Influence of laminar airflow on prosthetic joint infections: a systematic review
作者： P. Gastmeier , A.-C. Breier , C. Brandt
DOI: 10.1016/J.JHIN.2012.04.008
关键词:
摘要: Summary Background Many hospitals use ultraclean ventilation (UVC), also known as laminar airflow systems (LAF), in their operating rooms to decrease rates of surgical site infections (SSIs). However, the evidence for these is limited and additional expenses LAF are substantial. Aim To determine effectiveness SSI following hip knee prosthesis. Methods Systematic review cohort studies investigating influence on SSIs prosthesis published during last 10 years. Findings Four using endpoint severe four were included. No individual study showed a significant benefit but one small significantly higher three under conditions. The summary odds ratio was 1.36 (95% confidence interval: 1.06–1.74) 1.71 (1.21–2.41) Conclusions It would be waste resources establish new with LAF, questionable whether existing should replaced by conventional systems.
elsevier.com
sci-hub.se 参考文章(20)
Jonathan A.C Sterne, Matthias Egger, Funnel plots for detecting bias in meta-analysis: guidelines on choice of axis. Journal of Clinical Epidemiology. ,vol. 54, pp. 1046- 1055 ,(2001) , 10.1016/S0895-4356(01)00377-8
JOHN CHARNLEY, POSTOPERATIVE INFECTION AFTER TOTAL HIP REPLACEMENT WITH SPECIAL REFERENCE TO AIR CONTAMINATION IN THE OPERATING ROOM Clinical Orthopaedics and Related Research. ,vol. 87, pp. 167- 187 ,(1972) , 10.1097/00003086-197209000-00020
Nelson Jp, Five years experience with operating room clean rooms and personnel-isolator systems. Medical instrumentation. ,vol. 10, pp. 277- ,(1976)
Jacques H. Marotte, Gerald A. Lord, Jean P. Blanchard, Jean L. Guillamon, Pierre Samuel, Jacques P. Servant, Philippe H. Mercier, Infection rate in total hip arthroplasty as a function of air cleanliness and antibiotic prophylaxis Journal of Arthroplasty. ,vol. 2, pp. 77- 82 ,(1987) , 10.1016/S0883-5403(87)80034-7
E A Salvati, R P Robinson, S M Zeno, B L Koslin, B D Brause, P D Wilson, Infection rates after 3175 total hip and total knee replacements performed with and without a horizontal unidirectional filtered air-flow system. The Journal of Bone & Joint Surgery. ,vol. 64, pp. 525- 535 ,(1982) , 10.2106/00004623-198264040-00007
Shawn S. Forbes, Cagla Eskicioglu, Avery B. Nathens, Darlene S. Fenech, Claude Laflamme, Richard F. McLean, Robin S. McLeod, Evidence-based guidelines for prevention of perioperative hypothermia. Journal of The American College of Surgeons. ,vol. 209, pp. 492- 503 ,(2009) , 10.1016/J.JAMCOLLSURG.2009.07.002
B. Espehaug, L. B. Engesaeter, S. E. Vollset, L. I. Havelin, N. Langeland, ANTIBIOTIC PROPHYLAXIS IN TOTAL HIP ARTHROPLASTY The Journal of Bone and Joint Surgery. British volume. ,vol. 79-B, pp. 590- 595 ,(1997) , 10.1302/0301-620X.79B4.0790590
Pamela A. Lipsett, Do we really need laminar flow ventilation in the operating room to prevent surgical site infections Annals of Surgery. ,vol. 248, pp. 701- 703 ,(2008) , 10.1097/SLA.0B013E31818BB525
Daniel I. Sessler, Russell N. Olmsted, Ruediger Kuelpmann, Forced-air warming does not worsen air quality in laminar flow operating rooms. Anesthesia & Analgesia. ,vol. 113, pp. 1416- 1421 ,(2011) , 10.1213/ANE.0B013E318230B3CC
Ann-Christin Breier, Christian Brandt, Dorit Sohr, Christine Geffers, Petra Gastmeier, Laminar airflow ceiling size: no impact on infection rates following hip and knee prosthesis. Infection Control and Hospital Epidemiology. ,vol. 32, pp. 1097- 1102 ,(2011) , 10.1086/662182