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对接受骨科手术患者术前使用葡萄糖酸氯己定进行全身清洗方案的细菌学评估。

A bacteriological evaluation of a programme for preoperative total body-washing with chlorhexidine gluconate performed by patients undergoing orthopaedic surgery.

作者信息

Bergman B R, Seeberg S

出版信息

Arch Orthop Trauma Surg (1978). 1979 Jun 29;94(1):59-62. doi: 10.1007/BF00448094.

DOI:10.1007/BF00448094
PMID:485793
Abstract

Twenty-eight orthopaedic patients were taught to wash their entire bodies with chlorhexidine gluconate on two consecutive days preoperatively, starting in their homes. The operation field was also washed a third time. A bacteriological evaluation was performed using contact plates. A significant reduction of the skin flora, including Staph. aureus, was registered. No adverse side effects of total body-washing were observed.

摘要

28名骨科患者在术前连续两天在家中开始用葡萄糖酸氯己定清洗全身。手术区域也进行了第三次清洗。使用接触平板进行细菌学评估。结果显示包括金黄色葡萄球菌在内的皮肤菌群显著减少。未观察到全身清洗的不良副作用。

相似文献

1
A bacteriological evaluation of a programme for preoperative total body-washing with chlorhexidine gluconate performed by patients undergoing orthopaedic surgery.对接受骨科手术患者术前使用葡萄糖酸氯己定进行全身清洗方案的细菌学评估。
Arch Orthop Trauma Surg (1978). 1979 Jun 29;94(1):59-62. doi: 10.1007/BF00448094.
2
Comparison of two methods for assessing the removal of total organisms and pathogens from the skin.两种评估从皮肤上清除总生物体和病原体方法的比较。
J Hyg (Lond). 1975 Oct;75(2):259-74. doi: 10.1017/s002217240004729x.
3
Whole body disinfection with chlorhexidine: is shower bathing more effective than bathing?使用洗必泰进行全身消毒:淋浴比盆浴更有效吗?
J Hosp Infect. 1984 Mar;5(1):96-9. doi: 10.1016/0195-6701(84)90107-5.
4
[Staphylococcus aureus in skin flora. A method for semiquantitative evaluation of the effect of washing with 4 per cent chlorhexidine].[皮肤菌群中的金黄色葡萄球菌。一种半定量评估用4%氯己定洗涤效果的方法]
Lakartidningen. 1977 Mar 23;74(12):1185-6.
5
Procedures and experiences with preoperative skin preparation in Sweden.瑞典术前皮肤准备的程序与经验
J Hosp Infect. 1988 Apr;11 Suppl B:11-4. doi: 10.1016/0195-6701(88)90150-8.
6
Rationalizing whole body disinfection.
J Hosp Infect. 1990 Feb;15(2):183-7. doi: 10.1016/0195-6701(90)90129-c.
7
Preoperative whole body disinfection--a controlled clinical study.
J Hosp Infect. 1988 Apr;11 Suppl B:15-9. doi: 10.1016/0195-6701(88)90151-x.
8
Preoperative bathing or showering with skin antiseptics to prevent surgical site infection.术前使用皮肤消毒剂沐浴或淋浴以预防手术部位感染。
Cochrane Database Syst Rev. 2006 Apr 19(2):CD004985. doi: 10.1002/14651858.CD004985.pub2.
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The impact of preoperative skin disinfection on preventing intraoperative wound contamination.术前皮肤消毒对预防术中伤口污染的影响。
Infect Control Hosp Epidemiol. 1988 Mar;9(3):109-13. doi: 10.1086/645805.
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Transient skin flora: their removal by cleansing or disinfection in relation to their mode of deposition.短暂性皮肤菌群:根据其沉积方式,通过清洁或消毒去除它们。
J Clin Pathol. 1978 Oct;31(10):919-22. doi: 10.1136/jcp.31.10.919.

引用本文的文献

1
No Clear Benefit of Chlorhexidine Use at Home Before Surgical Preparation.在家中手术准备前使用洗必泰无明显益处。
J Am Acad Orthop Surg. 2018 Jan 15;26(2):e39-e47. doi: 10.5435/JAAOS-D-16-00866.
2
Preoperative bathing or showering with skin antiseptics to prevent surgical site infection.术前使用皮肤消毒剂沐浴或淋浴以预防手术部位感染。
Cochrane Database Syst Rev. 2015 Feb 20;2015(2):CD004985. doi: 10.1002/14651858.CD004985.pub5.

本文引用的文献

1
Staphylococcal surgical wound infections, with particular reference to skin flora, and a comparison of two pre-operative skin preparations.葡萄球菌性手术伤口感染,特别涉及皮肤菌群,以及两种术前皮肤准备方法的比较。
Med J Aust. 1961 Sep 30;48(2):542-5.
2
Staphylococcal wound infection in a surgical unit.外科病房中的葡萄球菌伤口感染。
Lancet. 1960 Jul 2;2(7140):1-6. doi: 10.1016/s0140-6736(60)92657-x.
3
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.
4
The relation between the nasal-staphylococcal-carrier state and the incidence of postoperative complications.鼻腔葡萄球菌携带状态与术后并发症发生率之间的关系。
N Engl J Med. 1959 Jun 25;260(26):1303-8. doi: 10.1056/NEJM195906252602601.
5
Further studies on the transmission of Staph. aureus.金黄色葡萄球菌传播的进一步研究。
Br Med J. 1958 Jan 11;1(5062):69-73. doi: 10.1136/bmj.1.5062.69.
6
Disinfection of the skin: an assessment of some new preparations.皮肤消毒:对一些新制剂的评估。
Br Med J. 1971 Sep 18;3(5776):674-6. doi: 10.1136/bmj.3.5776.674.
7
Use of 4 per cent chlorhexidine detergent solution (Hibiscrub) and other methods of skin disinfection.使用4%氯己定洗涤剂溶液(洗必泰醇)及其他皮肤消毒方法。
Br Med J. 1973 Mar 3;1(5852):510-5. doi: 10.1136/bmj.1.5852.510.
8
Agar contact plates in evaluation of skin-disinfection.
Dan Med Bull. 1973 Dec;20(6):204-8.
9
Evaluation of disinfectant inactivators.消毒剂灭活剂的评估。
Acta Pathol Microbiol Scand B Microbiol Immunol. 1972;80(4):507-10. doi: 10.1111/j.1699-0463.1972.tb00173.x.
10
Cloxacillin in the prophylaxis of postoperative infections of the hip.
J Bone Joint Surg Am. 1973 Jun;55(4):808-13, 843.