The risk of eye splash injuries in surgery.

The Australian and New Zealand journal of surgery Pub Date : 1998-11-01 DOI:10.1111/j.1445-2197.1998.tb04677.x

S Marasco, S Woods

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引用次数: 54

Abstract

Background: This study arose out of a concern about the transmission of infectious diseases through eye splash injuries in surgery. The purpose of this study was to identify the extent of the risk of eye splash injuries.

Methods: A prospective trial was undertaken which examined 160 consecutive eye shields used by surgeons and assistants in operations of 30 min or longer. The shields were inspected for macroscopic splashes and then tested for microscopic splashes using reagent strips.

Results: Of the 160 eye shields used in surgery, 71 tested positive for blood (44%). The surgeon was aware of a spray episode in only 13 cases (8%). The splashes were macroscopically visible in only 26 (16%) cases. The risk of eye splash was higher for the surgeon than for the assistants and increased with the length of the operation.

Conclusions: This study demonstrates that the risk of eye splash injury in surgery is much greater than that perceived by most surgeons and trainees. Eye protection should be mandatory for all personnel in the operating theatre, particularly for those directly involved with the operation.

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手术中眼睛飞溅伤的风险。

背景:本研究是出于对外科手术眼飞溅伤感染性疾病传播的关注。本研究的目的是确定眼睛飞溅伤害的风险程度。方法:对160例外科医生及其助手在30分钟及以上的手术中连续使用的眼罩进行前瞻性研究。对屏蔽层进行宏观飞溅检查，然后使用试剂条进行微观飞溅测试。结果:在手术中使用的160个眼罩中，71个(44%)血液检测呈阳性。只有13例(8%)的外科医生意识到喷雾发作。只有26例(16%)患者在宏观上可见飞溅。外科医生的眼溅风险高于助手，且随手术时间的延长而增加。结论:本研究表明，手术中眼飞溅损伤的风险远远大于大多数外科医生和学员的认知。所有在手术室的人员，特别是那些直接参与手术的人员，都必须保护眼睛。

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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The Australian and New Zealand journal of surgery

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