AJIC: American Journal of Infection Control
Volume 38, Issue 3 , Pages 229-233 , April 2010

Analysis of the microbial load in instruments used in orthopedic surgeries

  • Flávia Morais Gomes Pinto, BSN

      Affiliations

    • Department of Medical-Surgical Nursing, School of Nursing, University of São Paulo, São Paulo, Brazil
    • Corresponding Author InformationAddress correspondence to Flávia Morais Gomes Pinto, BSN, Programa de Enfermagem na Saúde do Adulto, Universidade de São Paulo, Rua Mateus Grou, No. 131 apto 62, Pinheiros, São Paulo, Brasil, CEP 05415-050.
    • ,
  • Rafael Queiroz de Souza, BSN

      Affiliations

    • Department of Medical-Surgical Nursing, School of Nursing, University of São Paulo, São Paulo, Brazil
    • ,
  • Cely Barreto da Silva, MS

      Affiliations

    • Department of Hospital Infection Control of Irmandade Santa Casa de Misericordia de São Paulo, São Paulo, Brazil
    • ,
  • Lycia Mara Jenné Mimica, PhD

      Affiliations

    • Department of Hospital Infection Control of Irmandade Santa Casa de Misericordia de São Paulo, São Paulo, Brazil
    • ,
  • Kazuko Uchikawa Graziano, PhD

      Affiliations

    • Department of Medical-Surgical Nursing, School of Nursing, University of São Paulo, São Paulo, Brazil

References 

  1. Lima ALLM, Barone AA. Infecções hospitalares em 46 paciente submetidos a artroplastia total de quadril. Acta Ortop Bras. 2001;9:36–41
  2. Graziano KU. Processo de limpeza, desinfecção e esterilização de artigos odonto-médico-hospitalares e cuidados com o ambiente de centro cirúrgico. In:  Lacerda RA, coordenadora  editor. Controle de infecção em centro cirúrgico: fatos, mitos e controvérsias. São Paulo: Atheneu; 2003;p. 163–195
  3. Chu NS, Chan-Myers H, Ghanzanfari N, Antonoplos PA. Levels of naturally occuring microorganisms on surgical instruments after clinical use and after washing. Am J Infect Control. 1999;27:315–319
  4. Mayhall CG. Surgical infections including bums. In:  Wenzel RP editors. Prevention and control of nosocomial infections. Baltimore: Willians & Wilkins; 1993;p. 614–644
  5. Wong ES. Surgical site infections. In:  Mayhall CG editors. Hospital epidemiology and infection control. 2nd ed.. Philadelphia: Lippincott, Willians & Wilkins; 1999;
  6. Dzwonkowska J, Kurlenda J, Baczkowski B, Mazurkiewiez S, Uzunov I. The effect of antibiotic therapy on the incidence of Staphylococcus aureus infections in orthopaedic patients. Ortop Traumatol Rehabil. 2007;9:532–47
  7. Nyström B. Disinfection of surgical instruments. J Hosp Infect. 1981;2:363–368
  8. Chan-Myers H, McAlister D, Antonoplos P. Natural bioburden levels detected on rigid lumened medical devices before and after cleaning. Am J Infect Control. 1997;25:471–476
  9. Rutala WA, Gergen MF, Jones JF, Weber DJ. Levels of microbial contamination on surgical instruments. Am J Infect Control. 1998;26:143–145
  10. Graziano , Uchikawa Kazuko. Limpeza, desinfecção e esterilização: métodos físicos, químicos e físico-químicos no contexto do controle de infecção hospitalar. In: José Maria Costa Orlando; Lauro Miquelin. (Org.). UITs contemporâneas. São Paulo: Atheneu; 2008;p. 521–538
  11. Centers for Disease for Control and Prevention. Guideline for disinfection and sterilization in healthcare facilities. Rutala WA, Weber DJ, and the Healthcare Infection Control Practices Advisory Committee. 2008:1-158.
  12. Fletcher N, Sofianos D, Berkes MB, Obremskey WT. Prevention of perioperative infection. J Bone Joint Surg Am. 2007;89:1605–1618
  13. Josefsson G, Lindberg L, Wiklander B. Systemic antibiotics and gentamicin-containing bone cement in the prophylaxis of postoperative infections in total hip arthroplasty. Clin Orthop Relat Res. 1981;159:194–200

 Supported by “Fundação de Amparo à Pesquisa do Estado de São Paulo” (FAPESP), Brazil.

 Conflicts of interest: None to report.

PII: S0196-6553(09)00820-7

doi: 10.1016/j.ajic.2009.06.017

AJIC: American Journal of Infection Control
Volume 38, Issue 3 , Pages 229-233 , April 2010

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