Instrument Sterilization, Skin Preparation, and Wound Management

作者: Louise L. Southwood , Gary M. Baxter

DOI: 10.1016/S0749-0739(17)30278-X

关键词: Surgical scrubChlorhexidine gluconateWound managementSurgeryTurnover timeSterilization (microbiology)Skin preparationDistal limbResidual activityMedicine

摘要: Recent advances in instrument sterilization include the introduction of gas plasma and increased use glutaraldehyde. Gas has advantages no toxic residue effects, reduced turnover time, applicability for heat- moisture-sensitive instruments. Chlorhexidine gluconate (4%) appears to be a superior preoperative surgical scrub both surgeon patient because its antimicrobial efficacy, residual activity, minimal tissue reactions. There are many new wound dressings topical medications treatment wounds, but efficacy most these preparations been evaluated only humans, dogs, cats. The ideal preparation dressing equine particularly wounds affecting distal limb, have not yet found.

参考文章(63)
P Jacobs, R Kowatsch, Sterrad Sterilization System: a new technology for instrument sterilization. Endoscopic surgery and allied technologies. ,vol. 1, pp. 57- 58 ,(1993)
Wilson Dg, Klohnen A, Cooley Aj, Hendrickson Da, MacWilliams Ps, Effects of potentiated chlorhexidine on bacteria and tarsocrural joints in ponies. American Journal of Veterinary Research. ,vol. 57, pp. 756- 761 ,(1996)
Wright Jc, Bigbie Rb, Swaim Sf, Purohit Rc, Schumacher J, Effects of amnion and live yeast cell derivative on second-intention healing in horses. American Journal of Veterinary Research. ,vol. 52, pp. 1376- 1382 ,(1991)
Mann Fa, Berg Jn, Rochat Mc, Evaluation of a one-step surgical preparation technique in dogs. Javma-journal of The American Veterinary Medical Association. ,vol. 203, pp. 392- 395 ,(1993)
A F Kaul, J F Jewett, Agents and techniques for disinfection of the skin. Surgery gynecology & obstetrics. ,vol. 152, pp. 677- 685 ,(1981)
Till Go, Tvedten Hw, Effect of povidone, povidone-iodine, and iodide on locomotion (in vitro) of neutrophils from people, rats, dogs, and rabbits. American Journal of Veterinary Research. ,vol. 46, pp. 1797- ,(1985)
Alatary Sd, Peterson Af, Rosenberg A, Comparative evaluation of surgical scrub preparations. Surgery gynecology & obstetrics. ,vol. 146, pp. 63- 65 ,(1978)
S A Kasprzak, J M Carter, A E Meyer, R E Baier, S E Sorensen, B D McGowan, Radiofrequency gas plasma (glow discharge) disinfection of dental operative instruments, including handpieces. Journal of Oral Implantology. ,vol. 18, pp. 236- 242 ,(1992)
Frank R, St Jean G, Yvorchuk-St Jean K, Gaughan E, Evaluation of a porous bovine collagen membrane bandage for management of wounds in horses. American Journal of Veterinary Research. ,vol. 56, pp. 1663- 1667 ,(1995)
T. S. Taylor, A. N. Baird, D. W. Scruggs, J. P. Watkins, Effect of antimicrobial solution lavage on the palmar digital tendon sheath in horses. American Journal of Veterinary Research. ,vol. 51, pp. 1488- 1494 ,(1990)