Zakażenie miejsca operowanego u chorych po transplantacji nerki — zadania pielęgniarki w profilaktyce

Abstract

The incidence of surgical site infections (SSI) after organ transplantation is similar to other surgical pro­cedures of comparable complexity. Compared to the beginning of transplant medicine, a general reduc­tion in the occurrence of infections in transplant pa­tients is observed, this results from the introduction of newer surgical techniques, immunosuppressive drugs and from perioperative antibiotic prophylaxis. Perioperative care is not without significance. Nev­ertheless, SSI in transplantology concerns, ac­cording to various sources, from 2% to even 40% of recipients and remains an important therapeutic and nursing challenge. The incidence of SSI is high­est after intestinal transplantation, followed by liver and pancreas; however, after the transplantation of the kidney and heart, the percentage of SSI is much smaller. However, it concerns about 8% of kidney recipients. The aim of the work is to point to SSI risk factors, modifiable and unmodifiable, and to present the role of nursing staff in preventing SSI.