Sterile versus nonsterile gloves for repair of uncomplicated lacerations in the emergency department

Perelman, Vsevolod; Francis, Gregory J.; Rutledge, Tim; Foote, John; Martino, Frank; Dranitsaris, George

doi:10.1016/j.annemergmed.2003.09.008

Cited by 94 publications

(69 citation statements)

References 15 publications

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“…Because the incidence of tissue infections is so low after traumatic lacerations, demonstrating a relationship between the method of treatment and infection would require 6,000 patients. 20 The precise mechanism of infection in these children remains unknown, and the etiology can only be speculated. The isolation of the same organism in 2 patients and the relatively compressed time frame does raise the question of a common source of infection.…”

Section: Discussionmentioning

confidence: 99%

Periorbital infections after Dermabond closure of traumatic lacerations in three children

Yeilding

O’Day

et al. 2012

Journal of American Association for Pediatric Ophthalmology and

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Section: Discussionmentioning

confidence: 99%

Periorbital infections after Dermabond closure of traumatic lacerations in three children

Yeilding

O’Day

et al. 2012

Journal of American Association for Pediatric Ophthalmology and

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“…o risco de infecções da ferida, o que resulta em uma economia de custo e tempo 13 . Outro estudo relacionando luvas esterilizadas contra luvas limpas, em um cenário clínico ambulatorial, avaliou se havia diferença nas unidades formadoras de colônia bacteriana nos dois grupos.…”

Section: Trata-se De Umunclassified

Uso da Técnica Limpa ou Estéril em Curativos

Prado¹,

Delphim²,

Santana³

et al. 2016

J Health Sci

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Prado ARA, et al. ResumoO uso da técnica limpa ou estéril na realização de curativos em feridas agudas ou crônicas é frequentemente questionada, pela segurança da técnica limpa, contra o custo elevado da técnica estéril. O objetivo desse estudo foi analisar a produção científica disponível na literatura sobre a escolha da técnica limpa ou estéril na realização de curativos no cuidado ao cliente com feridas crônicas ou agudas. As bases de dados definidas para busca foram Lilacs, Medline, PubMed, Cinahl, Cochrane, BDENF, Scopus e a biblioteca SciELO. Foram utilizados os descritores "feridas" e "curativos", além das palavras-chave: "técnica limpa" e "técnica estéril". A busca nas bases de dados originou o total de 58 artigos. Ao serem submetidos aos critérios de inclusão e de exclusão estabelecidos se tornaram apenas 8. A maioria dos estudos encontrados demonstra que não há um consenso sobre o uso da técnica adequada. O ideal é que os profissionais adicionem sua experiência pessoal para cada técnica escolhida de acordo com o ambiente e condição da ferida, para isso é fundamental o exercício do pensamento crítico. Torna-se, assim, necessário haver novas iniciativas de investigação com alto poder de evidência sobre o tema, além de políticas e programas educacionais sobre assepsia nos serviços de saúde para auxiliar os profissionais na tomada de decisão. Palavras-chave: Ferimentos e Lesões. Técnicas de Fechamento de Ferimentos. Terapêutica. Abstrat The use of clean or sterile technique in performing healing in acute or chronic wounds is often questioned by the security of clean technique against the high cost of sterile technique. The aim of this study was to analyze the scientific production available in the literature IntroduçãoA escolha da técnica limpa ou estéril na realização de curativos, em feridas agudas ou crônicas, tem sido frequentemente questionada, levando em consideração a segurança da técnica limpa versus o custo mais elevado da técnica estéril.A técnica estéril envolve procedimentos que reduzam, ao máximo, a carga microbiana por meio de estratégias, que restrinjam a exposição aos micro-organismos. Envolve a lavagem cautelosa das mãos, uso de campo estéril, uso de luvas estéreis, utilização apenas de instrumentos e materiais estéreis, evitando-se o contato entre aquilo, que se encontra estéril e qualquer outra superfície ou produto não estéril 1,2 . Sob o ponto de vista microbiológico é a técnica mais adequada a ser usada, porém apresenta alto custo para os serviços de saúde e/ou para os clientes.A técnica limpa (ou não estéril) envolve condutas para minimizar o número total de micro-organismos, evitando ou reduzindo o risco de transmissão de uma pessoa para outra, ou de um lugar para outro. É recomendado o uso de luvas de procedimento e instrumentais estéreis, somados aos princípios de assepsia, que incluem a preocupação com o ambiente e com a lavagem minuciosa das mãos, além da prevenção da contaminação direta de materiais e suprimentos 1,2 . Nesse contexto, assepsia é compreendida como atividades qu...

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“…For example, studies of laceration repair techniques often enroll both adult and pediatric subjects. 39,40 Adult subjects are protected by the Common Rule, while the pediatric subjects in the same study are protected by the DHHS pediatric regulations. Similarly, studies that enroll subjects using the Final Rule may also enroll incapable subjects with the consent of a substitute decision-maker, along with other subjects who are capable of providing consent.…”

Section: Inconsistency Of Multiple Federal Regulations For Emergency mentioning

confidence: 99%

U.S. Federal Regulations for Emergency Research: A Practical Guide and Commentary

McRae

Weijer²

2008

Academic Emergency Medicine

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Emergency medicine research requires the enrollment of subjects with varying decision-making capacities, including capable adults, adults incapacitated by illness or injury, and children. These different categories of subjects are protected by multiple federal regulations. These include the federal Common Rule, the Department of Health and Human Services (DHHS) regulations for pediatric research, and the Food and Drug Administration's (FDA) Final Rule for the Exception from the Requirements of Informed Consent in Emergency Situations. Investigators should be familiar with the relevant federal research regulations to optimally protect vulnerable research subjects, and to facilitate the institutional review board (IRB) review process. IRB members face particular challenges in reviewing emergency research. No regulations exist for research enrolling incapacitated subjects using proxy consent. The wording of the Final Rule may not optimally protect vulnerable subjects. It is also difficult to apply conflicting regulations to a single study that enrolls subjects with differing decision-making capacities. This article is intended as a guide for emergency researchers and IRB members who review emergency research. It reviews the elements of Federal Regulations that apply to consent, subject selection, privacy protection, and the analysis of risks and benefits in all emergency research. It explores the challenges for IRB review listed above, and offers potential solutions to these problems. ACADEMIC EMERGENCY MEDICINE 2008; 15:88-97 ª 2008 by the Society for Academic Emergency MedicineKeywords: emergency research, research ethics, federal regulations, bioethics, community consultation E mergency medicine has a broad scope of practice. The spectrum of clinical research that is required to advance emergency care is correspondingly broad. To examine clinical problems ranging from minor to life-threatening conditions, emergency research enrolls subject populations with differing decision-making capacities, including capable adults, adults incapacitated by acute illness or injury, and children. These different categories of subjects are protected by several overlapping U.S. federal regulations. Investigators should be familiar with the federal regulations that govern emergency research. Knowledge of the regulations will facilitate the IRB review process by enabling researchers to design studies that comply with the rules and preserve the rights of vulnerable research subjects.This article is intended as a guide for emergency researchers and for IRB members who oversee emergency research. It reviews the federal regulations that govern emergency research, examines necessary protections for subjects in research for which few regulations exist, and explores potential solutions to regulatory problems that present barriers to the conduct of emergency research.

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Sterile versus nonsterile gloves for repair of uncomplicated lacerations in the emergency department

Cited by 94 publications

References 15 publications

Periorbital infections after Dermabond closure of traumatic lacerations in three children

Periorbital infections after Dermabond closure of traumatic lacerations in three children

Uso da Técnica Limpa ou Estéril em Curativos

U.S. Federal Regulations for Emergency Research: A Practical Guide and Commentary

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