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手术刷手服在手术室外的细菌污染:一项随机交叉研究。

Bacterial contamination of surgical scrub suits worn outside the operating theatre: a randomised crossover study.

机构信息

Operating Theatre, KK Women's and Children's Hospital, Singapore.

出版信息

Anaesthesia. 2014 Aug;69(8):816-25. doi: 10.1111/anae.12633. Epub 2014 Apr 18.

DOI:10.1111/anae.12633
PMID:24749987
Abstract

In this study, we aimed to evaluate the bacterial contamination of surgical scrub suits worn outside the operating theatre. We randomised 16 anaesthetists on separate occasions into one of 3 groups: restricted to the operating theatre only; theatre and surgical wards; and theatre and departmental office. For each group, sample fabric pieces attached to the chest, waist and hip areas of each suit were removed at 150 min intervals between 08:30 and 16:00 on the day of study, and sent for microbiological assessment. Mean bacterial counts increased significantly over the course of the working day (p = 0.036), and were lower in the chest compared to the hip (p = 0.007) and waist areas (p = 0.016). The mean (SD) bacterial counts, expressed as colony-forming units per cm(2) at 16:00 on the day of study, were 25.2 (43.5) for those restricted to theatre and 18.5 (25.9) and 17.9 (31.0) for those allowed out to visit the ward and office, respectively (p = 0.370). We conclude that visits to ward and office did not significantly increase bacterial contamination of scrub suits.

摘要

在这项研究中,我们旨在评估手术刷手服在手术室外的细菌污染情况。我们将 16 名麻醉师随机分成三组,分别在不同的场合进行:仅限于手术室;手术室和外科病房;手术室和科室办公室。对于每组,在研究日的 08:30 至 16:00 之间,每隔 150 分钟从每个刷手服的胸部、腰部和臀部区域取下附着的小块织物样本,并进行微生物评估。在整个工作日中,细菌计数明显增加(p = 0.036),且与腰部(p = 0.016)和臀部(p = 0.007)相比,胸部的细菌计数较低。在研究日 16:00 时,以每平方厘米形成的菌落形成单位(cfu/cm²)表示的平均细菌计数,限制在手术室的为 25.2(43.5),允许去病房和办公室的分别为 18.5(25.9)和 17.9(31.0)(p = 0.370)。我们得出结论,到病房和办公室的访问并未显著增加刷手服的细菌污染。

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