Postoperative infection in total prosthetic replacement arthroplasty of the hip‐joint with special reference to the bacterial content of the air of the operating room
Postoperative infection in total prosthetic replacement arthroplasty of the hip‐joint with special reference to the bacterial content of the air of the operating room
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髋关节全假体置换术后感染特别关注手术室空气细菌含量
DOI：
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发表时间：
1969
影响因子：
9.6
通讯作者：
N. Eftekhar
中科院分区：
文献类型：
--
作者：
J. Charnley;N. Eftekhar
在过去的50年里，人们做了大量的工作，试图解释在现代手术室进行的“干净”外科手术后可能发生的感染。仍然没有完全令人满意的解决方案即将到来。这是一个悖论，简单地坚持李斯特原则就可以消除术后的毒力感染，但由轻度致病葡萄球菌感染似乎越来越常见。目前仍不确定伤口在手术室感染的频率，以及以后伤口愈合的频率。有些人否认手术室的空气是重要的感染源，因为病原体只形成了从手术室空气中生长出来的菌落的一小部分。如果要避免不必要的开支，在规划新的医院建筑物时，这显然是极为重要的事情。外科文献实在太多了，想要一篇完整的综述是无济于事的。关于手术室感染问题的当代观点的简明陈述，读者可参考1966年爱丁堡皇家外科学院的利斯特百年研讨会，以及1968年4月医学研究理事会关于这一主题的报告。英国和男性公共卫生实验室的一份报告(1960年)表明，全国术后平均败血症发生率为9‘7%。伤口感染的定义各不相同，许多已发表的数据的意义并不相同。太棒了。与骨科有关的伤口败血症的研究很少，尤其是
A VAST amount of work has been done in the past 50 years in attempts to explain the infection that can follow 'clean ' surgical operations performed in modern operating rooms. There is still no completely satisfactory solution forthcoming. It is a paradox that simple adherence to Listerian principles has abolished virulent postoperative infection, but infection by mildly pathogenic staphylococci appears to be increasingly common. There is still uncertainty as to how often a wound is infected in the operating room and how often at a later date durmg the healing of the wound. There are those who deny that the air in the operating theatre is an important source of infection, because pathogens form only a minute fraction of the colonies grown from the air in it. This is clearly a matter of extreme importance in planning new hospital buildings if unnecessary expense is to be avoided. The surgical literature is nlow so immense that no useful purpose is served by artempting a complete review. For a concise statement of contemporary opinion on the subject of infection in operating theatres the reader is referred to the Listerian Centenary Symposium, Royal College of Surgeons of Edinburgh, 1966, and to the Medical Research Council Report on this subject, April, 1968. A report of the Public Health Laboratory Service of England and Males (1960) indicates an ,average postoperative sepsis rate for the whole country of 9'7 per cent. Definitions of wound infection vary and the significance of many published figures is not. great. There are only a few studies of wound sepsis in relation to orthopaedics, and those particularly