Waterless Hand Rub Versus Traditional Hand Scrub Methods for Preventing the Surgical Site Infection in Orthopedic Surgery

Iwakiri, Kentaro; Kobayashi, Akio; Shimada, Masahiko; Ando, Yumiko; Tsujio, Tadao; Hoshino, Minoru; Nakamura, Hiroaki

doi:10.1097/brs.0000000000002200

Cited by 16 publications

(12 citation statements)

References 18 publications

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“…Our result revealed that age 41-66 years was the commonest group with spinal disorders ( Table 1). Previous studies found that the mean age for spinal disorder ranges from 44.2±16.0 to 63±14 years (5)(6)(7)(8)10,12,14,16,18,(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32). This indicates that our result was consistent with previous findings.…”

Section: Discussionsupporting

confidence: 93%

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Surgical Site Infection Following Open Posterior Spine Surgery: Which is the Most Affected?

Azharuddin¹,

Harapan²,

Fajar³

2018

BTDMJB

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Amaç: Cerrahi alan enfeksiyonu (CAE), cerrahi yara iyileşme bozukluklarının önemli bir nedenidir. CAE, açık posterior omurga cerrahisinde nadir olmakla birlikte; ciddi morbidite, artan kaynak kullanımı ve mortalite ile potansiyel olarak ilişkilidir. Açık posterior omurga cerrahisi ile tedavi edilen çeşitli omurga bozuklukları ve CAE riski arasındaki ilişkiyi değerlendirmektir. Gereç ve Yöntemler: Ocak 2012-Aralık 2015 tarihleri arasında, Dr. Zainoel Abidin Kamu Hastanesi'nde elde edilen veriler ile retrospektif bir çalışma yürütüldü. Açık posterior omurga cerrahisi ile tedavi edilen omurga bozuklukları ve CAE riski verileri tıbbi kayıtlardan toplandı; tedavi edilen omurga bozuklukları ve CAE insidansı arasındaki ilişki ki-kare testi ile değerlendirildi. Bulgular: Açık posterior omurga cerrahisi ile tedavi edilen toplam 289 hastadan 7 (%2,4) CAE'li hasta incelendi. Spinal tüberküloz, CAE riskinin 5,9 kat artmasıyla ilişkiliydi [odds oranı %95, güven aralığı= 5,99 (1,14-31,51), p=0,034]. Spinal stenoz (p=0,311), omurga kırığı (p=0,759), fıtıklaşmış nukleus pulposus (p=0,484), omurga çıkıkları (p=0,806), spondilolistezis (p=0,925), omurga tümörü (p=0,491) ve skolyoz (p=0,707) gibi diğer omurga hastalıkları CAE riski ile anlamlı ilişki göstermemiştir. Sonuç: Popülasyonumuzda spinal tüberkülozun CAE riski ile ilişkili olduğu gösterilmiştir. Anahtar kelimeler: Cerrahi alan enfeksiyonu, açık posterior omurga cerrahisi, omurga bozuklukları, spinal tüberküloz, risk faktörü Objective: Surgical site infection (SSI) is an important cause of surgical wound healing disorders. Although SSI is uncommon in open posterior spine surgery, it is potentially correlated with serious morbidity, increased resource utilization and mortality. To evaluate the association between several spinal disorders treated with open posterior spine surgery and the risk of SSI. Materials and Methods: A retrospective study was conducted in Dr. Zainoel Abidin General Hospital included data during January 2012 to December 2015. The data of the spinal disorders treated with open posterior spine surgery and the risk of SSI were extracted from medical record. A chi-square was employed to assess the association between spinal disorders treated with open posterior spine surgery and the incidence of SSI. Results: A total of seven (2.4%) SSIs of 289 patients treated with open posterior spine surgery were analyzed. Spinal tuberculosis was associated with 5.9 fold increased the risk of SSI [odds ratio 95% confidence interval= 5.99 (1.14-31.51), p=0.034]. While, other spinal disorders including spinal stenosis (p=0.311), spine fracture (p=0.759), herniated nucleus pulposus (p=0.484), spinal dislocations (p=0.806), spondylolisthesis (p=0.925), spinal tumor (p=0.491), and scoliosis (p=0.707) had no significant association with the risk of SSI. Conclusion: In our population, spinal tuberculosis is indicated to be correlated with the risk of SSI.

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Section: Discussionsupporting

confidence: 93%

“…Moreover, twenty studies reported were identified from PubMed and EMBASE regarding the incidence of SSI following spine surgery. They reported the incidence vary, ranging from 0.2% to 16.1% (5)(6)(7)(8)10,12,14,16,18,(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32). Our result showed that the incidence of SSI following spine surgery was 2.4%.…”

Section: Discussionmentioning

confidence: 51%

Surgical Site Infection Following Open Posterior Spine Surgery: Which is the Most Affected?

Azharuddin¹,

Harapan²,

Fajar³

2018

BTDMJB

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“…En la investigación realizada por Iwakiri et al 8 se comparó la relación que existe entre dos técnicas de higiene de manos con el desarrollo de las infecciones de sitio quirúrgico en cirugías ortopédicas.…”

Section: Uso Del Cepillounclassified

Actualidades en la higiene de manos quirúrgica. Revisión de la literatura

Mena-Gómez

2020

Enferm. univ.

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Introducción: La higiene de manos quirúrgica, procedimiento esencial en cirugía; es una técnica que ha evolucionado y se ha ido actualizando tras el surgimiento de evidencia científica. El manual de la Organización Mundial de la Salud (OMS) publicado hace diez años es uno de los documentos que plasman cambios de esta técnica, como dejar de usar el cepillo. Sin embargo, es necesario analizar la evidencia actual con la finalidad de reconocer las nuevas tendencias de acuerdo con los resultados de las investigaciones publicadas. Objetivo: Realizar una revisión actualizada de la literatura sobre la higiene de manos quirúrgica. Desarrollo: El lavado de manos quirúrgico con cepillo es un procedimiento que se realiza en la mayoría de las instituciones hospitalarias de México; pocas han incursionado en la técnica en la que se omite el uso de cepillo. Existen diversos estudios que sustentan que el uso de cepillos debe ser erradicado debido al daño tisular que estos ocasionan. La abrasión dérmica provocada por el uso de cepillos origina que el personal se cepille las superficies de las manos y brazos por menos tiempo que el recomendado y esto a su vez impide un efecto idóneo por parte de los antisépticos. Las sustancias más recomendadas son la clorhexidina y las soluciones a base de alcohol. Conclusiones: La higiene de manos quirúrgica sin cepillo debe ser considerada debido a que disminuye costos hospitalarios, garantiza la efectividad de la descontaminación de manos, ocasiona menos lesiones dérmicas y contribuye a la reducción de las infecciones relacionadas al sitio quirúrgico.

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“…In a study conducted by Iwakiri et al, the time and cost of alcoholic rubs with alcohol-based CHG solutions were less than those of the traditional scrub solutions. Moreover, alcohol rubs with alcohol-based CHG solution can be safe and have rapid disinfection (16).…”

Section: • Alcohol-based Solutionmentioning

confidence: 99%

Hand disinfectants and surgical site infections: A narrative review

Khodabakhshi

Fanoudi

2020

jsurgery

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Surgical site infection is one of the most common health-related infections, which can cause problems for health care providers by increasing morbidity and mortality, length of hospital stay, and costs. Undoubtedly, one of the most efficient and cost-effective ways to fight infection is to prevent it. An essential measure in infection control is the disinfection of the surgical team members to remove fat and contamination, eliminate transient microorganisms, and prevent the growth and proliferation of resident microorganisms on the skin. This study aimed to introduce different types of soap and alcohol disinfectant solutions for surgical scrub and describe the advantages and disadvantages of each by reviewing several recent research studies. This study is a brief overview of the recently conducted articles as searched in library resources, the Google Scholar Search Engine, Pubmed, UpToDate, Cochran, and Scopus databases using the English keywords of "hand hygiene", "infection control", "hand disinfection/methods", "hand disinfection/standards", and "Surgical Procedures, Operative" as well as the Persian keywords of "surgical scrub", "Povidone-iodine", "alcohol", and "hand disinfection". After reviewing 76 articles and eliminating the duplicate sources, 43 studies published from 2007 to 2019 were fully reviewed. Finally, 26 sources were selected as eligible with substantial relevance to the subject matter and subsequently reviewed. Based on the review of articles, it can be concluded that alcoholic solutions are often effective alternatives to soap scrub solutions due to their high disinfecting properties, safety, rapid effectiveness, and greater compliance with instructions.

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Waterless Hand Rub Versus Traditional Hand Scrub Methods for Preventing the Surgical Site Infection in Orthopedic Surgery

Abstract: 3.

Cited by 16 publications

References 18 publications

Surgical Site Infection Following Open Posterior Spine Surgery: Which is the Most Affected?

Surgical Site Infection Following Open Posterior Spine Surgery: Which is the Most Affected?

Actualidades en la higiene de manos quirúrgica. Revisión de la literatura

Hand disinfectants and surgical site infections: A narrative review

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