在手术中强制加热空气设备是否可能是手术期间污染的来源?
Anthony Gemayel1, Kyle Flikkema2, Germaine Fritz2
1Orthopedic Surgery, New York University (NYU) Langone, New York, USA.
强制加热空气 (FAW) 设备可能不会显著增加手术部位感染风险. 需要在活跃的手术室进行进一步的研究,以确认有关FAW污染潜力的这些发现.
科学领域:
- 在外科环境中进行感染控制.
- 操作室的微生物学
- 预防与医疗保健相关的感染
背景情况:
- 强制空气加热 (FAW) 设备是手术室患者温度管理的标准.
- 有关FAW设备作为手术部位感染 (SSI) 和污染的潜在来源存在担忧.
- 相互矛盾的证据需要进一步调查FAW在手术室污染中的作用.
研究的目的:
- 评估手术室中强制加热空气 (FAW) 装置的细菌污染潜力.
- 为了确定FAW设备是否有助于在外科领域的空气中的细菌水平.
- 评估与FAW设备使用相关的SSI风险.
主要方法:
- 144个培养皿被随机分配到对照组和实验组 (72个).
- 盘子被放置在三个位置 (地板,桌子,手术肢体) 并在1,2,3小时取样.
- 48小时后分析了细菌生长;FAW装置软管也被培养.
主要成果:
- 从FAW设备软管培养物中没有观察到细菌生长.
- 在1小时后,在空气中传播的细菌中没有发现显著差异.
- 在实验组中,在2小时后在手术肢体附近和3小时后在地板上观察到细菌数量的增加,但整体差异并不显著.
结论:
- 该研究没有发现FAW设备污染的统计学上显著的风险.
- 研究的局限性包括在测试期间没有手术室工作人员.
- 建议在模拟人员移动的活跃手术室进行进一步的研究,以验证研究结果.
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