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Intraoperative bacterial contamination in total hip and knee arthroplasty is associated with operative duration and peeling of the iodine-containing drape from skin
http://hdl.handle.net/10271/00003860
http://hdl.handle.net/10271/00003860ef86024c-85ee-45d0-8b6c-ece0fc3616cf
| 名前 / ファイル | ライセンス | アクション |
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EJOST-30-917.pdf (428.4 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||
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| 公開日 | 2021-07-01 | |||||||||||||
| タイトル | ||||||||||||||
| タイトル | Intraoperative bacterial contamination in total hip and knee arthroplasty is associated with operative duration and peeling of the iodine-containing drape from skin | |||||||||||||
| 言語 | en | |||||||||||||
| 言語 | ||||||||||||||
| 言語 | eng | |||||||||||||
| キーワード | ||||||||||||||
| 主題 | surgical drape | |||||||||||||
| キーワード | ||||||||||||||
| 主題 | iodine | |||||||||||||
| キーワード | ||||||||||||||
| 主題 | bacterial contamination | |||||||||||||
| キーワード | ||||||||||||||
| 主題 | total hip arthroplasty | |||||||||||||
| キーワード | ||||||||||||||
| 主題 | total knee arthroplasty | |||||||||||||
| 資源タイプ | ||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||
| 資源タイプ | journal article | |||||||||||||
| 著者 |
Hanada, Mitsuru
× Hanada, Mitsuru
× Hotta, Kensuke
× Furuhashi, Hiroki
× Matsuyama, Yukihiro
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| 書誌情報 |
European Journal of Orthopaedic Surgery & Traumatology 巻 30, 号 5, p. 917-921, 発行日 2020-07 |
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| 出版者 | Springer Nature | |||||||||||||
| 権利 | ||||||||||||||
| 権利情報 | "This is a post-peer-review, pre-copyedit version of an article published in ""European Journal of Orthopaedic Surgery & Traumatology"". The final authenticated version is available online at: https://doi.org/10.1007/s00590-020-02653-y." | |||||||||||||
| 抄録 | ||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||
| 内容記述 | Background: Surgical site infection (SSI) and periprosthetic joint infection are the most important problems after total hip arthroplasty (THA) and total knee arthroplasty (TKA). This study aimed to examine the risk factors for intraoperative bacterial contamination in THA and TKA. Methods: One hundred and seven hips underwent THA, while 74 knees underwent TKA. After the implant was placed, a swab sample for bacterial culture was collected around the skin incision. At the time of specimen collection, patients were separated into two groups based on whether the iodine-containing drape remained adhered to the skin (group DR) or the iodine-containing drape was peeled off (group ND). Patient characteristics, including age, height, body weight, body mass index, operative duration, intraoperative blood loss, surgical procedures, and condition of the iodine-containing drape, were compared between patients with positive and negative bacterial cultures. Results: In THA, which had a shorter operative duration than TKA (p<0.001), there was one case of bacterial contamination. In TKA, there were ten cases of positive bacterial contamination, all in group ND. Postoperative SSI occurred in one case. The binomial logistic regression analyses confirmed that TKA (OR 16.562 [95% CI 2.071 to 132.430], p<0.01) compared to THA and the group ND (OR 0.000 [95% CI 0.000], p<0.001) compared the group DR. were risk factors of bacterial contamination. In TKAs, operative duration was a risk factor of bacterial contamination (OR 1.026 [95% CI 1.000 to 1.054], p<0.01). Conclusions: Intraoperative bacterial contamination increases in procedures with long operating time and may be suppressed by proper use of an iodine-containing drape. |
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| 収録物識別子タイプ | ISSN | |||||||||||||
| 収録物識別子 | 1633-8065 | |||||||||||||
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| 収録物識別子タイプ | ISSN | |||||||||||||
| 収録物識別子 | 1432-1068 | |||||||||||||
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| 関連タイプ | isVersionOf | |||||||||||||
| 識別子タイプ | PMID | |||||||||||||
| 関連識別子 | 32170430 | |||||||||||||
| 出版社DOI | ||||||||||||||
| 関連タイプ | isVersionOf | |||||||||||||
| 識別子タイプ | DOI | |||||||||||||
| 関連識別子 | 10.1007/s00590-020-02653-y | |||||||||||||
| 著者版フラグ | ||||||||||||||
| 出版タイプ | AM | |||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||||||||||
