小动物患者手术野污染的加热装置和围手术期因素的研究

Ying-Ting Tsai, K. Yeh, L. Yeh
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引用次数: 0

摘要

手术纱布上的细菌污染可能增加手术部位感染(SSI)的风险。本初步调查分析了小动物软组织手术环境中强制空气加热装置与手术布帘细菌污染的关系。本研究以台湾大学兽医医院清洁外科的犬、猫病人为研究对象。在皮肤切开前和切开后分别在琼脂板上取样手术布上的菌落。切口后取样琼脂上有细菌生长的病例被认为是手术野污染(SFC)。记录术中加热方法(强制空气加热系统或循环水毯)和其他可能导致SFC的因素(悬吊材料、患者特征、手术类型、外科医生和手术室人员数量)。本研究共包括57例手术,其中循环水毯组28例,强制空气加热系统组29例。在术中加热方法、铺布材料、患者特征、手术程序类型或手术室人员数量之间,未发现污染率的差异。然而,外科医生之间的污染率有显著差异。
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A STUDY OF WARMING DEVICES AND PERIOPERATIVE FACTORS POTENTIALLY CONTRIBUTING TO SURGICAL FIELD CONTAMINATION IN SMALL ANIMAL PATIENTS
Bacterial contamination on surgical drapes may increase the risk of surgical site infection (SSI). This preliminary investigation analyzed the relationship between forced-air warming devices and bacterial contamination on surgical drapes in small animal soft tissue surgery settings. The subjects of this study were canine and feline patients enrolled in clean surgical procedures at the National Taiwan University Veterinary Hospital. Bacterial colonies on surgical drapes were sampled on agar plates immediately prior to and 1[Formula: see text]h after skin incision. Cases with bacteria growth on the post-incision sampled agar were considered with surgical field contamination (SFC). Intraoperative warming methods (forced-air warming systems or circulating water blankets) and other factors that potentially contribute to SFC (drape material, patient features, surgical procedure types, surgeons, and number of operating room personnel) were recorded. The study comprised 57 operations, 28 cases belonged to the circulating water blanket group and 29 belonged to the forced-air warming system group. No differences in contamination rate were detected among intraoperative warming methods, drape materials, patient characteristics, surgical procedure types, or number of operating room personnel. However, a significant difference in contamination rate was detected among surgeons.
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