在骨库处理过程中,探索移植骨在随后的手术后感染中,在捐赠者和接受者中,术内积极培养异构骨的作用
Yao-Hung Tsai1,2, Hung-Yen Chen1, Tsung-Yu Huang2,3
1Department of Orthopaedic Surgery, Chia-Yi Chang Gung Memorial Hospital, Chiayi 61363, Taiwan.
Diagnostics (Basel, Switzerland)
|January 11, 2024
概括
骨移植是安全的植入. 严格的骨库程序尽量减少受体的细菌污染和手术部位感染,确保骨科手术的高质量组织.
科学领域:
- 整形外科手术 整形外科手术
- 组织银行服务 (Tissue Banking)
- 传染病控制和控制传染病
背景情况:
- 整体移植在骨科手术中至关重要.
- 骨库需要强大的质量监测,以确保安全.
- 评估全移植污染和临床结果至关重要.
研究的目的:
- 评估骨库废弃物和污染率.
- 评估培养阳性全移植受体的临床结果.
- 确定受污染的全移植物感染的风险.
主要方法:
- 对1764个全移植 (2018-2022) 的回顾性审查.
- 检索和储存时细菌污染的分析.
- 对于假肢关节感染的捐赠者和接受者的随访.
主要成果:
- 丢弃率为17%;细菌污染率为2.15%.
- 植入的全移植体中有1.91%显示细菌生长;0.89%导致手术部位感染.
- 从培养阳性全体移植中没有观察到感染风险的显著增加.
结论:
- 骨库的质量监测有效降低了感染风险.
- 收获和解期间的无菌技术是安全使用allograft的关键.
- 在外科手术中,阳性全移植培养不会导致手术后感染.
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