有毒前段综合征:2012-2022年关于最常见原因的更新
Melissa Yao1, Shwetha Mudalegundi, Kevin Eid
1Intermountain Ocular Research Center, Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah.
Journal of cataract and refractive surgery
|January 22, 2025
概括
诸如重复使用一次性手术工具和仪器清洁不足等做法与有毒前段综合征 (TASS) 爆发有关. 了解这些趋势有助于预防白内障手术中的TASS.
科学领域:
- 眼科医生 眼科 眼科
- 外科手术的安全性
- 医疗器械灭菌 医疗器械灭菌
背景情况:
- 毒性前段综合征 (TASS) 是白内障手术后的一种严重的术后并发症.
- 识别致病因素对于预防TASS疫情和改善患者的治疗结果至关重要.
研究的目的:
- 分析报告的有毒前段综合征 (TASS) 病例的趋势,提交给美国白内障和折射手术学会 (ASCRS) TASS Force.
- 确定与2012年至2022年TASS疫情相关的常见外科实践.
主要方法:
- 对77个TASS调查问卷的回顾性分析,这些问卷来自报告TASS病例的外科中心.
- 从2012年1月1日至2022年12月31日期间收集的数据.
- 在白内障手术期间检查仪器清洁,灭菌和产品使用.
主要成果:
- 在56319次白内障手术中报告了539例TASS病例.
- 常见的相关做法包括重复使用一次性物品 (69%),使用酶清洁剂 (40%) 和不充分冲洗手工件 (27%).
- 其他因素:管道的重复使用 (22%),含防腐剂的麻醉剂 (18%) 和BSS中的抗生素 (17%).
结论:
- 手术实践,如重复使用一次性仪器和不充分的清洁,与TASS有很大关系.
- 分析揭示了十多年来塔斯相关实践的关键趋势.
- 实施安全的替代方案和修改做法可以防止TASS的并发症.
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