High bacterial contamination rate of electrocautery tips during total hip and knee arthroplasty.
Int Orthop
; 42(4): 755-760, 2018 04.
Article
em En
| MEDLINE
| ID: mdl-29435622
ABSTRACT
PURPOSE:
The aim of the study was to quantify the bacterial contamination rate of electrocautery tips during primary total joint replacement (TJR), as well as during aseptic and septic revision TJR.METHODS:
A total of 150 electrocautery tips were collected between April and July 2017. TJR surgeries were divided into three groups (1) primary, (2) aseptic and (3) septic revisions. In each group, a total of 50 electrocautery tips were collected. A monopolar electrocautery with a reusable stainless-steel blade tip was used in all cases. The rate of bacterial contamination was determined for all groups. Correlation of exposure time and type of surgery was analyzed.RESULTS:
The overall bacterial contamination rate was 14.7% (95% CI 9.4 to 21.4%). The highest contamination rate occurred in the septic revision group (30.0%; 95% CI 17.9 to 44.6%), followed by the primary cases group (10.0%; 95% CI 3.3 to 21.8%) and the aseptic revision group (4.0%; 95% CI 0.5 to 13.7%). Exposure time did not affect the bacterial contamination rate. In 12 out of 15 (80%) contaminations identified in the septic group, we found the same causative microorganism of the prosthetic joint infection on the electrocautery tip.CONCLUSIONS:
The bacterial contamination of the electrocautery tips is relatively high, especially during septic hip revision arthroplasty. Electrocautery tips should be changed after debridement of infected tissue.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Reoperação
/
Contaminação de Equipamentos
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Artroplastia de Quadril
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Artroplastia do Joelho
/
Eletrocoagulação
Tipo de estudo:
Observational_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Int Orthop
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Alemanha