL, Mantyh CR, Anderson DJ. Surgical Site Infection Prevention: A Review. JAMA 2023; 329: 244-252
• 3 Aghdassi SJS, Goodarzi H, Gropmann A. et al. Surgical site infection surveillance in German hospitals: a national survey to determine the status quo of digitalization. Antimicrob Resist Infect Control 2023; 12: 49
• 4 Owens CD, Stoessel K. Surgical site infections: epidemiology, microbiology and prevention. J Hosp Infect 2008; 70: 3-10
• 5 Zabaglo M, Leslie SW, Sharman T. Postoperative Wound Infections. [Updated 2024 Mar 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025. Accessed February 24, 2025 at: https://www.ncbi.nlm.nih.gov/books/NBK560533/
• 6 Robert Koch-Institut. Prävention postoperativer Wundinfektionen : Empfehlung der Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO) beim Robert Koch-Institut. Bundesgesundheitsbl 2018; 61: 448-473
• 7 Obagi Z, Damiani G, Grada A. et al. Principles of Wound Dressings: A Review. Surg Technol Int 2019; 35: 50-57
• 8 Nagle SM, Stevens KA, Wilbraham SC. Wound Assessment. [Updated 2023 Jun 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025. Accessed February 24, 2025 at: https://www.ncbi.nlm.nih.gov/books/NBK482198/
• 9 Sussman G. An update on wound management. Aust Prescr 2023; 46: 29-35
• 10 Aghdassi SJS, Hansen S, Pena Diaz LA. et al. Healthcare-Associated Infections and the Use of Antibiotics in German Hospitals. Dtsch Arztebl Int 2024; 121: 277-283
• 11 Suetens C, Latour K, Karki T. et al. Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017. Euro Surveill 2018; 23
• 12 Zens Y, Barth M, Bucher HC. et al. Negative pressure wound therapy in patients with wounds healing by secondary intention: a systematic review and meta-analysis of randomised controlled trials. Syst Rev 2020; 9: 238
• 13 Dissemond J, Bultemann A, Gerber V. et al. Diagnosis and treatment of chronic wounds: current standards of Germany’s Initiative for Chronic Wounds e. V.. J Wound Care 2017; 26: 727-732