Should we use a separate knife for the skin?
| Autor: | R.F. Spencer, Oliver S. Schindler, M. D. Smith |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Coagulase
Elective orthopaedic surgery medicine.medical_specialty Prosthesis-Related Infections animal structures Chirurgie orthopedique Staphylococcus Dermatologic Surgical Procedures Colony Count Microbial stomatognathic system Humans Medicine Arthroplasty replacement Orthopedics and Sports Medicine Arthroplasty Replacement Prosthesis-Related Infection Knife blades Skin incision business.industry Propionibacterium food and beverages Medical practice Surgical Instruments Surgery Equipment Contamination Staphylococcal Skin Infections business |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :382-385 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.88b3.17155 |
| Popis: | The aim of this study was to re-assess whether the use of a ‘one-knife technique’ can be considered as safe as the alternative practice of using separate skin and inside knives for elective orthopaedic surgery. A total of 609 knife blades from 203 elective orthopaedic operations, with equal numbers of skin, inside and control blades, were cultured using direct and enrichment media. We found 31 skin blades (15.3%), 22 inside blades (10.8%), and 13 control blades (6.4%) gave bacterial growth. Of the 31 contaminated skin blades only three (9.7%) had growth of the same organism as found on the corresponding inside blade. It is not known whether contamination of deeper layers in the remaining 90% was prevented by changing the knife after the skin incision. The organisms cultured were predominantly coagulase-negative staphylococci and proprionibacterium species; both are known to be the major culprits in peri-prosthetic infection. Our study suggests that the use of separate skin and inside knives should be maintained as good medical practice, since the cost of a single deep infection in human and financial terms can be considerable. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|