Contamination rate of the surgical gowns during total hip arthroplasty

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dc.catalogadorvzp
dc.contributor.authorKlaber Rosenberg, Ianiv Walter
dc.contributor.authorRuiz, Pablo
dc.contributor.authorSchweitzer Fernandez, Daniel Alberto
dc.contributor.authorLira Salas, María Jesús
dc.contributor.authorBotello Correa, Eduardo Andrés
dc.contributor.authorWozniak Banchero, Aniela
dc.date.accessioned2024-01-26T14:49:52Z
dc.date.available2024-01-26T14:49:52Z
dc.date.issued2019
dc.description.abstractIntroduction: Surgical instrument contamination during total joint replacement is a matter of major concern. Available recommendations suggest changing suction tips, gloves and avoiding light handle manipulation during the procedure. There is a paucity of data regarding surgical gown contamination. The aim of the present study was to evaluate the contamination rate of surgical gowns (SGs) during total hip arthroplasty (THA) and secondarily compare it with other orthopedic procedures. Materials and methods: One hundred and forty surgical gowns (from 70 surgeries) were screened for bacterial contamination using thioglycolate (a high-sensitivity culture broth). The THA contamination rate was compared with those of knee and spine procedures. Controls were obtained at the beginning of every surgery and from the culture broth. The procedure’s duration and the level of training of the surgeon were evaluated as potential risk factors for contamination. Results: Bacterial contamination was identified on 12% of surgical gowns (22% of surgical procedures). The contamination rate during THA was 4.1% (2% in primary THA and 8.3% in revisions) vs 21.67% during other surgeries (spine and knee) (OR 6.15, p = 0.012). There were no contaminated SGs during THAs performed in ≤ 2 h (0/33 SGs) vs 7.5% (3/40) for THAs that took ≥ 2 h (p = 0.25). Conclusion: There was a high rate of SG contamination during orthopedic procedures that was higher during non-arthroplasty procedures and prolonged THAs. There were no contaminated surgical gowns in THAs under 120 min, efforts should point keeping primary THAs under this cutoff time. As a general recommendation, SGs should be changed every time there is concern about potential contamination. © 2019, Springer-Verlag GmbH Germany, part of Springer Nature.
dc.fechaingreso.objetodigital2025-01-03
dc.format.extent5 páginas
dc.fuente.origenConveris
dc.identifier.doi10.1007/s00402-019-03211-w
dc.identifier.eissn1434-3916
dc.identifier.issn0936-8051
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/80983
dc.identifier.wosidWOS:000471714700016
dc.information.autorucEscuela de Medicina; Klaber Rosenberg, Ianiv Walter; 0000-0002-0181-188X; 149965
dc.information.autorucEscuela de Medicina; Schweitzer Fernández, Daniel Alberto; S/I; 1008738
dc.information.autorucEscuela de Medicina; Wozniak, Banchero Aniela; 0000-0001-9559-7660; 1008612
dc.information.autorucEscuela de Medicina; Lira Salas, María Jesús; 0000-0001-8512-1052; 195663
dc.information.autorucEscuela de Medicina; Botello Correa, Eduardo Andrés; 0000-0002-0554-2541; 82517
dc.issue.numero7
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final1019
dc.pagina.inicio1015
dc.revistaARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
dc.rightsacceso restringido
dc.subjectPeriprosthetic joint infection
dc.subjectRevisions
dc.subjectSurgical field contamination
dc.subjectSurgical gowns
dc.subjectRevisions
dc.subjectSurgical field contamination
dc.subjectSurgical gowns
dc.subject.ddc610
dc.subject.deweyMedicina y salud
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleContamination rate of the surgical gowns during total hip arthroplasty
dc.typeartículo
dc.volumen139
sipa.codpersvinculados149965
sipa.codpersvinculados1008738
sipa.codpersvinculados1008612
sipa.codpersvinculados195663
sipa.codpersvinculados82517
sipa.trazabilidadConveris;20-07-2021
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