Driessche Ann Marie
Oakwood Annapolis Hospital, Wayne, Michigan, USA.
Orthop Nurs. 2012 Nov-Dec;31(6):344-7. doi: 10.1097/NOR.0b013e3182742609.
Observing licensed independent practitioners mark surgical sites with all types of marking pens is a concern related to the potential spread of infections from patient to patient. The practice of using the same marking pen to mark a surgical site has been questioned as a source of cross contamination. A literature review was done on recent studies and best practice recommendations to determine whether marking pens can act as fomites for nosocomial infections. The review indicated that surgical site markers, ink pens, and aging permanent marking pens can be a source for cross-infection with methicillin-resistant Staphylococcus aureus, other bacteria, fungus, or virus. The type of marking pens used and the act of using the same marking pen from patient to patient could contribute to nosocomial infections. The literature reviewed recommends a single time use of a surgical marking pen. Interventions to prevent cross contamination and postoperative surgical site infections are a major concern in the care of the orthopaedic patient.
观察持牌独立从业者使用各种记号笔标记手术部位，这涉及到感染在患者之间潜在传播的问题。使用同一支记号笔标记手术部位的做法已被质疑是交叉污染的一个源头。针对近期研究和最佳实践建议进行了文献综述，以确定记号笔是否会成为医院感染的媒介物。该综述表明，手术部位标记笔、墨水笔以及使用年限较长的永久性记号笔可能是耐甲氧西林金黄色葡萄球菌、其他细菌、真菌或病毒交叉感染的源头。所使用的记号笔类型以及在不同患者之间使用同一支记号笔的行为可能会导致医院感染。所查阅的文献建议手术标记笔一次性使用。预防交叉污染和术后手术部位感染的干预措施是骨科患者护理中的一个主要关注点。
