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使用阻隔布制成的手术衣对细菌传播的影响。

The effect of surgical gowns made with barrier cloth on bacterial dispersal.

作者信息

Matthews J, Slater K, Newsom S W

出版信息

J Hyg (Lond). 1985 Aug;95(1):123-30. doi: 10.1017/s0022172400062355.

DOI:10.1017/s0022172400062355
PMID:4020106
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2129519/
Abstract

A dispersal chamber (body box) technique has been used to compare bacterial dispersal from the skin of subjects carrying out a stepping test under controlled conditions while wearing four differing garment systems namely: basic underwear, cotton 'blues' (standard pyjama style jacket and trousers for men or dress for women), ankle socks, boots for men and shoes for women, mask and theatre hat; the basic set covered with a cotton gown; the basic set covered by a gown with a front made from GORE-TEX fabric in which an expanded polytetrafluoroethylene membrane is sandwiched between layers of woven or knitted polyester; the basic set covered with a fully enclosed suit of the same fabric. A slit sampler was used to measure the number of bacteria liberated in a downward current of air. Six subjects (three female and three male) were studied. Males liberated more bacteria. Covering the 'blues' with a cotton gown increased the bacterial count; a gown of the new material reduced the increase by 50%, and the suit cut the dispersal to virtually zero. Preliminary work suggests that GORE-TEX garments survive laundering better than cotton, and may be cost-effective, but are not yet as comfortable. Research is presently in progress to improve this aspect.

摘要

一种扩散室(体箱)技术被用于比较在受控条件下进行踏步测试的受试者皮肤细菌扩散情况,这些受试者穿着四种不同的服装系统,即:基础内衣、棉质“蓝色工作服”(男性为标准睡衣款式的夹克和裤子,女性为连衣裙)、短袜、男性穿靴子女性穿鞋子、口罩和手术帽;基础套装外覆盖一件棉质长袍;基础套装外覆盖一件长袍,其前部由戈尔特斯(GORE-TEX)面料制成,其中膨体聚四氟乙烯膜夹在机织或针织聚酯层之间;基础套装外覆盖一件由相同面料制成的全封闭式套装。使用狭缝采样器测量在向下气流中释放的细菌数量。研究了六名受试者(三名女性和三名男性)。男性释放的细菌更多。用棉质长袍覆盖“蓝色工作服”会增加细菌数量;新材料制成的长袍使增加量减少了50%,而套装几乎将扩散量降至零。初步研究表明,戈尔特斯服装比棉质服装更耐洗涤,可能具有成本效益,但舒适度还不够。目前正在进行研究以改善这方面情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec6/2129519/a36242d3772f/jhyg00007-0129-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec6/2129519/1a3279eeab45/jhyg00007-0128-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec6/2129519/a36242d3772f/jhyg00007-0129-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec6/2129519/1a3279eeab45/jhyg00007-0128-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dec6/2129519/a36242d3772f/jhyg00007-0129-a.jpg

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The effect of surgical gowns made with barrier cloth on bacterial dispersal.使用阻隔布制成的手术衣对细菌传播的影响。
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引用本文的文献

1
The dispersal of bacteria and skin scales from the body after showering and after application of a skin lotion.淋浴后以及涂抹护肤乳液后,细菌和皮肤鳞屑从身体上的扩散情况。
J Hyg (Lond). 1986 Oct;97(2):289-98. doi: 10.1017/s0022172400065384.

本文引用的文献

1
DISPERSAL OF STAPHYLOCOCCUS AUREUS BY PATIENTS AND SURGICAL STAFF.金黄色葡萄球菌在患者及手术医护人员中的传播
Lancet. 1965 Feb 27;1(7383):480-3. doi: 10.1016/s0140-6736(65)91610-7.
2
Clinical evaluation of gown-and-drape barrier performance.
Bull Am Coll Surg. 1982 May;67(5):8-12.
3
Surgical barrier materials: product promotion vs. controlled evidence.手术屏障材料:产品推广与对照证据
Bull Am Coll Surg. 1982 May;67(5):13-7.
4
The laboratory assessment of a new fabric for reducing bacterial penetration of operating theatre apparel.一种用于减少手术室服装细菌渗透的新型织物的实验室评估。
Br J Surg. 1981 Aug;68(8):569-71. doi: 10.1002/bjs.1800680815.
5
A bacteriologically occlusive clothing system for use in the operating room.一种用于手术室的细菌封闭服装系统。
J Bone Joint Surg Br. 1983 Aug;65(4):502-6. doi: 10.1302/0301-620X.65B4.6874723.
6
Design of operating-room dress for surgeons.外科医生手术室着装设计。
Lancet. 1965 Oct 2;2(7414):681-3. doi: 10.1016/s0140-6736(65)90412-5.
7
Bacterial dispersion in relation to operating room clothing.与手术室着装相关的细菌扩散
J Hyg (Lond). 1976 Jun;76(3):367-78. doi: 10.1017/s0022172400055297.