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Biomedical subjects

N L Belkin

Publications and source records attributed to N L Belkin.

At least 19 recordsLinked to original sources

Barrier materials. Their influence on surgical wound infections.

Aseptic technique can best be described as an aggregation of reasonable practices performed in the surgical suite as part of the overall methodology in controlling or minimizing the possibility of infection. The key words in this definition are aggregation and reasonable. The real question is whether the surgical nursing community is prepared to reconsider and reassess the importance of a theoretical and reasonable, but not proven, practice that it has been advocating for almost two decades. From the evidence, it appears that a departure from the universal application of the barrier principle would not compromise the quality of care rendered to the surgical patient while at the same time prove to be economically and environmentally advantageous.

Asepsis

Medical waste.

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Humans

Personal protective equipment in aseptic technique and universal precautions.

1. Although some of the basic principles of aseptic technique are fundamentally similar, their roles in terms of protection is reversed. 2. Whereas the use of the surgical mask has often been abused, ie, being saved by hanging around the neck, there is reason to believe that masks may only be necessary in those instances where the wearer is exposed to splashes, spray, or spatter of infectious materials. 3. Materials that are liquid-resistant may possess various degrees of resistance. On the other hand, the performance of a material that is liquid-proof is absolute--it is impenetrable and can be accurately described as impervious.

Asepsis

Surgical gowns and drapes as aseptic barriers.

The use of surgical gowns and drapes has become the standard of practice in the arena of surgical aseptic technique. Because of myriad of materials, both woven and nonwoven, are currently available, users are faced with the difficult task of choosing a bacteriologic barrier material that is effective, safe, and economical. Although recommendations are available for general selection and use of barrier materials, no specific guidelines exist to assist the user in evaluating the important features of barriers. In addition, standards are lacking for safety characteristics such as flammability and fiber content. The infection control practitioner needs to be aware of the issues surrounding surgical barrier materials to be able to put the infection control merits of these materials in their proper perspective.

Antisepsis