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受污染的皮肤刀——事实还是虚构。

The contaminated skin-knife--fact or fiction.

作者信息

Grabe N, Falstie-Jensen S, Fredberg U, Schrøder H, Sørensen I

出版信息

J Hosp Infect. 1985 Sep;6(3):252-6.

PMID:2865289
Abstract

Three hundred and fifty-eight patients undergoing clean orthopaedic surgery were included in this prospective study. The knives used during surgery, i.e. the knife used for skin incision (the skin-knife) and the knife used to finish the operation were bacteriologically examined. We found no evidence that the practise of discarding the knife after skin incision reduced the incidence of wound infection after clean orthopaedic surgery. Laminar air flow significantly reduced the rate of knife contamination.

摘要

本前瞻性研究纳入了358例行骨科清洁手术的患者。对手术中使用的刀具,即皮肤切口用刀(皮肤刀)和手术结束用刀进行了细菌学检查。我们没有发现证据表明在骨科清洁手术后,皮肤切开后丢弃刀具的做法能降低伤口感染的发生率。层流显著降低了刀具污染率。

相似文献

1
The contaminated skin-knife--fact or fiction.受污染的皮肤刀——事实还是虚构。
J Hosp Infect. 1985 Sep;6(3):252-6.
2
No need to change the skin knife in modern arthroplasty surgery.在现代关节置换手术中无需更换手术刀。
Arch Orthop Trauma Surg. 2014 Aug;134(8):1163-6. doi: 10.1007/s00402-014-1974-z. Epub 2014 Mar 19.
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Bacterial contamination of the surgical knife.手术刀的细菌污染
Clin Orthop Relat Res. 1975 May(108):158-60. doi: 10.1097/00003086-197505000-00024.
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Changing knives a wasteful and unnecessary ritual.更换刀具是一种浪费且不必要的惯例。
Ann R Coll Surg Engl. 1985 May;67(3):149-51.
5
The contaminated skin-knife. A surgical myth.受污染的手术刀。一个外科神话。
J Bone Joint Surg Br. 1983 Mar;65(2):210. doi: 10.1302/0301-620X.65B2.6338021.
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Should we use a separate knife for the skin?我们应该使用一把单独的刀来处理皮肤吗?
J Bone Joint Surg Br. 2006 Mar;88(3):382-5. doi: 10.1302/0301-620X.88B3.17155.
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Bacteriological study of surgical knives: is the use of two blades necessary?手术刀的细菌学研究:是否需要使用双刃刀片?
Arch Orthop Trauma Surg. 1994;113(3):157-8. doi: 10.1007/BF00441624.
8
After Incision, the Skin Knife Blade Is No More Contaminated Than a Fresh Knife Blade.切口后,皮肤手术刀刀片的污染程度不比新刀片更严重。
J Am Acad Orthop Surg. 2021 Jan 15;29(2):e98-e103. doi: 10.5435/JAAOS-D-20-00203.
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One instead of two knives for surgical incision. Does it increase the risk of postoperative wound infection?手术切口用一把刀而非两把刀。这会增加术后伤口感染的风险吗?
Arch Surg. 1984 Aug;119(8):917-20. doi: 10.1001/archsurg.1984.01390200037009.
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Scalpel blade contamination with skin bacteria during orthopedic and neurosurgical procedures in dogs.犬类骨科和神经外科手术过程中手术刀刀片被皮肤细菌污染的情况。
Vet Surg. 1987 Jan-Feb;16(1):25-30. doi: 10.1111/j.1532-950x.1987.tb00909.x.

引用本文的文献

1
Myths and legends in orthopaedic practice: are we all guilty?骨科实践中的神话与传说:我们都有罪吗?
Clin Orthop Relat Res. 2008 Nov;466(11):2861-72. doi: 10.1007/s11999-008-0458-2. Epub 2008 Aug 26.