Surgical hand hygiene and febrile urinary tract infections in endourological surgery: a single-centre prospective cohort study
Surgical hand hygiene and febrile urinary tract infections in endourological surgery: a single-centre prospective cohort study
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腔内泌尿外科手术中的手术手卫生和发热性尿路感染：单中心前瞻性队列研究
DOI：
10.1038/s41598-020-71556-z
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发表时间：
2020
影响因子：
4.6
通讯作者：
Yasui Takahiro
中科院分区：
文献类型：
--
作者：
Unno Rei;Taguchi Kazumi;Fujii Yasuhiro;Unno Naoko;Hamamoto Shuzo;Ando Ryosuke;Nakane Akihiro;Okada Atsushi;Kamiya Hiroyuki;Yasui Takahiro
手术手部卫生可降低手术部位感染（SSI）的风险。SSI在腔内泌尿外科手术中不被认为是一个问题，而发热性尿路感染（f-UTI）和泌尿系统脓毒症正成为问题。我们想知道外科手卫生是否是必要的腔内泌尿外科手术。因此，我们的目的是通过比较2016年4月至2020年7月期间使用双手套的外科手卫生与使用双手套的常规手卫生的手术，评价外科手卫生对腔内泌尿外科手术中f-UTI发作的影响。在这项前瞻性队列研究中，477名接受腔内泌尿外科手术的患者中，外科手卫生组和常规卫生组的外科医生分别对259名和218名患者进行了手术。患者背景无显著差异，多变量分析显示两组间f-UTI发作无显著差异（比值比，0.87; p = 0.74）。总之，使用双手套的常规手部卫生可以被认为是手术手部卫生的替代方案，以防止腔内泌尿外科f-UTI，这可能会改变腔内泌尿外科手术的操作方案。需要进一步的研究来验证我们的发现。
Surgical hand hygiene reduces the risk of surgical site infections (SSIs). SSIs are not considered an issue in endourological surgery, whereas febrile urinary tract infections (f-UTIs) and urological sepsis are becoming problematic. We wondered whether surgical hand hygiene is necessary for endourological surgery. Therefore, we aimed to evaluate the influence of surgical hand hygiene on f-UTI onset in endourological surgery by comparing procedures in which surgical hand hygiene with double gloving was used with those in which regular hand hygiene with double gloving was used between April 2016 and July 2020. In this prospective cohort study of 477 patients who underwent endourological surgeries, surgeons in the surgical hand hygiene and regular hygiene groups performed surgery on 259 and 218 patients, respectively. There was no significant difference in patient background, and multivariate analyses revealed no significant differences in f-UTI onset (odds ratio, 0.87;p= 0.74) between the two groups. In conclusion, regular hand hygiene with double gloving may be considered an alternative to surgical hand hygiene to prevent endourological f-UTIs, which could alter operational protocols for endourological surgery. Further studies are needed to validate our findings.
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影响因子：
0.9
作者：
E. Larson;A. Aiello;J. M. Heilman;Christopher T. Lyle;A. Cronquist;J. Stahl;P. Della‐Latta
通讯作者：
P. Della‐Latta
DOI：
--
发表时间：
2019
期刊：
--
影响因子：
--
作者：
Ning Wang;Xiaojiang Xiong;Lixin Xu;Ming Ji;Tao Yang;Jin Tang;Yong Yang;Wangwei Liu;
通讯作者：
Ning Wang;Xiaojiang Xiong;Lixin Xu;Ming Ji;Tao Yang;Jin Tang;Yong Yang;Wangwei Liu;
手术擦洗用酒精吗？
影响因子：
4.5
作者：
E. Larson;A. Butz;D. Gullette;Barbara A. Laughon
通讯作者：
Barbara A. Laughon
Avagard 手部消毒与传统磨砂膏在 3600 例儿科泌尿外科手术中的比较。
影响因子：
2.1
作者：
C. Weight;Michael Lee;J. Palmer
通讯作者：
J. Palmer
影响因子：
2
作者：
Cheng H;Chen BP;Soleas IM;Ferko NC;Cameron CG;Hinoul P
通讯作者：
Hinoul P