Treggiari M, Benevento A, Caronno R, Dionigi R
Dipartimento di Chirurgia, Università degli Studi di Pavia, Sede di Varese.
Minerva Chir. 1992 Jan;47(1-2):49-54.
The importance of the preparation of an operative field which will guarantee satisfactory conditions of asepsis during the entire operation is an indispensible premise for controlling the development of postoperative wound infections. This paper compared the efficacy of disposable clothes and gowns in TNT FABRIC 450* in relation to cotton gowns in reducing the incidence of postoperative wound infections. Cotton items were used for 25 subjects out of a group of 50 operated patients and nonwoven fabric (TNT FABRIC 450*) items were used for the other 25. Thorough bacteriological tests were performed in each patient before, during and after the operation. On the basis of the duration of the operation, it was observed that TNF FABRIC 450* was as efficacious as cotton in controlling postoperative infections in those operations with a short or medium duration; it offered greater protection in lengthy operations, with a higher risk of endogenous and exogenous contamination. It was also observed that disposable items were indispensable in patients treated with radioactive materials and offered greater safety in seropositive patients.
准备一个能在整个手术过程中确保满意无菌条件的手术区域,对于控制术后伤口感染的发展至关重要,这是一个不可或缺的前提条件。本文比较了一次性衣物和TNT FABRIC 450材质的手术衣与棉质手术衣在降低术后伤口感染发生率方面的效果。在一组50例接受手术的患者中,25例使用棉质物品,另外25例使用无纺布(TNT FABRIC 450)物品。在每位患者手术前、手术期间和手术后都进行了全面的细菌学检测。根据手术时长观察到,在短时间或中等时长的手术中,TNF FABRIC 450*在控制术后感染方面与棉质材料效果相当;在长时间手术中,其提供了更好的防护,因为此类手术存在更高的内源性和外源性污染风险。还观察到,一次性物品对于接受放射性物质治疗的患者必不可少,并且在血清学阳性患者中提供了更高的安全性。