Editorial: Asepsis, super asepsis, and ultar asepsis.
Explore the source record for details and available documents.
Antisepsis↗
SEARCH · Search PubMed
Results for “Asepsis”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Post spinal meningitis and asepsis.
BACKGROUND: Post spinal meningitis (PSM) is a complication still currently being reported. After two PSM cases in our hospital an epidemiological study was initiated, which included a survey of techniques for asepsis that are applied in our department. METHODS: Cases defined as PSM comprised meningitis within a week after spinal anesthesia. Anesthesia records, anesthesia complication files and the records of the Hospital Commission for Infection Control from 1997 to 2000 were reviewed. Asepsis techniques applied were surveyed by a questionnaire answered by all our department's anesthesiologists. The equipment and procedures for spinal anesthesia were listed. Current anesthesia textbooks were reviewed for recommendations regarding asepsis techniques in conjunction with spinal anesthesia. RESULTS: Three cases of PSM were identified following 38,128 spinal anesthesias whereas none was observed in 12,822 patients subjected to other types of regional or general anesthesia (P>0.05). Culture of cerebrospinal fluid yielded Streptococcus in two patients and was negative in the other patient. The asepsis technique applied by the anesthesiologists varied considerably. The literature review showed that aspects on asepsis for spinal anesthesia are poorly covered. CONCLUSION: The incidence of meningitis was similar in patients subjected to spinal anesthesia and in those subjected to other anesthetic techniques. Asepsis techniques were found to differ considerably among our staff members, reflecting the lack of well-defined published standards for this procedure. We recommend that asepsis for spinal anesthesia should not be less rigorous than for surgical asepsis.
Adult↗
The use of the wound scoring method 'ASEPSIS' in postoperative wound surveillance.
For the purposes of wound surveillance programmes and clinical trials, a wound scoring method, ASEPSIS, makes assessment of wound sepsis more objective and reproducible by allotting points both for the appearance of the wound in the first week and for the clinical consequences of infection. ASEPSIS was compared with other definitions of wound infection in 1029 surgical patients and its suitability for surveillance and detection of risk factors were examined. Satisfactory healing was recorded in 867 patients, disturbance of healing in 74 and minor, moderate and severe wound infection in 41, 24 and 23 patients respectively. An ASEPSIS score over 20 points was more sensitive and as specific as the presence of pus as an indicator of changes in management resulting from infection. Multiple regression analysis of ASEPSIS scores indicated that operation type, ward, degree of contamination, age, body mass index, and preoperative stay in hospital were significant risk factors. In matching 52 infected patients with uninfected controls, any wound score over 10 points was associated with a significant delay in discharge from hospital (median 3 days, P less than 0.0005).
Cross Infection↗
Above-knee vein harvest for coronary revascularization increases ASEPSIS score.
The long saphenous vein may be harvested from the thigh or the lower leg, depending on the operating surgeon's preference. This prospective study compared the incidence of altered wound healing between these two sites in 175 patients undergoing routine coronary artery bypass grafting over a 3-month period. The patients were divided into 3 groups. In group A, the vein harvest site was restricted to above the upper border of the patella. Group B included harvest sites that started at the ankle but extended above the level of the upper border of the patella. In group C, the vein harvest site was restricted to below the upper border of the patella. The wounds were assessed daily using the ASEPSIS scoring system. In group A, significantly more patients (24%) had an ASEPSIS score > 10, compared to group B (3%) and group C (2%). The mean ASEPSIS score was significantly lower in group C than groups A or B, 1.5 +/- 2.4 vs. 6.5 +/- 3.2 or 3.7 +/- 1.7, respectively. The ASEPSIS score is reduced when vein harvest is restricted to below the level of the knee.
Aged↗
[Field study of nursing care quality. Interaction and asepsis in clinical practice].
Competence as communication skills and as skilled practice of asepsis were studied by observing four nurses while interacting with patients and performing intravenous procedures. Nurses were observed using sterile equipment for methods of intravenous therapy. Asepsis is performed frequently, but through misunderstanding in the learning of asepsis or improper model learning the nurses may establish incorrect routines. When performing procedures, unexpected factors can distract both the expert and the inexperienced, resulting in a failure to apply basic aseptic techniques. The nurses showed an interest in the patient by listening and giving responses. Nurses may control interactions with the patient by using undesirable communication skills which include incomplete sentences, incomplete explanations and closed questions. Asked to evaluate their own behavior, the nurses did not estimate whether or not the appropriate skills were applied in observed situations. To improve the quality of nursing care performance it is recommended to further develop and apply skill training programs.
Asepsis↗
Surgical asepsis revisited.
Basic principles, rituals, and surgical conscience are essential components of surgical asepsis. Surgical asepsis has become too complicated. Protective asepsis describes principles of good hygiene, sanitation, and impeccable aseptic technique; the term has received renewed interest in the advent and increased awareness of bloodborne diseases. Rituals may actually enhance learning and efficiency in the operating room even though they may or may not directly affect nosocomial infection rates.
Asepsis↗
A participatory learning module: asepsis and universal precautions.
Mastery of medical and surgical asepsis principles is mandatory for nurses in today's health care environment. The authors report on the development, implementation, and evaluation of a multimedia asepsis module incorporating universal precautions. Practical application of the content, using graphics, medical supplies, and video, occurs in the four-station participatory learning module. Student evaluations of this learning module are positive.
Asepsis↗
Divided responsibilities for operating room asepsis: The dilemma of technology.
Asepsis and concern for patient safety in the operating room are team responsibilities involving nurses, surgeons, and anesthesiologists. Meaningless rituals now being observed in the OR must be replaced by practices and procedures based on sound principles of aseptic technique. Modern instrumentation and technology, though relieving the surgeon and anesthesiologist of many of the manual tasks which once occupied them, have not solved the problems of infection control in the operating suite. Apathy, carelessness, and indifference may even increase as a by-product of technology, unless curbed by moral, ethical and legal constraints. Asepsis is not a static concept. Operating room policies and procedures need constant review and reexamination. Enforcement of these policies and rules to maintain good aseptic technique requires the cooperation of all who enter the OR suite.
Antisepsis↗
Office sterilization and asepsis procedures in endodontics.
Available evidence that there has been an epidemic of hepatitis B in the population since the 1960s and of the vulnerability of clinical dental and endodontic personnel has indicated a need to improve general asepsis procedures to guard against the spread of infection, and to improve screening for possible carriers. Specific improvements in personal protection, surface disinfectants and procedures, and control of bacterial populations in dental water units as well as broader use of instrument sterilization can provide safer conditions of treatment for patients and personnel alike. Monitoring of asepsis can increase awareness and guide improvements of skills in aseptic treatment, and improved methods of transporting samples can improve recovery of anaerobic pathogens for determinations of antibiotic susceptibility.
Antisepsis↗
Handpiece asepsis: a survey of the attitudes of dental practitioners.
The methods of handpiece asepsis employed by general dental practitioners (GDPs) in England and the problems considered to be associated with handpiece sterilisation were investigated by means of a postal questionnaire distributed to a random sample of 500 GDPs during July 1993. A total of 267 replies were received (53.4% response). The results indicated that at the time of the survey, autoclavable handpieces were possessed by 90.6% of the respondents (n = 242), with 45.9% (n = 111) of these respondents indicating that they autoclaved their handpieces routinely after every patient. Reasons given by respondents for not autoclaving handpieces routinely included insufficient handpieces, fear of handpiece damage, cost, and the consideration that sterilisation was not necessary. Handpiece asepsis procedures had been upgraded by 89% (n = 237) of respondents in the 5 years preceding the survey. Media coverage was found to have exerted influence on the respondent dentists' behaviour, with the overall incidence of routine handpiece autoclaving increasing by 20.6% after media coverage of the subject.
Attitude of Health Personnel↗
[Hygiene and asepsis in surgery: introduction (author's transl)].
Since the development of asepsis and clinical hygiene by European and American surgeons in the second half of the nineteenth century, the prevention of infection has been one of the most important concerns of surgical practice. However, owing to the rapid expansion of therapeutic methods, medical practice now makes greater demands on clinical hygiene than has hitherto been the case; it has not always been possible for developments in clinical hygiene to keep pace in this respect, and the closing of the resulting gap represents one of the most urgent tasks confronting medicine today.
Age Factors↗
[Survey on the measures of asepsis taken by general practitioners].
UNLABELLED: CURRENT STATE OF THE QUESTION: Many legislative and administrative texts rule asepsis and prophylaxis in health care centres. The deontological code provides the guidelines for medical corps. OBJECTIVE: To identify the measures set-up to prevent the transmission of infections in general practitioners' consulting rooms and to compare them with the data in the literature. METHOD: A postal survey using a questionnaire was sent to a representative sample of 119 general practitioners in the Loire-Atlantique area in France. RESULTS: The response rate was of 69%. The majority of physicians declared that had a wash basin in the consulting room, 43% declared that they did not systematically wash their hands between 2 patients in their consulting rooms and 78% during home visits, 23% used an ordinary soap, 49% a hydro-alcoholic solution, and 62% wiped their hands with a cotton towel. Blood interventions were performed with gloves by more than 80% of the participants, complete decontamination procedures of the material were performed by 6%, but more than 80% used single use material. Although 45% believed they had changed their habits, 23% remained wary of any eventual recommendations and 43% made no comments. DISCUSSION: This survey method collects declarative data and remains limited with regard to information. In-depth analysis of the daily activity of the participants would be useful for an approach of performance criteria, in view of the fact that some consultations do not include any, or even partial, clinical examination. The investments required for the purchase of the material compatible with the specifications applicable to health care centres may appear excessive for their current activity. The generalisation of the use of single use material represents a great progress in the field of prevention. Comparison with similar earlier studies shows the good progress made and the improvement in quality. Nevertheless, studies using a strict methodology are necessary to establish guidelines to be applied in general medical practice. The drawing-up of Referentials requires great rigour and the participation of the practitioners in their development and organisation would lead to substantial benefits.
Asepsis↗
Developing a collaborative community partnership program in medical asepsis with tattoo studios.
The possibility of transmission of infectious agents during tattooing has become a legitimate issue of concern for health care providers. A collaborative educational program was developed by a county health department, College of Nursing, and tattoo artists to address issues of medical asepsis with the goal of producing a mechanism for certification of tattoo studios. The group's effort was enhanced by recognizing each other's value systems and by the mutual need for a successful program. A framework for developing, implementing, and evaluating community partnerships was addressed. This program demonstrated that community health nurses can play an instrumental role in collaborating with both health care providers and personal-service workers to minimize transmission of infectious agents during cosmetic procedures.
Asepsis↗
Dental equipment asepsis.
In the past, dental equipment was designed for function and esthetics with little regard for the potential for cross-contamination. Recent advances in equipment technology are making all forms of treatment equipment much easier to disinfect and sterilize. The use of barrier materials and effective sterilizing and disinfecting agents has further enhanced the capability of the dental staff to provide truly aseptic conditions in the treatment room. The overriding factor in all aspects of equipment sterilization and asepsis will continue to be practicality and cost. Protection procedures cannot completely overshadow delivery of quality patient care. Costs to the patient must be minimized, while allowing practitioners to provide optimum service. Common sense and experience will dictate practical standards and the profession must use all available means to assure that the standards are followed.
Asepsis↗
[Asepsis and vigorous antisepsis against infectious disease transmission in the dental office].
Therapeutic acts often surgically practised in the dental office can lead to the transmission of infectious diseases such as A.I.D.S. To prevent this, the authors propose guideline base acts for antisepsis and asepsis. In conclusion, the authors exhort for an integration of these antiseptic acts in the efficient working of the dental office for an effective prevention of these infectious diseases in the area.
Acquired Immunodeficiency Syndrome↗
[Asepsis and hospital architecture: the surroundings of the operating theatre (author's transl)].
The author contends one can not plan an operatief theatre and its organization, if it is dissociated from its immediate dependencies, entrances and exists. a) The necessity of the following dependencies is discussed: 1. an anesthetic room forming a sas between the entrance hall for the patient and the operating room that makes possible the preop. preparation; 2. an area where the surgeons may prepare, corectly ventilated and reserved to the entrance of the surgical team; 3. a reserve of sterile equipment in immediate contact with the operating threater; 4. a disposal area for the linen and soiled material and that may serve to the transfer of the patient after the operation, given the wastes be evacuated in thermosealed bags. b) The circuits of the personel is then considered with a study of the one way cloak-rooms, and an example is given. Then comes the introduction in these circuits of the so-called septic operating room and of room for decontamination of instruments that can be superimposed with the place of evacuation of the equipment. In conclusion, the author mentions the evacuation of atmospheric particles released in the operating theatre and the methods of improving asepsis. He suggests the surgeon be very critic concerning the techniques proposed by the advertising.
Antisepsis↗
Asepsis: a prophylactic technique.
The incorporation of aseptic technique into surgical practice can reduce the risk of nosocomial infections associated with surgery. The four principles of asepsis are: know what is sterile, know what is not sterile, keep these concepts separate, and remedy contamination immediately. This article details aseptic technique for operating room (OR) practice. As we progress with technology, it seems there is a desire to change these time-honored practices to fit the new world of surgical specialization. OR nurses must be proficient in critically reviewing studies and rationale before making changes in these practices.
Asepsis↗
[Asepsis and hospitalization in surgery].
The authors renews the interest in care of "hospital infection". Recent advances in clinical and epidemiologic research give us important informations and caution than we shall not be able in futher avoid them. Special care is needed and the frequency of post operative wound infections can be lowered due to respect asepsis and antisepsis principles. Of great importance are the hygienic, technical, surgical and education measures taken for preventing infections.
Antisepsis↗