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导管插入部位重要吗?犬牙洁治过程中外周静脉导管的污染情况

Does Catheter Insertion Site Matter? Contamination of Peripheral Intravenous Catheters during Dental Scaling in Dogs.

作者信息

Calice Ivana, Ballas Panagiotis, Vogl Claus, Purwin Sandra, Ehling-Schulz Monika, Rocchi Attilio

机构信息

Clinical Unit of Anaesthesiology and Perioperative Intensive-Care Medicine, Clinic for Small Animals, Department for Small Animals and Horses, Veterinary Medicine University of Vienna, 1210 Vienna, Austria.

Institute for Microbiology, Department of Pathobiology, Veterinary Medicine University of Vienna, 1210 Vienna, Austria.

出版信息

Vet Sci. 2024 Sep 3;11(9):407. doi: 10.3390/vetsci11090407.

Abstract

During dental scaling in dogs under general anaesthesia, contamination of the peripheral intravenous catheter (PIVC) is unavoidable due to splatter and the generated aerosol. Bacterial contamination was compared between two commonly used PIVC placement sites. Thirty-nine client-owned dogs with a minimum length from their nose to their tail base of 50 cm were randomly assigned to receive a PIVC in either their cephalic or saphenous vein. Irrespective of the PIVC placement site, brain heart infusion agar dishes were placed in the cephalic and saphenous vein areas. Their lids were closed 0, 5, and 10 min into the procedure. Contamination was measured by counting the colony-forming units after incubation on different substrates. The data were analysed with descriptive statistics, ANOVA, and ANCOVA ( < 0.05). The cephalic vein area showed a significantly higher bacterial load than the saphenous vein area ( ≈ 0.0) regardless of the length of the dog. Furthermore, the dorsal PIVC injection ports were sampled before and after scaling, and the colonies isolated were counted and subjected to MALDI-TOF-MS for identification. The bacteria mainly belonged to the genera Staphylococcus, Neisseria, and Bacillus. Our results suggest that for dental scaling in dogs, the PIVC should be placed in the pelvic limb whenever possible to reduce the potential risk of contamination.

摘要

在对犬进行全身麻醉下的牙齿洁治过程中,由于飞溅物和气溶胶的产生,外周静脉导管(PIVC)受到污染是不可避免的。比较了两个常用的PIVC置管部位的细菌污染情况。将39只鼻至尾根长度至少为50 cm的客户拥有的犬随机分配,分别在头静脉或隐静脉置入PIVC。无论PIVC的置管部位如何,将脑心浸液琼脂平板放置在头静脉和隐静脉区域。在操作开始后0、5和10分钟关闭平板盖子。通过计算在不同培养基上孵育后的菌落形成单位来测量污染情况。采用描述性统计、方差分析和协方差分析对数据进行分析(<0.05)。无论犬的长度如何,头静脉区域的细菌载量均显著高于隐静脉区域(≈0.0)。此外,在洁治前后对外周静脉导管的背侧注射端口进行采样,对分离出的菌落进行计数,并进行基质辅助激光解吸电离飞行时间质谱(MALDI-TOF-MS)鉴定。分离出的细菌主要属于葡萄球菌属、奈瑟菌属和芽孢杆菌属。我们的结果表明,对于犬的牙齿洁治,应尽可能将PIVC置于后肢,以降低潜在的污染风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/571a/11435992/f2214f027907/vetsci-11-00407-g001.jpg

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