在膝关节关节关节镜检查过程中,存在杆菌菌菌殖民的风险
Peter Melcher1, Nadine Dietze2, Christoph Hellmund3
1Department of Orthopedics and Trauma Surgery, Helios Hospital and MVZ Leisnig, Leisnig, Germany.
GMS hygiene and infection control
|November 18, 2024
概括
这项研究发现,用于膝关节关节镜检查的弹性带可能被细菌污染,但这种污染不会转移到患者身上. 因此,在包装后更换手套是不必要的,以防止手术部位感染 (SSIs).
科学领域:
- 整形外科手术 整形外科手术
- 微生物学 微生物学
- 感染控制 感染控制
背景情况:
- 手术部位感染 (SSI) 是关节镜手术中的风险,通常与皮肤菌群有关.
- 弹性带用于在关节镜检查期间创建无血手术场所,这引发了关于潜在细菌传播的问题.
研究的目的:
- 为了调查在膝关节关节镜检查期间,从手术手套和弹性带传染病原细菌到患者的风险.
- 在此背景下,评估当前手术前皮肤消毒方案在预防SSI方面的有效性.
主要方法:
- 一个1级创伤中心的前性研究包括18-65岁的患者接受膝关节关节镜检查.
- 在弹性包装之前和之后收集了皮肤拭子,手套/带样本进行了微生物学分析.
主要成果:
- 弹性包装材料显示了高污染率 (83%),主要是Bacillus spp.
- 手术手套的污染最小,并没有检测到细菌转移到患者的皮肤.
- 在12个月的随访期间,任何患者都没有出现手术部位感染 (SSIs).
结论:
- 目前的手术前皮肤消毒剂足以在没有先前关节感染的患者膝关节关节透视期间最大限度地减少SSI.
- 尽管弹性带的污染率很高,但没有证据表明细菌转移到患者身上.
- 在弹性包装后更换手套是不必要的,以防止SSIs在膝关节关节镜检查.
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