Scalpel blade contamination and risk of postoperative surgical site infection following abdominal incisions in dogs

OBJECTIVE: This prospective observation sought to determine if scalpel blades used for abdominal skin incisions in dogs are a significant source of bacterial contamination, and if these blades should be changed prior to use in deeper dissection.

RESULTS: Scalpel blades were swabbed for culture prior to skin incision as a control, and then again following ventral midline abdominal skin incision in a total of 75 dogs. Culture and sensitivity results were compared with review of medical records for any evidence of pre- or postoperative incisional surgical site infection/inflammation (SSI). Of the 75 blades swabbed after skin incision, only 2 (2.7%) had positive culture results. Of the 69 patients that survived to suture removal, there was evidence of SSI in 6 patients (8.7%), only one of which had a positive scalpel blade culture (16.7%). Neither the use of postoperative antibiotics nor positive scalpel blade culture results were good predictors of whether a patient would develop a SSI. Results of this pilot study suggest that there is no bacteriological evidence to support the use of a separate blade for deep dissection in routine surgical procedures.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

BMC research notes - 12(2019), 1 vom: 25. Juli, Seite 459

Sprache:

Englisch

Beteiligte Personen:

Lioce, Christina G [VerfasserIn]
Davis, Elizabeth C [VerfasserIn]
Bennett, Julie W [VerfasserIn]
Townsend, Forrest I [VerfasserIn]
Bloch, Christopher P [VerfasserIn]

Links:

Volltext

Themen:

Contamination
Journal Article
Observational Study
Scalpel
Surgical site infection

Anmerkungen:

Date Completed 06.01.2020

Date Revised 25.02.2020

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s13104-019-4494-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM29957136X