No significant difference in skin contamination during anterior cruciate ligament reconstruction with and without preoperative skin cleaning.

IF 3.3 2区医学 Q1 ORTHOPEDICS

Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2024-10-03 DOI:10.1002/ksa.12476

Benjamin Bartek, Alexandra Völkner, Stephan Oehme, Stephen Fahy, Tobias Winkler, Tobias Jung

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引用次数: 0

Abstract

Purpose: This prospective study aimed to assess whether preoperative antiseptic skin cleansing reduces bacterial contamination and surgical site infections (SSI) following anterior cruciate ligament reconstruction (ACLR). We hypothesized that antiseptic cleaning would lower bacterial load, reducing contamination and early infections.

Methods: One hundred and nineteen patients scheduled for ACLR were included in this prospective, nonrandomized study. Individuals were divided into two groups. Patients in the intervention group applied octenisan® wash lotion daily for three days before surgery and used the wash solution instead of their usual shower gel. Additionally, they swiped their leg with octenisan® soaked gloves on the morning of the operation. The control group followed their usual wash routine with no specific instructions. Fluid samples were taken before surgery from the irrigation bag and at 15-min intervals from the reservoir of the sterile surgical drape during the procedure. Suture material used for the ACL graft and meniscus repair were also collected for testing. The samples were subjected to a 14-day incubation period. Follow-up included outpatient visits at 6 weeks, 12 weeks and 6 months with a final evaluation at 12 months.

Results: Contamination rates showed no significant difference between the control and intervention groups. The mean contamination rate in the control group was 6.4% (n = 22) and 6.6% (n = 24) in the intervention group (p = 0.28). At 12-month follow-up, 110 out of 119 participants were included (52 control, 58 intervention). T tests for age (p = 0.19), BMI (p = 0.66), and surgery duration (p = 0.38) showed no significant differences. No early SSI were observed in either group postoperatively.

Conclusion: Our results indicate that the use of antiseptic wash lotion and gloves does not influence the risk of bacterial contamination during surgery.

Level of evidence: Level III.

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在前十字韧带重建术中，术前皮肤清洁与否对皮肤污染无明显差异。

目的：这项前瞻性研究旨在评估术前消毒皮肤清洁是否能减少前交叉韧带重建术（ACLR）后的细菌污染和手术部位感染（SSI）。我们假设抗菌清洁可降低细菌负荷，减少污染和早期感染：这项前瞻性非随机研究共纳入了 119 名计划接受前交叉韧带重建术的患者。患者被分为两组。干预组患者在术前三天每天使用 octenisan® 洗液，并用洗液代替常用的沐浴露。此外，他们还在手术当天早上用浸泡过octenisan®的手套擦拭腿部。对照组则按照平时的清洗程序进行清洗，没有特别说明。手术前从灌洗袋中抽取液体样本，手术过程中每隔 15 分钟从无菌手术巾的储液器中抽取液体样本。用于前交叉韧带移植和半月板修复的缝合材料也被收集起来进行检测。样本经过 14 天的培养期。随访包括 6 周、12 周和 6 个月时的门诊检查，以及 12 个月时的最终评估：结果：对照组和干预组的污染率无明显差异。对照组的平均污染率为 6.4%（n = 22），干预组为 6.6%（n = 24）（p = 0.28）。在为期 12 个月的随访中，119 名参与者中有 110 人（对照组 52 人，干预组 58 人）接受了随访。年龄（p = 0.19）、体重指数（p = 0.66）和手术持续时间（p = 0.38）的 T 检验显示无显著差异。两组术后均未观察到早期 SSI：结论：我们的研究结果表明，使用消毒洗液和手套不会影响手术中细菌污染的风险：证据等级：三级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee Surgery, Sports Traumatology, Arthroscopy 医学-外科

CiteScore

8.10

自引率

18.40%

发文量

418

审稿时长

2 months

期刊介绍： Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication. The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance. Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards. Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).