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Use of light handles in the laminar flow operating theatre--is it a cause of bacterial concern?

机译:在层流手术室中使用光柄-是否引起细菌问题?

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摘要

Airborne bacteria introduced during routine joint replacement surgery are known to be an important source of joint sepsis with disastrous results. Recently, Robinson et al. [Robinson AHN, Bentley G, Drew S, Anderson J, Ridgway GL. Suction tip contamination in the ultraclean air operating theatre. Ann R Coll Surg Engl 1993; 75: 254-6] have demonstrated that the conventional surgical sucker forms a focus for airborne pathogens which results in septic loosening of hip prostheses. Similarly, the potential contamination of theatre light handles, commonly used during total hip and knee replacements, gives cause for concern. To assess if there was any evidence of contamination, we cultured bacterial swabs taken from the light handles before and after 15 such procedures, all of which were held in a conventional orthopaedic operating theatre. Fortunately, our study found no reason to stop the use of light handles in joint replacement operations.
机译:众所周知,在常规的关节置换手术中引入的空气传播细菌是导致关节败血症的重要原因,其后果不堪设想。最近,Robinson等人。 [Robinson AHN,Bentley G,Drew S,Anderson J,Ridgway GL。超净空气手术室中的吸嘴污染。 Ann R Coll Surg Engl 1993; 75:254-6]已经证明,传统的手术吸盘成为空气传播的病原体的焦点,其导致髋关节假体的脓性松弛。同样,通常在全髋关节和膝关节置换术中使用的剧院灯光手柄的潜在污染也令人担忧。为了评估是否存在污染迹象,我们在15次这样的手术之前和之后培养了从轻手柄上取下的细菌拭子,所有这些拭子都保存在常规的骨科手术室中。幸运的是,我们的研究发现没有理由在关节置换手术中停止使用轻型手柄。

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