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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Additional info for Current Concepts of Infections in Orthopedic Surgery
LETTS Surgical Wound contamination The primary sources of surgical wound contamination are a) contact, b) endogenous, and c) airborne. The introduction of microorganisms directly into the wound by contact with instruments, surgeons, and operating room personnel can be reduced by good barrier systems encompassing both surgeon and patient. Endogenous infections are basically contamination from the patients own microflora that invade the wound. Airborne contamination of the wound results from microorganisms invading the wound, usually from debris contaminated by the surgical staff.
When necessary, shave surgical site and immediate surrounding skin using a disposable safety razor. 2. Wash for 2 minutes with detergent-based solution of 4% chlorhexidine. 3. Dry with sterile towel. 4. 5% chlorhexidine in 70% isopropyl alcohol. Rub firmly over surgical site, using gloved hand, until the skin is dry. 5. Repeat #3. References 1. : A study of the surgical scrub. Surg. Gynecol. Bostet. 91, 577, 1950. 2. : Disinfection, Sterilization, and Preservation. Febiger, Philadelphia, 1983. p.
Skin carriage of bacteria in the human. Space Craft Sterilization and Technology. National Aeronautics and Space Administration Publication, NASA sp. 108, 8~ 1966. 21. : Permeability of surgeons gloves to methylmethacrylate. Acta Orthop. Scand. ~, 790, 1983. Clean Wound Surveillance G. K RICHARDS, C. GAESE, and S. 'IRAVERS Clean wound surveillance is regarded by some as the study of bacteriologic cultures taken from clean incised tissue at the time of surgery. Others apply this term to the surveillance of patients having undergone clean surgical procedures to measure the rate of postoperative wound sepsis.
Current Concepts of Infections in Orthopedic Surgery by G. K. Richards, J. J. Prentis, I. Wink (auth.), Hans K. Uhthoff MD, FRCS(C), Elvira Stahl BA, FAAAS, FAMWA (eds.)