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isk of facial splashes in four major surgical specialties in a multicentre study
Journal of Hospital Infection
Volume 67, Issue 1, September 2007, Pages 56-61
Summary
This study analyses ... [/quote]
四种主要外科手术血液溅脸的危险性的多中心临床研究
This study analyses the results of face-shield blood spatter contamination at six medical facilities to determine exposure risk when facial protection is not used. 这项研究分析在六个医疗部门中面罩被血液溅污的结果以确定不使用面罩防护的暴露危险。
Blood spatter exposure was evaluated on the basis of overall incidence, location of spatter on face shields, surgical specialty, risk for operating room staff, length of surgery and volume of blood loss. 血液溅污通过以下方面进行评估:溅污发生的几率、污染的位置、外科手术种类、手术工作人员的危险、手术持续的时间和失血量。
Six hundred face shields were evaluated for blood spatter contamination by visual inspection as well as by staining with leucomalachite green.通过肉眼观察和隐色孔雀绿染色来评估六百个面罩的污染情况。
The face shield was divided into three regions: Orbital (O-region), Paraorbital (P-region) and Mask (M-region). Visual examination detected blood spatter contamination in 50.5% (303/600) of the face shields, whereas leucomalachite green staining detected blood contamination in 66.0% (396/600). Blood contamination was 36.6% (220/600) in the O-region, 37.8% (227/600) in the P-region and 57.0% (342/600) in the M-region. 面罩由三个部分组成:遮盖眼睛、眼眶周围和面部区域。肉眼可见的污染见于50.5%(303/600)面罩,而隐色孔雀绿染色可在66.0%(396/600)的面罩中检测到。眼睛部位的血污染占36.6%(220/600), 眼眶周围的污染占37.8%(227/600),面部污染见于57.0%(342/600)。
Among operating room staff, the incidence of blood spatter was greatest among lead surgeons at 83.5% (167/200), followed by the first assistant at 68.5% (137/200) and the scrub nurse at 46.0% (92/200). 手术工作人员中,血液溅污最常见于主刀医师占83.5% (167/200),其次是第一助手占68.5%(137/200),洗手护士占46.0%(92/200)。
By specialty, cardiovascular surgery was at highest risk with an incidence of 75.3% (113/150) followed by neurosurgery at 69.3% (104/150), gastrointestinal at 60.0% (90/150) and orthopaedic surgery at 60.0% (90/150). 在各外科专业中,心血管外科发生的危险最高75.3% (113/150),其次是神经外科69.3% (104/150)、胃肠外科60.0% (90/150)和骨科60.0% (90/150)。
Keywords: Blood-borne infection; Body fluids; Facial protection; Personal protective equipment; Surgery
关键词:血源感染;体液;面罩;个人防护设施;外科
这项研究分析在六个医疗部门中面罩被血液溅污的结果以确定不使用面罩防护的暴露危险。血液溅污通过以下方面进行评估:溅污发生的几率、污染的位置、外科手术种类、手术工作人员的危险、手术持续的时间和失血量。通过肉眼观察和隐色孔雀绿染色来评估六百个面罩的污染情况。面罩由三个部分组成:遮盖眼睛、眼眶周围和面部区域。肉眼可见的污染见于50.5%(303/600)面罩,而隐色孔雀绿染色可在66.0%(396/600)的面罩中检测到。眼睛部位的血污染占36.6%(220/600), 眼眶周围的污染占37.8%(227/600),面部防护区污染见于57.0%(342/600)。手术工作人员中,血液溅污最常见于主刀医师占83.5% (167/200),其次是第一助手占68.5%(137/200),洗手护士占46.0%(92/200)。在各外科专业中,心血管外科发生的危险最高75.3% (113/150),其次是神经外科69.3% (104/150)、胃肠外科60.0% (90/150)和骨科60.0% (90/150)。
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