Ortopedi Ameliyatlarında Cerrahi Sahanın Örtülmesinde Steril Poşet Kullanımının Enfeksiyon Açısından Etkinliği

Abstract

Introduction: Surgical site infections (SSI) are situations with difficult treatment processes for patients and clinicians. Though the precautions are taken to reduce this risk, they continue to occur. One of the most important sources of SSI is known to be the individual's own flora. The tables that contaminated with the patient's own flora lies under the sterile covers. This study simulated surgical conditions to research the efficacy of the use of sterile plastic against the incidence of surgical site infections. Methods: Total of 18 surgical areas were imitated in 3 different groups by using full blood in the tables covered in real operating theater conditions. Each table was contaminated with a healthy individual's forearm flora. All tables used 3 sterile re-usable surgical drapes spread one on top of the other. The difference between the groups was using a sterile plastic or non-sterile plastic below sterile re-usable surgical drapes and no using of plastic. So groups were defined as no sterile plastic group, non-sterile plastic group and sterile plastic group. Additionally the cost of using a sterile plastic was calculated. The Fisher exact test used to calculate the propability of infection development. Results: The use of sterile plastic was found to statistically reduce the possibility of infection development. The cost of using sterile plastic was was about 2,5 tl (0,8 $) when the study performed. The probability of infection development was statistically significantly lower in the sterile-plastic group. Discussion and Conclusion: After skin preparation with an appropriate antiseptic agent, we recommend covering the table with sterile nylon plastic and then re-usable surgical drapes to reduce the possibility of SSI development.