Affiliation:
1. West China School of Public Health, West China Fourth Hospital, Sichuan University, Chengdu 610041, China
Abstract
Surgical site infections (SSIs) are among the most prevalent postoperative complications, with significant morbidity and mortality worldwide. In the past half century, hyperbaric oxygen therapy (HBOT), the administration of 100% oxygen intermittently under a certain pressure, has been used as either a primary or alternative therapy for the management or treatment of chronic wounds and infections. This narrative review aims to gather information and evidence supporting the role of HBOT in the treatment of SSIs. We followed the Scale for the Quality Assessment of Narrative Review Articles (SANRA) guidelines and scrutinized the most relevant studies identified in Medline (via PubMed), Scopus, and Web of Science. Our review indicated that HBOT can result in rapid healing and epithelialization of various wounds and has potential beneficial effects in the treatment of SSIs or other similar infections following cardiac, neuromuscular scoliosis, coronary artery bypass, and urogenital surgeries. Moreover, it was a safe therapeutic procedure in most cases. The mechanisms related to the antimicrobial activity of HBOT include direct bactericidal effects through the formation of reactive oxygen species (ROS), the immunomodulatory effect of HBOT that increase the antimicrobial effects of the immune system, and the synergistic effects of HBOT with antibiotics. We emphasized the essential need for further studies, especially randomized clinical trials and longitudinal studies, to better standardize HBOT procedures as well as to determine its full benefits and possible side effects.
Reference98 articles.
1. Surgical site infection—A European perspective of incidence and economic burden;Leaper;Int. Wound J.,2004
2. Surgical-site infection;Leaper;J. Br. Surg.,2010
3. World Health Organization (2016). Global Guidelines for the Prevention of Surgical Site Infection, World Health Organization.
4. World Health Organization (2011). Report on the Burden of Endemic Health Care-Associated Infection Worldwide, World Health Organization.
5. New WHO recommendations on preoperative measures for surgical site infection prevention: An evidence-based global perspective;Allegranzi;Lancet Infect. Dis.,2016
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献