揭示风险:在全关节关节整形术期间,在手术室对空气污染的试点研究
David A Ibrahim1, Andrew Frey2, Joshua U Hancock3
1Adult Reconstruction, Florida Orthopaedic Institute, 909 N. Dale Mabry Hwy., Tampa, FL, 33609, USA.
Journal of orthopaedic surgery and research
|November 27, 2025
概括
在手术室 (OR) 中丢弃或扔掉医院毯子会增加空气中的微生物,在像全关节整形术这样的手术中可能导致不孕. 距离干扰的近距离显著影响污染水平,强调需要谨慎的OR实践.
科学领域:
- 与医疗保健相关的感染
- 操作室的无菌性 操作室的无菌性
- 微生物污染的发生
背景情况:
- 医院床单,包括毯子,是手术室 (OR) 中微生物的潜在储存库.
- 对床单的不当处理可能会导致微生物污染,可能会影响完全关节整形术等无菌手术.
- 了解毛毯处理对空气中的生物负担的影响,对于预防周围假肢关节感染至关重要.
研究的目的:
- 为了研究在手术室中丢弃或扔掉医院毯子对空气中的微生物污染的影响.
- 为了比较与不同毯子处理实践相关的空气中的生物负担.
- 评估接近干扰和白天时间对微生物污染的影响.
主要方法:
- 一项试点研究,使用在OR的标准化毯子处理场景.
- 在不同距离的沉降板的部署从毛毯干扰量化空气中的生物体.
- 对照条件 (正常处理) 和实验条件 (掉落/扔掉毯子) 之间的微生物污染的比较.
- 通过在早上和下午的会议中进行测试来评估时间微生物变化.
主要成果:
- 与对照 (41.2%) 相比,在被落或扔掉毯子的日子里,微生物阳性板块的数量更高 (58.8%).
- 在接近空气流干扰的位置,污染的可能性显著增加 (3倍高,p=0.03).
- 检测到的主要微生物是阳性细菌,主要是像Staphylococcus spp.这样的人类殖民者.
结论:
- 靠近空气流动中断的位置,如被扔掉或扔掉的毯子,会对OR无菌性产生负面影响.
- 白天晚些时候和特定的毯子处理做法可能会导致微生物污染的增加.
- 结果为修改OR实践提供了见解,以尽量减少空气中的污染,并提高患者安全.
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