骨科手术中预防感染的手术冲洗解决方案综述

IF 1.7 Q2 SURGERY

JBJS Reviews Pub Date : 2023-12-01 DOI:10.2106/JBJS.RVW.23.00158

MaKenzie M. Chambers, S. Namdari

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引用次数: 0

摘要

术中冲洗在骨科手术中是一种常见的做法，尽管由于缺乏支持最佳冲洗剂的具体数据，目前还没有普遍建立的护理标准。与其他抗生素和消毒冲洗溶液相比，等渗生理盐水长期以来被认为是一种安全且经济有效的伤口冲洗溶液。目前，美国骨科医师学会、疾病控制与预防中心和世界卫生组织正式支持的生理盐水的唯一辅助药物是聚维酮碘。»需要进一步的体内临床研究来确定具有低细胞毒性作用的理想冲洗液，同时发挥最佳的抗菌性能。

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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A Review of Surgical Irrigation Solutions for Infection Prevention in Orthopaedic Surgery

» Intraoperative surgical irrigation is a common practice in orthopaedic procedures, although there is no universally established standard of care due to a lack of concrete data supporting an optimal irrigation agent.» Isotonic normal saline has long been considered a safe and cost effective solution for wound irrigation as compared with other antibiotic and antiseptic irrigation solutions.» Currently, the only adjunct to saline that is formally supported by American Academy of Orthopaedic Surgeons, the Centers for Disease Control and Prevention, and World Health Organization is povidone-iodine.» Further in vivo clinical studies are needed to identify the ideal irrigation solution that carries low cytotoxic effects while also exerting optimal antimicrobial properties.

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来源期刊

JBJS Reviews SURGERY-

CiteScore

4.40

自引率

4.30%

发文量

132

期刊介绍： JBJS Reviews is an innovative review journal from the publishers of The Journal of Bone & Joint Surgery. This continuously published online journal provides comprehensive, objective, and authoritative review articles written by recognized experts in the field. Edited by Thomas A. Einhorn, MD, and a distinguished Editorial Board, each issue of JBJS Reviews, updates the orthopaedic community on important topics in a concise, time-saving manner, providing expert insights into orthopaedic research and clinical experience. Comprehensive reviews, special features, and integrated CME provide orthopaedic surgeons with valuable perspectives on surgical practice and the latest advances in the field within twelve subspecialty areas: Basic Science, Education & Training, Elbow, Ethics, Foot & Ankle, Hand & Wrist, Hip, Infection, Knee, Oncology, Pediatrics, Pain Management, Rehabilitation, Shoulder, Spine, Sports Medicine, Trauma.