在周围假肢关节感染修复手术期间手套污染
Leanne Ludwick1, Emanuele Chisari1, Christian Ong1
1Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
The Journal of arthroplasty
|July 16, 2023
概括
外科医生 外科医生
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 双手套是关节置换手术的标准.
- 有限的数据存在于手套污染在关节塑形术期间.
- 没有明确的协议指导在全关节关节切除术 (TJAs) 期间更换手套.
研究的目的:
- 评估一次性和修复性全关节关节置换术 (TJAs) 期间的手套污染情况.
- 评估感染病例期间的细菌交叉污染情况.
- 使用下一代测序 (NGS) 识别低毒性细菌.
主要方法:
- 研究了25名感染者和10名初级TJAs.
- 手套样本每20分钟收集一次.
- 血液亚格板和NGS被用于细菌识别.
主要成果:
- 主要病例显示污染最小 (通过NGS占8.1%).
- 感染病例的污染率很高 (59.4%的微生物检测结果呈阳性).
- 关节切除术后污染显著增加 (70%与40%相比).
结论:
- 手套污染是TJA修订中常见的交叉污染来源.
- 关节切除似乎有助于细菌的传播.
- 在关节切除术后更换手套可能会减少污染.
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