Sutton C D, White S A, Edwards R, Lewis M H
Department of Surgery, Leicester General Hospital, UK.
Ann R Coll Surg Engl. 1999 May;81(3):183-6.
It has previously been suggested that skin preparation before venesection with antiseptic agents is unnecessary. However thousands of doctors and medical students continue to use isopropyl alcohol (IPA) swabs for venesection, at an estimated cost of 10,000 P per annum in a 500 bed hospital. An audit of IPA swab use among junior doctors and medical students at our institution was undertaken; 76% of doctors and 100% of medical students routinely prepared the skin with alcohol before venesection and only one used the swabs correctly. A randomised single-blind controlled trial was conducted of IPA versus no IPA skin preparation before venesection. There were 194 patients in the study, 93 in the IPA group and 101 controls. There was no statistical difference with respect to complications at the venepuncture site between the two groups.
此前有人提出，静脉切开术前用抗菌剂进行皮肤准备是不必要的。然而，成千上万的医生和医学生仍继续使用异丙醇（IPA）棉签进行静脉切开术，在一家拥有500张床位的医院，估计每年花费10000菲律宾比索。我们对本机构的初级医生和医学生使用IPA棉签的情况进行了一次审核；76%的医生和100%的医学生在静脉切开术前常规用酒精进行皮肤准备，只有一人正确使用了棉签。对静脉切开术前使用IPA与不使用IPA进行皮肤准备进行了一项随机单盲对照试验。该研究有194名患者，IPA组93名，对照组101名。两组在静脉穿刺部位的并发症方面无统计学差异。
