Scalpel blade contamination and risk of postoperative surgical site infection following abdominal incisions in dogs

Autor:	Christopher P. Bloch, Forrest I. Townsend, Christina G. Lioce, Elizabeth C. Davis, Julie W. Bennett
Rok vydání:	2019
Předmět:	0301 basic medicine Male medicine.medical_specialty animal structures Scalpel Scalpel blade lcsh:Medicine Pilot Projects General Biochemistry Genetics and Molecular Biology 03 medical and health sciences 0302 clinical medicine Dogs Suture (anatomy) stomatognathic system Contamination Abdomen medicine Animals Humans Surgical Wound Infection 030212 general & internal medicine Postoperative Period Prospective Studies lcsh:Science (General) lcsh:QH301-705.5 Skin Ventral midline Skin incision business.industry Dissection lcsh:R food and beverages General Medicine Surgical Instruments Surgery Abdominal incision Research Note surgical procedures operative 030104 developmental biology lcsh:Biology (General) Positive culture Female business Surgical site infection lcsh:Q1-390
Zdroj:	BMC Research Notes BMC Research Notes, Vol 12, Iss 1, Pp 1-5 (2019)
ISSN:	1756-0500
Popis:	Objective This prospective observation sought to determine if scalpel blades used for abdominal skin incisions in dogs are a significant source of bacterial contamination, and if these blades should be changed prior to use in deeper dissection. Results Scalpel blades were swabbed for culture prior to skin incision as a control, and then again following ventral midline abdominal skin incision in a total of 75 dogs. Culture and sensitivity results were compared with review of medical records for any evidence of pre- or postoperative incisional surgical site infection/inflammation (SSI). Of the 75 blades swabbed after skin incision, only 2 (2.7%) had positive culture results. Of the 69 patients that survived to suture removal, there was evidence of SSI in 6 patients (8.7%), only one of which had a positive scalpel blade culture (16.7%). Neither the use of postoperative antibiotics nor positive scalpel blade culture results were good predictors of whether a patient would develop a SSI. Results of this pilot study suggest that there is no bacteriological evidence to support the use of a separate blade for deep dissection in routine surgical procedures. Electronic supplementary material The online version of this article (10.1186/s13104-019-4494-7) contains supplementary material, which is available to authorized users.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5f3fb3647956e2efc4496972c2af487d https://pubmed.ncbi.nlm.nih.gov/31345266 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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