Hussein J R, Villar R N, Gray A J, Farrington M
Department of Orthopaedic Surgery, Addenbrooke's Hospital, Cambridge, UK.
Ann R Coll Surg Engl. 2001 Sep;83(5):353-4.
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.
在常规关节置换手术过程中引入的空气传播细菌是导致关节脓毒症的重要来源，会造成灾难性后果。最近，罗宾逊等人[罗宾逊AHN、本特利G、德鲁S、安德森J、里奇韦GL。超净空气手术室中的吸引头污染。《英国皇家外科学院学报》1993年；75: 254 - 256]已经证明，传统的手术吸引器会成为空气传播病原体的聚集点，这会导致髋关节假体发生感染性松动。同样，在全髋关节和膝关节置换手术中常用的手术灯手柄存在潜在污染，令人担忧。为了评估是否有污染迹象，我们对15例此类手术前后从手术灯手柄上采集的细菌拭子进行了培养，所有这些手术均在传统的骨科手术室进行。幸运的是，我们的研究没有理由停止在关节置换手术中使用手术灯手柄。
