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裸医?关于手术室着装的争议

Naked Surgeons? The Debate About What to Wear in the Operating Room.

机构信息

Department of Surgery, University of Washington, Seattle.

出版信息

Clin Infect Dis. 2017 Oct 16;65(9):1589-1592. doi: 10.1093/cid/cix498.

DOI:10.1093/cid/cix498
PMID:28575168
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5850458/
Abstract

There has been recent controversy regarding recommendations and regulations concerning operating room attire. We performed a nonsystematic literature search regarding operating room attire and surgical site infection (SSI) risk. Much of the literature relies on air sampling and culture of operating room equipment but does not present evidence regarding effect on SSI risk. There is no evidence regarding SSI risk related to operating room attire except for sterile gowns and the use of gloves. Naked surgeons shed fewer bacteria into the operating room environment than ones wearing scrub suits.

摘要

近期有关手术室着装的建议和规定引起了争议。我们针对手术室着装与手术部位感染(SSI)风险进行了非系统性文献检索。大部分文献都依赖于手术室设备的空气采样和培养,但并未提供有关其对 SSI 风险影响的证据。除了无菌手术衣和使用手套外,目前尚无有关手术室着装与 SSI 风险相关的证据。不穿手术衣的外科医生比穿手术衣的外科医生向手术室环境中释放的细菌更少。

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本文引用的文献

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Mandatory Change From Surgical Skull Caps to Bouffant Caps Among Operating Room Personnel Does Not Reduce Surgical Site Infections in Class I Surgical Cases: A Single-Center Experience With More Than 15 000 Patients.强制性要求手术室人员从手术帽改为发网帽并不会降低 I 类手术切口感染率:单中心超过 15000 例患者的经验。
Neurosurgery. 2018 Apr 1;82(4):548-554. doi: 10.1093/neuros/nyx211.
2
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Bull Am Coll Surg. 2016 Oct;101(10):10-9.
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New WHO recommendations on intraoperative and postoperative measures for surgical site infection prevention: an evidence-based global perspective.世界卫生组织关于手术部位感染预防的术中及术后措施新建议:基于证据的全球视角。
Lancet Infect Dis. 2016 Dec;16(12):e288-e303. doi: 10.1016/S1473-3099(16)30402-9. Epub 2016 Nov 2.
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