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一种用于手术室的服装:对细菌脱落的影响。

A garment for use in the operating theatre: the effect upon bacterial shedding.

作者信息

Dankert J, Zijlstra J B, Lubberding H

出版信息

J Hyg (Lond). 1979 Feb;82(1):7-14. doi: 10.1017/s0022172400025419.

DOI:10.1017/s0022172400025419
PMID:762405
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2130113/
Abstract

In operating theatres the air is mainly contaminated with bacteria shed from the human skin. The emission of bacteria can be prevented by wearing clothing of impervious material, while normal cotton clothing does not decrease the shedding of bacteria. In this study shedding of viable bacteria from 20 test-persons wearing an operating theatre suit, composed of 65% polyester and 35% cotton (Diolen), was investigated in a test-chamber and compared with that when normal clothing was worn. The use of this operating-theatre suit resulted in a significant reduction (50--75%) in the number of bacteria-carrying particles in the air of the test-chamber and in an operating room when everyone present wore this suit. A combination of the suit with knee-high boots showed a further reduction in the dispersal of colony forming units. The dispersion from female subjects wearing an operating-theatre frock was significantly higher than when wearing an operating-theatre suit.

摘要

在手术室中,空气主要被人体皮肤脱落的细菌所污染。通过穿着不透水材料制成的衣物可以防止细菌散发,而普通棉质衣物并不能减少细菌的脱落。在本研究中,对20名穿着由65%聚酯和35%棉花(迪奥林)制成的手术室服装的受试人员在测试室内的活菌脱落情况进行了调查,并与穿着普通衣物时的情况进行了比较。当在场的每个人都穿着这种手术室服装时,使用这种手术室服装可使测试室和手术室空气中携带细菌的颗粒数量显著减少(50%-75%)。这种服装与齐膝高的靴子搭配使用,可进一步减少菌落形成单位的扩散。穿着手术室连衣裙的女性受试者的细菌扩散明显高于穿着手术室服装时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/389f/2130113/fc6f942131e7/jhyg00046-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/389f/2130113/fc6f942131e7/jhyg00046-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/389f/2130113/fc6f942131e7/jhyg00046-0023-a.jpg

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本文引用的文献

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REDUCTION OF DISSEMINATION OF SKIN BACTERIA BY MODIFICATION OF OPERATING-ROOM CLOTHING AND BY ULTRAVIOLET IRRADIATION.通过改进手术室着装和紫外线照射减少皮肤细菌传播
Lancet. 1965 Sep 4;2(7410):458-61. doi: 10.1016/s0140-6736(65)91421-2.
2
STUDIES ON THE DISPERSAL OF STAPHYLOCOCCI.葡萄球菌传播的研究
J Clin Pathol. 1965 Jan;18(1):16-9. doi: 10.1136/jcp.18.1.16.
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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.
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Postoperative infection in total prosthetic replacement arthroplasty of the hip-joint. With special reference to the bacterial content of the air of the operating room.髋关节全假体置换术后感染。特别提及手术室空气的细菌含量。
Br J Surg. 1969 Sep;56(9):641-9. doi: 10.1002/bjs.1800560902.
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Infection by air-borne bacteria with cardiopulmonary bypass.
Surgery. 1971 Dec;70(6):830-8.
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Aerobic bacterial counts on human skin after bathing.
J Med Microbiol. 1971 Aug;4(3):319-27. doi: 10.1099/00222615-4-3-319.
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Coagulase-negative staphylococci causing endocarditis after cardiac surgery.心脏手术后引起心内膜炎的凝固酶阴性葡萄球菌
J Clin Pathol. 1973 Jul;26(7):517-22. doi: 10.1136/jcp.26.7.517.
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Microcolony size of microbes on human skin.
J Med Microbiol. 1973 Aug;6(3):323-8. doi: 10.1099/00222615-6-3-323.
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Clean air symposium. I. Clean air in the operating room.清洁空气研讨会。一、手术室中的清洁空气。
Cleve Clin Q. 1973 Fall;40(3):99-114. doi: 10.3949/ccjm.40.3.99.
10
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Lancet. 1965 Oct 2;2(7414):681-3. doi: 10.1016/s0140-6736(65)90412-5.