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可持续的手术:将水效率纳入临床实践
Sophie Gasson1, Francesca Solari2, Edwin P Jesudason2
1Medicine, Cardiff University, Cardiff, GBR.
Cureus
|June 2, 2023
概括
切换到以酒精为基础的手部擦拭剂进行手术擦拭可以显著减少水的消耗. 这项研究发现,手部创伤清单的潜在节水率超过57%,手道释放清单的潜在节水率超过70%.
科学领域:
- 环境健康 环境健康
- 在外科手术实践中.
- 公共卫生 公共卫生
背景情况:
- 全球淡水使用量在上个世纪增加了六倍,这给可持续发展带来了挑战.
- 外科手术是资源密集型的,在手术时消耗大量的水.
- 保持手的无菌性对于预防医院感染至关重要.
研究的目的:
- 为了估计典型手术的每日用水量.
- 通过采用以酒精为基础的手部擦拭剂来确定潜在的节水.
- 与当前的感染控制和资源管理国家指南保持一致.
主要方法:
- 观察性研究测量了手动自来水龙头在3分钟和1分钟擦洗期间的水消耗.
- 分析了两个不同的剧院时间表:一个主要的手部创伤名单和一个大量的手腕道释放名单.
- 计算每次擦洗和每次手术平均用水量.
主要成果:
- 每个手术病例大约有三个人被擦拭.
- 一个3分钟的擦洗需要20.57L的水,每分钟又需要6.86L的水.
- 估计每日用水量达到143.99L的创伤名单和411.4L的手腕道释放名单.
结论:
- 切换到以酒精为基础的手部擦洗,以后的擦洗可以减少57.2%的水消耗.
- 对于大量的手腕道释放清单,可以实现70.2%的显著节水.
- 遵守国家指导方针以酒精为基础的手提供了实质性的环境和资源的好处在外科设置.
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