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佩戴无菌手术手套——巴基斯坦拉合尔一家三级护理医院年轻外科医生的前瞻性临床审计

Donning Sterile Surgical Gloves - A Prospective Clinical Audit of Young Surgeons at a Tertiary Care Hospital of Lahore, Pakistan.

作者信息

Rabbani Rana Arslan, Khalil-Ur-Rehman Muhammad, Hussain Fahad, Fazli Shah Ahmad, Mehmood Qadri Haseeb, Manzoor Nida, Cheema Menahil F, Haq Amjid Ul, Ismail Fiza, Saffi Junaid

机构信息

Surgery, Lahore General Hospital, Lahore, PAK.

Surgery, District Headquarter Hospital Okara, Okara, PAK.

出版信息

Cureus. 2022 Dec 22;14(12):e32831. doi: 10.7759/cureus.32831. eCollection 2022 Dec.

Abstract

Background Sterilization and aseptic surgical techniques are the most important keys to successful postoperative outcomes. The standard surgical gloving technique causes early wound healing and reduces morbidity and mortality. Objective To assess the standard technique of donning sterile surgical gloves while scrubbing among young surgeons. Material and Methods This two-week prospective audit involved 60 young residents and house officers after ensuring ethical implications. Participants were observed unannounced for donning sterile surgical gloves in the surgical operation theatre (OT) according to the standard criteria set by World Health Organization (WHO) before and after the relevant intervention. The intervention was made through a clinical lecture, live demonstration, and hands-on sessions. After a detailed literature study, a pro forma was generated to record participants' compliance with 14 steps of donning sterile surgical gloves. Data was sent to a statistician for descriptive analysis. Results About 72.14% of the participants followed the standard criteria of donning sterile surgical gloves before intervention. This percentage raised to 90.71% after the intervention, showing marked improvement. Conclusion Pre-intervention and post-intervention observations showed apparent differences in compliance rates for the standard criteria of donning sterile surgical gloves. This scientific study signifies the need for such clinical audits to boost standard surgical practices, especially among newcomers.

摘要

背景 灭菌和无菌手术技术是实现成功术后结果的最重要关键因素。标准的手术戴手套技术可促进伤口早期愈合,并降低发病率和死亡率。目的 评估年轻外科医生在刷手时佩戴无菌手术手套的标准技术。材料与方法 在确保符合伦理要求后,这项为期两周的前瞻性审计纳入了60名年轻住院医师和实习医生。在相关干预前后,按照世界卫生组织(WHO)制定的标准,在手术室(OT)对参与者佩戴无菌手术手套的情况进行了不事先通知的观察。干预通过临床讲座、现场演示和实践操作环节进行。在进行详细的文献研究后,生成了一份表格以记录参与者对佩戴无菌手术手套14个步骤的遵守情况。数据被发送给统计学家进行描述性分析。结果 干预前约72.14%的参与者遵循了佩戴无菌手术手套的标准规范。干预后这一比例提高到了90.71%,显示出显著改善。结论 干预前后的观察结果表明,在佩戴无菌手术手套的标准规范遵守率方面存在明显差异。这项科学研究表明需要进行此类临床审计,以促进标准手术操作,尤其是在新手当中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bef/9866157/5ad83a1f492f/cureus-0014-00000032831-i01.jpg

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