闭合性伤口敷料:细菌的温室?

IF 0.9 Q4 INFECTIOUS DISEASES
V. Scheer, Johan H Scheer, Anders Kalén, Lena Serrander
{"title":"闭合性伤口敷料:细菌的温室?","authors":"V. Scheer, Johan H Scheer, Anders Kalén, Lena Serrander","doi":"10.1177/17571774241261923","DOIUrl":null,"url":null,"abstract":"The modern wound dressing is produced to absorb fluid and protect against external contamination. The choice of which wound dressing to apply after surgery is usually based on local tradition. There are various impervious dressings on the market. Even if the wound is sterile before application, there will be subsequent recolonisation of skin microbiota. Previous studies suggest that a high bacterial load on the skin hampers wound healing and might be a risk for SSI. The aim was to compare bacterial recolonisation on the shoulder under three different wound dressings, 48 h after sterile preparation of the skin as in preparation for surgery. In 25 healthy volunteers, a standard pre-surgical skin disinfection for a deltopectoral incision was made on the left shoulder with 0.5% chlorhexidine solution in 70% ethanol. Three different wound dressings were then placed on the shoulder, and 48 h later the skin beneath each dressing was swabbed, subsequently cultured and bacterial density analysed using viable count. The bacterial recolonisation under air-dry (gauze) dressing was significantly lower ( p = .0001) compared to semipermeable and occlusive wound dressings. Choosing a less permeable wound dressing may lead to an increased bacterial load on the skin during the first 48 h after surgery.","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":null,"pages":null},"PeriodicalIF":0.9000,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Occlusive wound dressings: A greenhouse for bacteria?\",\"authors\":\"V. Scheer, Johan H Scheer, Anders Kalén, Lena Serrander\",\"doi\":\"10.1177/17571774241261923\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The modern wound dressing is produced to absorb fluid and protect against external contamination. The choice of which wound dressing to apply after surgery is usually based on local tradition. There are various impervious dressings on the market. Even if the wound is sterile before application, there will be subsequent recolonisation of skin microbiota. Previous studies suggest that a high bacterial load on the skin hampers wound healing and might be a risk for SSI. The aim was to compare bacterial recolonisation on the shoulder under three different wound dressings, 48 h after sterile preparation of the skin as in preparation for surgery. In 25 healthy volunteers, a standard pre-surgical skin disinfection for a deltopectoral incision was made on the left shoulder with 0.5% chlorhexidine solution in 70% ethanol. Three different wound dressings were then placed on the shoulder, and 48 h later the skin beneath each dressing was swabbed, subsequently cultured and bacterial density analysed using viable count. The bacterial recolonisation under air-dry (gauze) dressing was significantly lower ( p = .0001) compared to semipermeable and occlusive wound dressings. Choosing a less permeable wound dressing may lead to an increased bacterial load on the skin during the first 48 h after surgery.\",\"PeriodicalId\":16094,\"journal\":{\"name\":\"Journal of Infection Prevention\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2024-06-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Infection Prevention\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/17571774241261923\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Infection Prevention","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/17571774241261923","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0

摘要

现代伤口敷料的作用是吸收液体和防止外部污染。手术后选择哪种伤口敷料通常是基于当地的传统。市场上有各种不透水的敷料。即使伤口在敷料使用前是无菌的,皮肤微生物群随后也会重新定殖。以往的研究表明,皮肤上的细菌量过高会阻碍伤口愈合,并可能导致 SSI。这项研究的目的是比较三种不同伤口敷料在为手术做准备的皮肤无菌处理 48 小时后,肩部皮肤上细菌的重新定殖情况。在 25 名健康志愿者中,用 0.5% 的洗必泰溶液和 70% 的乙醇对左肩的胸骨下切口进行了标准的术前皮肤消毒。然后在肩部放置三种不同的伤口敷料,48 小时后对每种敷料下的皮肤进行拭抹,随后进行培养,并使用存活计数分析细菌密度。与半透性和闭塞性伤口敷料相比,风干(纱布)敷料下的细菌重新定殖率明显较低(p = .0001)。选择透气性较差的伤口敷料可能会导致术后 48 小时内皮肤上的细菌量增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Occlusive wound dressings: A greenhouse for bacteria?
The modern wound dressing is produced to absorb fluid and protect against external contamination. The choice of which wound dressing to apply after surgery is usually based on local tradition. There are various impervious dressings on the market. Even if the wound is sterile before application, there will be subsequent recolonisation of skin microbiota. Previous studies suggest that a high bacterial load on the skin hampers wound healing and might be a risk for SSI. The aim was to compare bacterial recolonisation on the shoulder under three different wound dressings, 48 h after sterile preparation of the skin as in preparation for surgery. In 25 healthy volunteers, a standard pre-surgical skin disinfection for a deltopectoral incision was made on the left shoulder with 0.5% chlorhexidine solution in 70% ethanol. Three different wound dressings were then placed on the shoulder, and 48 h later the skin beneath each dressing was swabbed, subsequently cultured and bacterial density analysed using viable count. The bacterial recolonisation under air-dry (gauze) dressing was significantly lower ( p = .0001) compared to semipermeable and occlusive wound dressings. Choosing a less permeable wound dressing may lead to an increased bacterial load on the skin during the first 48 h after surgery.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Journal of Infection Prevention
Journal of Infection Prevention Nursing-Advanced and Specialized Nursing
CiteScore
1.70
自引率
8.30%
发文量
46
期刊介绍: Journal of Infection Prevention is the professional publication of the Infection Prevention Society. The aim of the journal is to advance the evidence base in infection prevention and control, and to provide a publishing platform for all health professionals interested in this field of practice. Journal of Infection Prevention is a bi-monthly peer-reviewed publication containing a wide range of articles: ·Original primary research studies ·Qualitative and quantitative studies ·Reviews of the evidence on various topics ·Practice development project reports ·Guidelines for practice ·Case studies ·Overviews of infectious diseases and their causative organisms ·Audit and surveillance studies/projects
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信