Microbial Contamination of Smart Watches in Dermatologic Surgeries: A Cross-Sectional Study.
Microbial Contamination of Smart Watches in Dermatologic Surgeries: A Cross-Sectional Study.
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皮肤科手术中智能手表的微生物污染：一项横断面研究。
DOI：
10.1097/dss.0000000000003998
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Carroll,BryanT
中科院分区：
文献类型：
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作者：
Ouyang,Kelsey;Gamal,Ahmed;Wilkowski,CarolineM;Mahlberg,ScottJ;Carroll,BryanT
可穿戴技术作为一种增强医疗保健的工具越来越受到关注。近年来，外科手术发生了重大的技术革命，其标志是各种技术的引入，包括虚拟现实设备，传感器和智能手表。一些研究人员提出，智能手表可以评估外科医生的人体工程学条件和性能指标，这可以提高微创手术（MIS）的效果。2莫氏显微手术是一种MIS，通常用于免疫抑制患者，包括实体器官移植受者，因为他们患多发性侵袭性皮肤癌的风险增加。3研究表明，手术部位感染是莫氏手术最常见的并发症，会给患者和医疗保健系统增加不必要的成本。3、4尽管在临床环境中使用智能手表有潜在的好处，但很少有人（如果有的话）研究智能手表的使用如何影响卫生和安全措施，特别是在皮肤外科手术的背景下。在这里，我们量化并识别了皮肤科医务人员经常佩戴的智能手表上的细菌菌落形成单位（CFU）。此外，我们还调查了在遵守术前手部卫生协议的情况下，智能手表的微生物转移潜力。我们进行了一项横断面研究，其中包括17名佩戴智能手表并在皮肤外科手术环境中洗手超过1年的参与者。研究的第一阶段涉及从10名招募的参与者的智能手表上擦拭手表表面和腕带。将收集的样品铺在胰蛋白酶大豆琼脂（TSA）血琼脂平板上，并在37 ℃下孵育48小时，然后使用16s rRNA测序进行微生物鉴定和菌落定量。在第二阶段，我们评估了7名参与者在标准化手部卫生协议期间佩戴的智能手表的微生物转移潜力。通过使用GloGerm Gel（一种可用于评价卫生和无菌技术的视觉工具）模拟微生物转移评估。这种凝胶被用于招募人员佩戴的手表。然后，参与者被要求在执行外科卫生程序之前佩戴带有凝胶的手表。使用紫外线来评估凝胶是否从手表转移到手套外部
Wearable technology has garnered increasing at-tention as a tool for enhancing health care. 1 In recent years, there has been a significant technological revolution in surgery, marked by the introduction of various technologies, including virtual reality devices, sensors, and smart watches. Some researchers propose that smart watches can evaluate surgeons’ ergonomic conditions and performance metrics, which can enhance outcomes of minimally invasive surgeries (MIS). 2 Mohs micrographic surgery, a type of MIS, is commonly performed for immunosuppressed patients, including solid organ transplant recipients, given their increased risk of developing multiple, aggressive skin cancers. 3 Studies have indicated that surgical site infection is the most frequent complication of Mohs surgery and can add unnecessary costs to patients and the health care system. 3, 4 Despite the potential benefits of the use of smart watches in clinical settings, few, if any, have investigated how the use of smart watches may compromise hygiene and safety measures, specifically in the context of dermatologic surgeries. Here, we quantified and identified bacteria colony-forming units (CFUs) on smart watches regularly worn by dermatology medical staff. In addition, we investigated the potential for microbial transfer from smart watches while adhering to the presurgical hand hygiene protocol.We conducted a cross-sectional study that included 17 participants who wear smart watches and have greater than 1 year hand-washing experience in dermatologic surgical settings. Phase 1 of the study involved swabbing of the watch face and wristband from smart watches of 10 recruited participants. Collected samples were plated on Tryptic Soy Agar (TSA) blood agar plates and incubated at 37 C for 48 hours before microbiological identification and colony quantification using 16s rRNA sequencing. In Phase 2, we evaluated the potential for microbial transfer from smart watches worn by 7 participants during a standardized hand hygiene protocol. Assessment of microbial transfer was simulated by use of GloGerm Gel, a visual tool that can be used to evaluate hygiene and aseptic techniques. The gel was applied to watches worn by recruited individuals. Participants were then asked to wear the watches with gel before performing surgical hygiene procedures. Ultraviolet light was used to assess whether gel was transferred from the watches to outside of the glove