Schmidt-Burbach G
Unfallchirurgie. 1984 Jun;10(3):127-32. doi: 10.1007/BF02585801.
In connection with the evaluation of hospital infections, the investigations of several authors indicate a rate of about 25% of surgical wound infections. The greater part are exogenic infections the number of which can be influenced by prophylactic measures in the environment of surgical activity. In this connection, the importance of surgical lights as possible sources of germs or with respect to a possible dissemination of germs is taken into consideration. The investigations conducted for this purpose showed that a hygienic risk is not involved in the use of surgical lights of the type "closed system", whereas surgical lights of the type "open system" seem rather precarious. It was demonstrated that the latter bear the possibility of a germ colony within the lamp as well as of a germ dissemination from the lamp. So the hygienic aspect should be considered when choosing a surgical light. Lights of the type "open system" are not recommendable.
在医院感染评估方面,多位作者的调查表明,手术伤口感染率约为25%。其中大部分是外源性感染,其数量可通过手术活动环境中的预防措施加以影响。就此而言,需考虑手术灯作为可能的病菌来源或关于病菌可能传播的重要性。为此开展的调查显示,使用“封闭系统”类型的手术灯不存在卫生风险,而“开放系统”类型的手术灯似乎相当危险。已证实,后者存在灯内形成菌落以及病菌从灯中传播的可能性。因此,选择手术灯时应考虑卫生因素。不推荐使用“开放系统”类型的手术灯。