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Evaluation of Surgical Gown Cuff Contamination During Orthopaedic Surgery in a Veterinary Teaching Hospital. | LitMetric

Evaluation of Surgical Gown Cuff Contamination During Orthopaedic Surgery in a Veterinary Teaching Hospital.

Vet Comp Orthop Traumatol

Indiana Animal Disease Diagnostic Laboratory, West Lafayette, Indiana, United States.

Published: January 2023

AI Article Synopsis

  • This study aimed to evaluate how often bacteria are found on the cuffs of surgical gowns worn by personnel during orthopedic surgeries on dogs, both before and after the procedures.
  • The research involved sampling the gown cuffs from three scrubbed individuals during ten surgeries, finding that 41.6% of cultures tested positive for bacteria with no significant difference in the rates before and after surgery.
  • Results indicated that higher humidity levels in the operating room increased contamination risk, while fewer scrubbed individuals reduced it; the findings suggest controlling humidity could help lower the risk of surgical gown contamination.

Article Abstract

Objective:  The objective of this study was to determine the frequency of positive cultures of the surgical gown cuffs among scrubbed personnel prior to and immediately after orthopaedic surgical procedures performed on client-owned dogs.

Study Design:  In this cross-sectional study, the left and right surgical gown cuffs of three scrubbed persons in 10 orthopaedic surgical procedures were individually sampled using a sterile wipe prior to and immediately after surgery in order to determine the frequency of and risk factors associated with positive bacterial cultures.

Results:  Fifty of 120 (41.6%) cultures were positive with an even distribution before and after surgery. The three most common genera were , and . Using multivariable logistic regression models, humidity in the operating room (odds ratio: 1.04, 95% confidence interval: 1.00-1.08;  = 0.038) and the number of individuals scrubbed into surgery (odds ratio: 0.59, 95% confidence interval: 0.39-0.91;  = 0.016) had a significant effect on the likelihood of positive culture after surgery. Of the nine patients available for follow-up, one dog developed osteomyelitis.

Conclusions:  Maintaining the humidity in the operating room to the lowest comfortable level may reduce contamination of the surgical gown cuffs. Confirmation of bacterial contamination of surgical gown cuffs warrants adherence to operative guidelines to minimize the risk of surgical gown cuffs' contact with sterile attire, equipment and the surgical field during surgical procedures.

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0042-1756621DOI Listing

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