Clayton D G, Shanahan E C, Ordman A J, Simpson J C
Anaesthesia. 1985 Jun;40(6):523-8. doi: 10.1111/j.1365-2044.1985.tb10887.x.
137 internal jugular vein cannulae from 113 patients undergoing open heart surgery were cultured using standard broth culture and a semiquantitative culture technique. 60 of the cannulae were placed using an aseptic technique and 77 using a standard non sterile technique. Significant contamination was found in 18.3% of the cannulae in the aseptic group and 15.6% in the standard group. The contaminating organism was Staphylococcus epidermidis in 87.1% of cases. No advantage in using an aseptic technique of cannula insertion was demonstrated. It was concluded that the major source of contamination was elsewhere.
对113例接受心脏直视手术患者的137根颈内静脉插管,采用标准肉汤培养和半定量培养技术进行培养。其中60根插管采用无菌技术放置,77根采用标准非无菌技术放置。无菌组插管的污染率为18.3%,标准组为15.6%。87.1%的病例中污染菌为表皮葡萄球菌。未证明使用无菌插管技术有优势。得出的结论是,主要污染来源在其他地方。