護理師照顧一位接受全髖關節置換術的病人，哪項措施對預防感染至關重要？
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which intervention is crucial for preventing infection?
- AApply compression stockings.穿戴彈性襪
- BAdminister prophylactic antibiotics as prescribed.✓ 正解依醫囑給予預防性抗生素
- CMonitor vital signs every 4 hours.每 4 小時監測生命徵象
- DEncourage early ambulation.鼓勵早期下床活動
術後感染預防策略（Surgical Care Improvement Project, SCIP）強調多面向介入。對於全髖關節置換術（THA），病人置入了人工植入物，一旦發生感染將導致嚴重的併發症（如骨髓炎），甚至需要移除植入物。因此，在術前、術中及術後給予預防性抗生素是標準照護，能有效降低術後傷口感染（SSI）的發生率。
Prophylactic antibiotics are a standard intervention to prevent surgical site infections, especially in procedures involving prosthetic implants like total hip arthroplasty. Infection in this context can lead to severe complications such as osteomyelitis or implant failure. Administering these antibiotics as prescribed is the most direct measure to reduce the risk of postoperative infection.
美國醫院執行 SCIP 指標極為嚴格，抗生素給藥時機（術前 1 小時內）與停藥時間（術後 24 小時內）有明確的稽核規範。