بررسی تأثیر درپ برشی بر میزان بروز عفونت محل جراحی بعد از اعمال جراحی ستون فقرات کمری

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد، کمیته‌ی تحقیقات دانشجویی، گروه اتاق عمل، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 استادیار، گروه جراحی اعصاب، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 دانشیار، گروه میکروبیولوژی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 استادیار، مرکز تحقیقات مراقبت‌های پرستاری و مامایی و گروه اتاق عمل، دانشکده‌ی پرستاری و مامایی دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: این مطالعه با هدف بررسی تأثیر درپ برشی بر میزان بروز عفونت محل جراحی بعد از اعمال جراحی ستون فقرات کمری انجام شد.روش‌ها: این مطالعه، به صورت نیمه تجربی بر روی 88 بیمار کاندیدای جراحی ستون فقرات کمری در بیمارستان الزهرای (س) اصفهان انجام شد. بیماران به صورت تصادفی در یکی از دو گروه مساوی با درپ برشی (مورد) و بدون درپ برشی (شاهد) قرار گرفتند. محل عمل بیماران از نظر بروز عفونت سطحی و عمقی در روزهای 2، 14 و 30 پس از عمل جراحی، بر اساس معیارهای تعریف شده در راهنماهای مرکز کنترل و پیش‌گیری از بیماری آمریکا بررسی شدند. از بیماران مشکوک به عفونت آزمایش‌های C-reactive protein (CRP) و Erythrocyte sedimentation rate (ESR) و از ترشحات خروجی از زخم بیمار، کشت باکتریایی تهیه شد.یافته‌ها: از میان 44 بیمار گروه مورد، تنها 3 نفر (8/6 درصد) و در گروه شاهد، تنها 2 نفر (5/4 درصد) در روز دوم پس از عمل جراحی دچار عفونت سطحی شدند. فراوانی بروز عفونت بین دو گروه مورد و شاهد تفاوت معنی‌داری نداشت (50/0 = P). همچنین، در روزهای 14 و 30 در هیچ یک از دو گروه عفونتی مشاهده نشد.نتیجه‌گیری: هیچ تفاوت معنی‌داری در فراوانی بروز عفونت محل جراحی در بین دو گروه با و بدون درپ برشی وجود ندارد و تصمیم‌گیری قطعی در خصوص استفاده یا عدم استفاده از درپ برشی، به مطالعات بیشتری نیاز دارد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effect of Incise Drape on the Incidence of Surgical Site Infection following Lumbar Spine Surgeries

نویسندگان [English]

  • Mohammad Reza Zarei 1
  • Homayoun Tabesh 2
  • Hossein Fazeli 3
  • Akram Aarabi 4
1 MSc Student, Student Research Committee, Department of Operating Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
2 Assistant Professor, Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Associate Professor, Department of Microbiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4 Assistant Professor, Nursing and Midwifery Care Research Center AND Department of Operating Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: The aim of this study was to investigate the effect of incise drape (ID) on the incidence of surgical site infection (SSI) following lumbar vertebrae surgeries.Methods: This quasi-experimental study was conducted on 88 patients who were candidates for lumbar vertebrae surgery at Alzahra hospital in Isfahan, Iran. The patients were randomly assigned to two equal groups of with and without incise drape. Surgical site was evaluated for the incidence of superficial and deep infections on days 2, 14, and 30 after surgery according to criteria defined by the American Centers for Disease Control and Prevention. C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) tests, and bacterial culture of discharges of patient's wounds were done.Findings: Of 44 patients in group with incise drape, only 3 cases (6.8%), and of 44 in group without incise drape, only 2 cases (4.5%) had superficial infection at the second day after surgery, and there was no significant difference in the incidence of infection between the two groups (P = 0.50). In addition, at 14 and 30 days after surgery, no infection was observed in two groups.Conclusion: There is no significant difference in the incidence of surgical site infection between the two groups, and making a definite decision about using or not using of incise drape requires further studies.

کلیدواژه‌ها [English]

  • Surgical drapes
  • Surgical site infection
  • Lumbar vertebrae
  • Surgery

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مجله دانشکده پزشکی اصفهان
دوره 36، شماره 498 - شماره پیاپی 498
آذر و دی 1397
صفحه 1165-1174

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سابقه مقاله

  • تاریخ دریافت: 03 شهریور 1397
  • تاریخ بازنگری:
  • تاریخ پذیرش: 17 فروردین 1401

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