Kemp Daria Marley, Weingarten Sarah, Chervoneva Inna, Marley Wayne
Department of Dermatology and Cutaneous Biology, Thomas Jefferson University Hospital, Philadelphia, PA;
Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.
Skinmed. 2019 Sep 9;17(3):155-159. eCollection 2019.
Over the last decade, studies have compared the use of sterile gloves (SGs) versus nonsterile gloves (NSGs) on surgical site infection (SSI) rates in Mohs micrographic surgery (MMS). In this study, we sought to determine SSI rates before and after employment of NSGs for dermatologic procedures. Infection data were collected from January 2009 to December 2015 on 7365 tumors treated with MMS and 1620 tumors treated by surgical excision. For MMS procedures using chlorhexidine as the antiseptic, the SSI rate with SGs was 3.39% compared to 3.06% with NSGs. For surgical excisions, the SSI rate was 3.02% with SGs and 4.17% with NSG. Using NSGs for MMS tumor resection and reconstruction can provide cost savings without adversely affecting SSI rates, and could also be considered in dermatologic procedures, including electrodessication and curettage and surgical excisions.
在过去十年中，已有多项研究比较了在莫氏显微外科手术（MMS）中使用无菌手套（SGs）与非无菌手套（NSGs）对手术部位感染（SSI）率的影响。在本研究中，我们试图确定在皮肤科手术中使用NSGs前后的SSI率。收集了2009年1月至2015年12月期间7365例接受MMS治疗的肿瘤和1620例接受手术切除治疗的肿瘤的感染数据。对于使用氯己定作为防腐剂的MMS手术，使用SGs时的SSI率为3.39%，而使用NSGs时为3.06%。对于手术切除，使用SGs时的SSI率为3.02%，使用NSG时为4.17%。在MMS肿瘤切除和重建中使用NSGs可以节省成本，且不会对SSI率产生不利影响，在包括电干燥刮除术和手术切除在内的皮肤科手术中也可考虑使用。
