口腔手术灌产生的喷及其对感染控制的影响
Annika Johnson1, Boyen Huang2, Isabella C Galina1
1Department of Developmental and Surgical Sciences, School of Dentistry, University of Minnesota, 515 Delaware St SE, 7-174 Moos Tower, Minneapolis, MN, 55455, USA.
Clinical oral investigations
|September 28, 2023
概括
口腔手术期间的旋转仪器会造成喷污染,造成感染风险. 与盐水或辅助灌相比,过氧化和自灌钻都没有显著减少喷.
科学领域:
- 在口腔外科手术.
- 感染控制 感染控制
- 生物医学工程 生物医学工程
背景情况:
- 在口腔外科手术中,旋转仪器和灌会产生气溶和喷.
- 这些空气中的颗粒可能会传播病原体,需要了解污染模式.
研究的目的:
- 为了评估模拟外科提取过程中旋转仪器和灌的喷雾污染.
- 为了比较传统的辅助灌和自动灌钻机之间的喷雾生成.
- 为了比较盐水和过氧化灌剂之间的喷雾生成.
主要方法:
- 模拟的手术提取是在使用类型牙的木偶上进行的.
- 在高速钻机的灌系统中,光素溶液被用作追踪剂.
- 过纸在预先确定的位置收集了喷样本,用于摄影图像分析.
主要成果:
- 患者的胸部和助手的面罩显示出最大的喷区域.
- 与盐水相比,过氧化灌剂导致了更大的喷面积.
- 在辅助灌和自我灌钻机之间,没有观察到喷产量的显著差异.
结论:
- 有灌的口腔外科演练会产生喷,可以传播空气中的病原体.
- 临床医生必须识别和消毒受污染的区域,以防止感染传播.
- 在这项研究中,替代灌剂或灌方法没有有效地减少喷的形成.
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