Download Current Concepts of Infections in Orthopedic Surgery by G. K. Richards, J. J. Prentis, I. Wink (auth.), Hans K. PDF

By G. K. Richards, J. J. Prentis, I. Wink (auth.), Hans K. Uhthoff MD, FRCS(C), Elvira Stahl BA, FAAAS, FAMWA (eds.)

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The face was allowed to dry and the mask was the n applied. 2 cm, simulating a wound . One of the following sets of two words was said every 30 seconds: scalpel please, sponge please, clamp please, or hemostat please. Trials were done for 5, 10, 20, 30, 40, 50 and 60 minutes. Following each trial, the distilled water from the wound simulator was collected and several drops of crystal violet were added to the water to stain the contaminating human albumin microspheres. The mixture was then passed through polycarbonate microfilter membranes with perforations of e ither 5 or 8 micra.

Hamilton and coworkers (1979) have recommended a "mitt cuff" to provide better coverage and to prevent the sleeve from sliding up the arm. These authors found that positive cultures were obtained from the external surface of the standard stocking net cuffs in 36% of OR personnel whereas only 17% of the mitt cuffs demonstrated positive cultures. It appears that the mitt cuffs do provide an improved barrier to microbial contamination at this site in the OR gown. Surgeons gloves and polymethylmethacrylate Since polymethylmethacrylate is frequently used by orthopedic surgeons, its effect on glove viability is of great import not only to prevent the egress of organisms on the surgeons hands but also to prevent sensitization of the surgeon using the cement.

B) Scrubbing is the most obvious method of skin preparation. 46 c) The painting wipe technique is used for alcohol and iodoform paint. This takes little time and does not disturb the patient. d) Film-incision drapes can be impregnated with a long-lasting antiseptic solution that is slowly released. This is a new technique, the antimicrobial film being applied to the skin and remaining during the operation. The comfortable polymeric film adheres to the skin at the surgical site and slowly releases active iodine during the procedure.

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