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关节注射是否需要采取无菌手套预防措施，还是一般的无菌操作流程就足够了？临床智能问答。

Are sterile glove precautions necessary for joint injections or is a general aseptic process sufficient? A Clin-IQ.

作者信息

McGee Gretchen, Frantz Brooke, Dreier Anton, Palmer Philip

机构信息

Great Plains Family Medicine Residency Program, Oklahoma City, Oklahoma.

出版信息

J Okla State Med Assoc. 2021 May-Jun;114(3):118-119.

PMID:34848896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8629356/
Abstract

BACKGROUND

Multiple studies have been conducted investigating the use of sterile vs non-sterile gloves. The aim of this Clin-IQ is to determine whether there is a clinically significant difference in the rate of infections in relation to the use of sterile vs non-sterile gloves for joint injections.

CONCLUSIONS

Multiple studies have shown no appreciable difference in outcomes using sterile vs clean gloves for a variety of clinical applications including joint injections.

摘要

背景

已经开展了多项研究来调查使用无菌手套与非无菌手套的情况。本临床智能研究的目的是确定在关节注射中使用无菌手套与非无菌手套相比，感染率是否存在临床显著差异。

结论

多项研究表明，在包括关节注射在内的各种临床应用中，使用无菌手套与清洁手套的结果没有明显差异。

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本文引用的文献

1
Comparing non-sterile to sterile gloves for minor surgery: a prospective randomised controlled non-inferiority trial.比较非无菌手套和无菌手套用于小型手术：一项前瞻性随机对照非劣效性试验。
Med J Aust. 2015 Jan 19;202(1):27-31. doi: 10.5694/mja14.00314.
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Joint aspiration and injection and synovial fluid analysis.关节抽吸和注射以及滑液分析。
Best Pract Res Clin Rheumatol. 2013 Apr;27(2):137-69. doi: 10.1016/j.berh.2013.02.005.
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Sterile gloves: do they make a difference?无菌手套：它们有区别吗？
Am J Surg. 2012 Dec;204(6):976-9; discussion 979-80. doi: 10.1016/j.amjsurg.2012.06.003.
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Clean versus sterile technique for common joint injections: a review from the physiatry perspective.普通关节注射的清洁与无菌技术：理疗角度的综述。
Curr Rev Musculoskelet Med. 2008 Jun;1(2):88-91. doi: 10.1007/s12178-007-9011-2.
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Sterile versus nonsterile gloves for repair of uncomplicated lacerations in the emergency department: a randomized controlled trial.急诊科单纯性撕裂伤修复中使用无菌手套与非无菌手套的随机对照试验
Ann Emerg Med. 2004 Mar;43(3):362-70. doi: 10.1016/j.annemergmed.2003.09.008.
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Frequency of sepsis after local corticosteroid injection (an inquiry on 1160000 injections in rheumatological private practice in France).局部注射皮质类固醇后败血症的发生率（对法国风湿病私人诊所1160000次注射的调查）
Rheumatology (Oxford). 1999 Dec;38(12):1272-4. doi: 10.1093/rheumatology/38.12.1272.
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Intra-articular corticosteroids. An updated assessment.关节内注射皮质类固醇。最新评估。
Clin Orthop Relat Res. 1983 Jul-Aug(177):235-63.
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Rapid bacterial screening in the treatment of civilian wounds.平民伤口治疗中的快速细菌筛查
J Surg Res. 1973 May;14(5):426-30. doi: 10.1016/0022-4804(73)90049-8.