无菌与无菌手套:在皮质类固醇肩部注射中感染风险和成本的比较
Thomas Stanila1, Andrew L Chen, Dane H Salazar
1From the Stritch School of Medicine, Loyola University Chicago, Maywood, IL (Mr. Stanila), and the Department of Orthopaedic Surgery and Rehabilitation, Loyola Medicine, Maywood, IL (Dr. Chen, Dr. Salazar, and Dr. Garbis).
概括
对于肩部注射,使用非无菌手套与无菌手套一样安全,而且成本效益更高. 这项研究发现,在临床实践中,使用非无菌手套不会增加感染风险.
科学领域:
- 整形外科手术 整形外科手术
- 预防传染病 预防传染病
- 医疗保健经济学 医疗保健经济学
背景情况:
- 皮质类固醇肩部注射在骨科疾病中很常见.
- 这些手术的非无菌手套与无菌手套相关的感染风险在骨科中尚未得到充分证实.
- 其他医学领域的现有文献表明,在感染风险方面,非无菌手套可能不劣.
研究的目的:
- 为了确定非无菌手套是否与无菌手套相比增加感染风险,用于肩部注射.
- 评估使用非无菌手套和无菌手套用于肩部注射的成本差异.
主要方法:
- 对641名接受单个外科医生肩部注射的患者的回顾性审查.
- 根据外科医生在研究期间的转换,患者被分为无菌手套 (n=317) 和非无菌手套 (n=323) 组.
- 感染率在注射后的1,3个月和6个月被评估,使用ICD-10代码;手套成本是从机构数据中获得的.
主要成果:
- 在无菌或非无菌手套组中没有记录过肩部关节感染.
- 该研究有足够的动力来检测最小的感染率差异为0.012.
- 发现非无菌手套每次注射成本比无菌手套低36倍.
结论:
- 非无菌手套不会增加在肩部注射皮质类固醇时感染的风险.
- 尽管节省了大量的成本,但非无菌手套在这个骨科环境中显示出与无菌手套相比的安全性.
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