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Results for “ANTISEPSIS AND ASEPSIS”

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At least 865 records · Page 48Linked to original sources
PubMed1978

Assessment of the sterility of long-term cardiac catheterization using the thermodilution Swan-Ganz catheter.

Fifty-seven patients requiring catheterization with a thermodilution Swan-Ganz catheter in the surgical intensive care unit were prospectively studied to determine the incidence and significance of positive pulmonary arterial blood cultures. Nonseptic (group 1) and septic (group 2) patients were identified, with subdivision of the groups into A and B classes contingent upon a negative or positive pulmonary arterial blood culture respectively. In the nonseptic group, there were no positive blood cultures, provided there was only one catheterization (Swan-Ganz), less than three repositionings of the catheter, and discontinuation of the catheterization within 72 hours after insertion. Although the septic group followed this pattern, 25 percent incidence of positive pulmonary arterial blood cultures was present within the 72-hour period. We believe that the thermodilution Swan-Ganz catheter is presently a valuable clinical tool and does not predispose the patient to an excessive infectious disease risk.

Adult↗
PubMed1979

Prophylaxis of neurosurgical infections by improved preoperative disinfection of the scalp.

The heads of neurosurgical patients were subject to 2 scrubbings with hexachlorophene detergent, performed in the ward prior to operation. After this single change of routines the frequency of wound infections after craniotomy dropped 4-fold, from 2% to 0.5%. The result indicates that the scalp of the patient is the major source of the staphylococci that cause neurosurgical infections.

Administration, Topical↗
PubMed1990

An examination of three draping questions.

Rising costs and a new emphasis on outcomes are stimulating closer scrutiny of traditional OR practices such as draping. What is truly necessary? What is proven? What makes sense? This is the second of a two-part article on draping. In the July issue, we examined draping for clean-contaminated procedures, total body draping, and adherent drapes. In this issue, we tackle three more draping questions.

Antisepsis↗
PubMedDate not supplied

Design, devices, and discipline in operating room infection control.

The prevention of surgical infection in the operating theatre is a complex pursuit. Every facet of activity, whether it is part of the surgical act itself or a remote activity with indirect effects on the surgical operation, constitutes part of the whole realm of infection control. These many facets may be divided into four main components, all interdependent: (a) the surgeon and his team (surgical technique; adherence to surgical anatomic, physiologic, and aseptic principles; discipline); (b) education and communiction--a functioning infections committee, repeated tutorials for all prefessional and technical operating room personnel, constant review of methods and systems, effective reporting of offenses, enforcement of discipline; (c) dependable support services--sterilizing techniques, barrier materials, apparel, laundry methods; materials handling and processing methods; efficiency and personal hygiene of all techincal and support personnel; discipline; and (d) environmental factors--architecture, engineering, and air handling; electrical and mechanical requirements; communication; discipline).

Air Microbiology↗
PubMed1982

A first-phase quality assurance program for intravenous admixture aseptic technique.

Results of initial departmental quality assurance audits revealed noncompliance with the intravenous admixture service criteria concerning aseptic technique. In order to better assess this problem, a quality assurance program for aseptic technique was developed. The criteria consisted of 16 characteristics and/or functions that are indicative of aseptic technique. An audit of 13 technicians revealed a number of problems (noncompliance) related to aseptic technique. An educational program was developed and implemented on an individual basis. A reaudit two to four weeks later revealed compliance with the aseptic technique criteria. This study indicates that the audit method is effective in determining compliance to the aseptic technique criteria and standards.

Antisepsis↗
PubMed1982

Maintaining competency of sterile products personnel.

The literature is replete with articles concerning the importance of properly training and monitoring individuals assigned the responsibility of preparing sterile products. At the William L. Keller U.S. Army Community Hospital, the monitoring of these individuals has taken the form of a monthly examination composed of mathematical and technical functions.

Antisepsis↗