Department of Veterinary Surgery, University of Bristol, Bristol, UK.
Vet Rec. 2012 Sep 29;171(13):326. doi: 10.1136/vr.100406. Epub 2012 Aug 14.
Veterinary practices in the United Kingdom were surveyed to compare their surgical draping practices with Royal College of Veterinary Surgeons (RCVS) accreditation tier and other surgery-related factors. Using descriptive statistics and logistic or ordinal regression analysis (where appropriate), the relationships between draping material and accreditation tier and other surgery-related factors were assessed. Procedures were categorised as short or long. Two hundred and sixty-nine surveys were completed. Reusable drapes were used in 66 per cent of practices. Antibiotics were administered routinely in 38 per cent of short and 93 per cent of long procedures. Practices accredited as a Veterinary Hospital (VH) were 6.3-7.2 (short and long surgeries, respectively) times more likely to use disposable drapes, when compared with non-accredited practices. Use of dedicated surgical attire, draping the whole animal/table, and routine antibiotic usage were also positively correlated with disposable drape usage. Fifty-one per cent of practices rated infection rate as most important when choosing drape material. 'Best practice' techniques are associated with lower importance given to infection rate, and higher importance given to financial cost, when choosing drape material. Disposable drape use correlates with RCVS accreditation and with other aspects of surgical technique. Importance ratings awarded correlate with best practice procedures. Clinical relevance 'Best practice' draping procedures, that are not governed by RCVS accreditation scheme, are also more frequently performed in accredited VHs.
英国的兽医诊所被调查,比较其手术覆盖实践与皇家兽医学院(RCVS)认证级别和其他与手术相关的因素。使用描述性统计和逻辑或有序回归分析(在适当的情况下),评估了覆盖材料与认证级别和其他与手术相关的因素之间的关系。程序被分为短程序和长程序。完成了 269 份调查。66%的诊所使用可重复使用的覆盖物。38%的短程序和 93%的长程序常规使用抗生素。与未认证的实践相比,被认可为兽医医院(VH)的实践使用一次性覆盖物的可能性分别高出 6.3-7.2 倍(短程序和长程序)。专用手术服装的使用、对整个动物/桌子的覆盖以及常规抗生素的使用也与一次性覆盖物的使用呈正相关。51%的实践在选择覆盖物材料时将感染率评为最重要的因素。在选择覆盖物材料时,“最佳实践”技术与降低感染率的重要性以及对财务成本的更高重视相关。一次性覆盖物的使用与 RCVS 认证以及手术技术的其他方面相关。重要性评分与最佳实践程序相关。临床意义“最佳实践”的覆盖程序不受 RCVS 认证计划的限制,在获得认证的 VH 中也更频繁地进行。