Sterility of the Personal Protection System in Total Joint Arthroplasty

Kearns, Kenneth A.; Witmer, Dan; Makda, Junaid; Parvızı, Javad; Jungkind, Donald

doi:10.1007/s11999-011-1883-1

Cited by 25 publications

(16 citation statements)

References 18 publications

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“…They demonstrated a contamination rate as high as 80% with Staphylococcus aureus being the most prevalent organism cultured [16]. A similar study by Kearns et al [17] showed contamination of the surgical hood in 48 of 102 (47%) of cases. Perhaps most comparable with our study was a recent investigation by Young et al, in which a similar mock surgical gowning procedure was performed with fluorescent powder on the surgeon’s hands to simulate normal squamous cells.…”

Section: Discussionmentioning

confidence: 93%

Contamination Relative to the Activation Timing of Filtered-Exhaust Helmets

Hanselman

Montague

Murphy³

et al. 2016

The Journal of Arthroplasty

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Background Filtered-exhaust helmet systems are commonplace during total joint arthroplasty, but their ability to limit intraoperative contamination has been questioned. We hypothesized that activation of the airflow system after complete gowning would lead to decreased contamination of the surgical environment. Methods Using a fluorescent particle model, the maximal particle spread from a filtered-exhaust helmet and contamination of the surgical environment based on timing of airflow activation through simulated surgical gowning procedures were evaluated. Results Helmet airflow analysis revealed particle spread greater than 5 feet in all trials. Activation before gowning resulted in a significantly greater contamination in the control group compared with the experimental group (P = .014). Conclusions We recommend complete surgical gowning before activation of the airflow system.

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Section: Discussionmentioning

confidence: 93%

Contamination Relative to the Activation Timing of Filtered-Exhaust Helmets

Hanselman

Montague

Murphy³

et al. 2016

The Journal of Arthroplasty

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“…Kearns et al demonstrated that the external surface of the PPS cannot be assumed to be sterile after removal from the original packaging, and they suggested the need to change gloves if the PPS is touched or adjusted during the procedure. 46 Other authors agree with the consideration of PPS as more a personal ‘protection’ than equipment specifically to reduce PJI. 7,8,39 …”

Section: Intra-operative Factorsmentioning

confidence: 97%

Total knee arthroplasty and infection: how surgeons can reduce the risks

Ratto

Rosso³

et al. 2016

EFORT Open Reviews

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Total joint arthroplasty (TJA) is one of the most common orthopaedic procedures. Nevertheless, several complications can lead to implant failure.Peri-prosthetic joint infections (PJI) certainly represent a significant challenge in TJA, constituting a major cause of prosthetic revision. The surgeon may have an important role in reducing the PJI rate by limiting the impact of significant risk factors associated to either the patient, the operative environment or the post-operative care.In the pre-operative period, several preventive measures may be adopted to manage reversible medical comorbidities. Other recognised pre-operative risk factors are urinary tract infections, intra-articular corticosteroid injections and nasal colonisation with Staphylococcus (S.) aureus, particularly the methicillin-resistant strain (MRSA).In the intra-operative setting, protective measures for PJI include antibiotic prophylaxis, surgical-site antisepsis and use of pre-admission chlorhexidine washing and pulsed lavage during surgery. In this setting, the use of plastic adhesive drapes and sterile stockinette, as well as using personal protection systems, do not clearly reduce the risk of infection. On the contrary, using sterile theatre light handles and splash basins as well as an increased traffic in the operating room are all associated with an increased risk for PJI.In the post-operative period, other infections causing transient bacteraemia, blood transfusion and poor wound care are considered as risk factors for PJI.Cite this article: Ratto N, Arrigoni C, Rosso F, Bruzzone M, Dettoni F, Bonasia DE, Rossi R. Total knee arthroplasty and infection: how surgeons can reduce the risks. EFORT Open Rev 2016;1: 339-344 DOI: 10.1302/2058-5241.1.000032.

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“…szczepami bakterii z rodzaju Bacillus, Micrococcus czy Staphylococcus. Ten rodzaj kontaminacji należy uwzględnić przy doborze rękawiczek przeznaczonych do stosowania podczas wykonywania procedur u pacjentów z upośledzonym układem odporności [4].…”

Section: Historia Rękawicunclassified

Are gloves an effective barrier to healthcare-associated infections?

Doleżych-Teister¹,

Martirosian²

2019

Medicine

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STRESZCZENIE:W związku z tym, że zakażenia związane z opieką zdrowotną dotyczą znacznego odsetka pacjentów, a także personelu medycznego, wszelkie działania ograniczające ryzyko takich infekcji mają sens zarówno z punktu widzenia medycznego, jak i ekonomicznego. Rękawice -istotny element ochrony osobistej personelu medycznego i zarazem środek ograniczający ryzyko zakażenia pacjenta -nie są jeszcze doskonałe, ale mogą być znacznie lepiej stosowane. Robotyzacja ich produkcji i pakowania powinny doprowadzić do wyeliminowania kontaktu z żywym pracownikiem i w ten sposób do usunięcia realnego -jak się okazuje -źródła skażenia mikrobiologicznego fabrycznie nowych rękawic. Sam materiał lateksowy powinien zawierać znacznie mniej endotoksyn niż dotychczas. Łatwy do wprowadzenia i stosowania system podwójnych rękawic: wewnętrznej oraz zewnętrznej, często zmienianej podczas zabiegu, lepiej chroni pacjenta, natomiast przez wzmocnienie bariery mechanicznej znacznie ogranicza u personelu ryzyko zakłucia, ponadto jeśli rękawica wewnętrzna różni się barwą, system taki w prosty sposób sygnalizuje uszkodzenie rękawicy zewnętrznej, a więc konieczność jej prewencyjnej zmiany.SŁOWA KLUCZOWE: zakażenia związane z opieką zdrowotną, rękawice, bezpieczeństwo mikrobiologiczne ABSTRACT:As healthcare-associated infections relate to a significant percentage of patients, and the medical staff themselves are significantly exposed, all measures limiting this risk have medical and economic sense. Surgical gloves -an important element of personal medical protection and at the same time a measure to reduce the risk of patient infection, should be used in the most effective and rational way. Automatization of their production and packaging should lead to elimination of contact with a living employee and thus the elimination of the real -as it turns out -source of microbial contamination of the brand new gloves. Latex material itself should contain much less endotoxins than before. The double glove system, m

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Sterility of the Personal Protection System in Total Joint Arthroplasty

Cited by 25 publications

References 18 publications

Contamination Relative to the Activation Timing of Filtered-Exhaust Helmets

Contamination Relative to the Activation Timing of Filtered-Exhaust Helmets

Total knee arthroplasty and infection: how surgeons can reduce the risks

Are gloves an effective barrier to healthcare-associated infections?

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