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The Journal of arthroplasty v.33 no.1, 2018년, pp.211 - 215   SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

A Chlorhexidine Solution Reduces Aerobic Organism Growth in Operative Splash Basins in a Randomized Controlled Trial

Lindgren, Kevin E.    (Department of Orthopaedics, University of Utah, Salt Lake City, Utah   ); Pelt, Christopher E.    (Department of Orthopaedics, University of Utah, Salt Lake City, Utah   ); Anderson, Mike B.    (Department of Orthopaedics, University of Utah, Salt Lake City, Utah   ); Peters, Christopher L.    (Department of Orthopaedics, University of Utah, Salt Lake City, Utah   ); Spivak, Emily S.    (Division of Infectious Diseases, Department of Internal Medicine, University of Utah, Salt Lake City, Utah   ); Gililland, Jeremy M.    (Department of Orthopaedics, University of Utah, Salt Lake City, Utah  );
  • 초록  

    Abstract Background Despite recommendations against the use of splash basins, due to the potential of bacterial contamination, our observation has been that they continue to be used in operating theaters. In hopes of decontaminating the splash basin, we sought to determine if the addition of chlorhexidine gluconate (CHG) would eliminate aerobic bacterial growth within the splash basin. Methods After Institutional Review Board approval, we began enrollment in a randomized controlled trial comparing 2 splash basin solutions. Splash basins (n = 111) were randomized to either the standard of care (control) solution of sterile water or the experimental solution containing 0.05% CHG. One 20 mL aliquot was taken from the basin at the end of the surgical case and delivered to an independent laboratory. Samples were plated on tryptic soy agar (medium) and incubated at 30°C-35°C to encourage growth. After 48-72 hours, the agar plates were examined for growth and a standard plate count of aerobic cultures was performed. Results The sterile water group was found to have bacterial growth in 9% of samples compared to no growth in the CHG group ( P = .045). The organisms included Micrococcus luteus , Staphylococcus hominis , Gram-variable coccobacilli, and unidentifiable Gram-positive rods. Conclusion Given the safety and efficacy of a concentration of 0.05% CHG in reducing the bacterial contamination in the operative splash basin, it would seem that if the practice of using a splash basin in the operating theater is to be continued, the addition of an antiseptic solution such as that studied here should be considered.


  • 주제어

    Level 1 .   randomized controlled trial .   contamination .   splash basin .   bacterial growth .   total joint arthroplasty .   chlorhexidine gluconate.  

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