Alito Angelo, de Sire Alessandro, Di Gesù Marco, Buccheri Enrico, Borzelli Daniele, Chiaramonte Rita, Longo Umile Giuseppe, Ammendolia Antonio, Vecchio Michele, Bruschetta Daniele
Department of Biomedical, Dental Sciences and Morphological and Functional Images, University of Messina, 98122 Messina, Italy.
Physical and Rehabilitative Medicine, Department of Medical and Surgical Sciences, University of Catanzaro "Magna Graecia", 88100 Catanzaro, Italy.
Diagnostics (Basel). 2025 Apr 5;15(7):933. doi: 10.3390/diagnostics15070933.
: Interventional physiatry is a branch of medicine that uses minimally invasive ultrasound-guided techniques for diagnosis and treatment in the musculoskeletal system. The aim of this scoping review is to investigate the sterilisation techniques used and the rate of infection with ultrasound-guided injections. : PubMed was searched up to 30 September 2024 using the following search terms ("Ultrasound, Interventional"[mesh]) AND "Injections, Intra-Articular"[mesh]; "Ultrasound-guided intra-articular injection". The inclusion criteria were randomised clinical trials, written in English, involving US-guided mini-invaexercissive procedures. : The search identified a total of 256 potentially relevant publications. After screening for duplication, inclusion, and exclusion criteria, 105 articles were eligible for data extraction. In 51 studies, the method of skin disinfection was not specified, 18 RCT reported a 'sterile condition', 9 studies used povidone-iodine solution, 5 used alcohol, and 2 used chlorhexidine 0.5%. In 64 trials, the method of probe preparation was not specified, 11 trials described the use of sterile gel, 10 trials reported the use of a probe cover, sterile pad, or barrier, and 2 trials reported the use of chlorhexidine 0.5%; 41 studies reported mild adverse events and 4 serious adverse events. : Taken together, the findings of this scoping review did not show a clear relationship between current sterilisation protocols and the prevention of the microbial contamination of the probes or the patient's skin. The variation in protocols highlights the need for standardised guidelines and more rigorous studies to accurately determine the most effective disinfection practices.
介入物理医学是医学的一个分支，它使用微创超声引导技术对肌肉骨骼系统进行诊断和治疗。本综述的目的是调查所使用的消毒技术以及超声引导注射的感染率。截至2024年9月30日，使用以下检索词在PubMed上进行检索：（“超声，介入性”[医学主题词]） AND “关节内注射”[医学主题词]；“超声引导关节内注射”。纳入标准为随机临床试验，用英文撰写，涉及超声引导的微创操作。检索共识别出256篇潜在相关出版物。在根据重复、纳入和排除标准进行筛选后，105篇文章符合数据提取条件。在51项研究中，未明确皮肤消毒方法；18项随机对照试验报告了“无菌条件”；9项研究使用聚维酮碘溶液；5项使用酒精；2项使用0.5%氯己定。在64项试验中，未明确探头准备方法；11项试验描述了使用无菌凝胶；10项试验报告使用探头套、无菌垫或屏障；2项试验报告使用0.5%氯己定；41项研究报告了轻度不良事件，4项报告了严重不良事件。综上所述，本综述的结果并未表明当前的消毒方案与预防探头或患者皮肤的微生物污染之间存在明确关系。方案的差异凸显了需要标准化指南和更严格的研究，以准确确定最有效的消毒措施。
