绿色囊镜:尽量减少窗的使用是否会增加感染率?
Alexandra I Melnyk1, Erin E Mowers2, Isabel Janmey3
1From the Division of Urogynecology and Pelvic Reconstructive Surgery, OB/GYN & Women's Health Institute, Cleveland Clinic, Cleveland, OH.
Urogynecology (Philadelphia, Pa.)
|November 8, 2024
概括
尿道内科的绿色布是一种安全的替代传统方法,减少手术部位感染 (尿道感染) 和浪费. 这种方法可以降低碳足迹,而不会影响患者的护理.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 医疗保健的可持续性 医疗保健的可持续性
背景情况:
- 美国医疗保健系统的显著碳足迹被一次性手术用品所加剧.
- 较小的外科领域,称为"绿色"罩,正在成为传统罩方法的潜在安全替代品.
研究的目的:
- 评估绿色罩方案是否与标准罩无劣,以防止在手术室囊泡镜检查后两周内培养证明的尿路感染 (UTI).
- 确定尿路感染的风险因素,量化与绿色布协议相关的浪费和成本节约.
主要方法:
- 实施前后的一项非劣势性研究在泌尿后科部门进行.
- 该研究包括2021年至2023年的轻微囊镜病例,将绿色罩方案 (消除顶部窗,腿窗和长袍) 与协议前的标准罩进行比较.
主要成果:
- 该研究包括240名患者;绿色布队列在预防培养证明的尿路感染方面表现不劣 (7.5%与5.8%).
- 尿路感染的危险因素包括经常性尿路感染史,间歇性囊炎/膀疼痛综合征以及年龄较大.
- 绿色布协议导致大约1,403.92美元的节约,并转移了165磅的废物.
结论:
- 绿色涂布协议与手术后培养阳性尿路感染的标准涂布无差.
- 实施较小的手术室领域可以减少医疗保健的碳足迹,而不会对患者护理的质量产生负面影响.
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