Infections postopératoires dans le service de neurochirurgie à l'hôpital Gabriel Touré
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Abstract:
postoperative infection in neurosurgery is one of the dreaded complications that may compromise the results of the surgery.The objectives of this study were to find the factors favoring infection and germs responsible.This was a retrospective study of 12 months between January 2009 and December 2009 in the Department of Neurosurgery at the Gabriel Toure hospital. It involved all infections within three months after surgery. The average age of patients was 30.3 years with a male predominance. The mean operating time was 149 minutes 41 seconds . All patients received antibiotics in made intraoperatively and continued for two days.. Infections appeared before the Flanker postoperative week. All infections have involved the surgical site for 13 patients and were fresh purulent and serous purulent 3 cases . Infections were found in 62.5 % (12 patients) before the tenth day and 37.5% between the 11th and 20th day. After the sample of the abscess analysis to the laboratory, a DST was conducted for all germs, Escherichia coli and Staphylococcus aureus were the most frequently encountered microorganisms (56.25%).. The evolution was marked by one death. Postoperative infection is one of the complications that can affect the results of the surgery on the one hand but also to lengthen the duration of hospitalization with financial implications. Its occurred is the result of several factors, including the lack of respect of asepsis rules.Keywords:
Asepsis
Background: Surgical asepsis refers to destruction of organisms before they enter the body, it is used in caring for open wounds and in surgical procedure. Surgical asepsis is the medical practice of maintaining sterility whenever dressing wound or performing any kind of surgery to prevent cross infection. Aseptic technique are used in infection control to prevent cross infection between health care worker and between patients. Aim: The aim of the study was to assess the level of knowledge and practice of staff nurses regarding surgical asepsis. Objectives: 1. To assess the practice regarding surgical asepsis. 2. To find an association between practice with socio demographic variables. Methodology: 100 staff nurses working in NMCH, Nellore were selected by using convenience sampling method. Results: Regarding the level of practice among staff nurses, 10(10%) of them had good practice 80(80%) of them had moderate practice and 10(10%) had poor practice.
Asepsis
Nursing practice
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Asepsis
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Asepsis
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Perioperative nurses are expected to demonstrate strict adherence with asepsis principles to prevent surgical site infections (SSIs) as breaching of these principles poses a serious risk of infection to surgical patients.A descriptive survey was conducted with a convenience sample of 87 perioperative personnel to describe self-reported compliance with the principles of asepsis during surgery.The purpose of this study was to examine the practices of perioperative scrub personnel with surgical asepsis.A sizable percentage of participants indicated that they never or rarely observe breaches in the sterile field during surgery with regards to open suction drain systems (46.6%; n = 41), closed suction drain systems (46.6%; n = 41), suture material (39.7%; n = 35), use of surgical instruments (37.5%; n = 33), and prosthetic implants (56.8%; n = 50). Perioperative scrub RNs were less likely to wear shoe covers during surgical procedures than ORTs (M = 3.42 and 4.17; mdn = 3.00 and 5.00 respectively; p = .026).The findings showed areas of compliance and noncompliance with the principles of asepsis. Given that the role of the perioperative nurse is paramount in maintaining surgical integrity, and enhancing positive patient outcomes, strict adherence to surgical asepsis is vital to prevent SSIs and other complications.
Asepsis
Perioperative nursing
Aseptic processing
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It would seem that modern surgery based on asepsis is guaranteed against the possibility of introducing infection into the human body. However, observations show that with all the thoroughness of adherence to the principles of asepsis, a certain percentage of our "clean" operations are complicated by more or less extensive and deep suppuration, more or less significant introduction of infection into the tissues.
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Thirteen years ago, in the clinic of Professor V.S. Gruzdev, under his supervision, I did work on one of the major issues of modern asepsis, namely, a comparative evaluation of the most common methods of hand disinfection. In this work, of course, I had to get acquainted with the doctrine of asepsis and antisepsis in its entirety, and at the same time I had to delve into the issues of surgical infection in general.
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The incorporation of aseptic technique into surgical practice can reduce the risk of nosocomial infections associated with surgery. The four principles of asepsis are: know what is sterile, know what is not sterile, keep these concepts separate, and remedy contamination immediately. This article details aseptic technique for operating room (OR) practice. As we progress with technology, it seems there is a desire to change these time-honored practices to fit the new world of surgical specialization. OR nurses must be proficient in critically reviewing studies and rationale before making changes in these practices.
Asepsis
Aseptic processing
Operating room nursing
Nursing practice
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Asepsis
Surgical wound
Aseptic processing
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Objective To discuss the practical application and preventive rules of asepsis regulation in breast tumor resection.Methods 3181cases of breast tumor patient's data were collected in our hospital from 2007to 2009,the means and range of skin sterilization,the set of operation clothing piece,anaesthesia sterilization,transact of medical stuffs during operation were expatiated and analyzed.Results Due to strict asepsis regulation,the rate of non-infection increased to 99.97%of postoperative breast tumor patients.Conclusion The application of standard asepsis during breast tumor resection can play very effective rules in reducing postoperative infection.
Asepsis
Sterilization
Breast tumor
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