Musculoskeletal ultrasound guided manoeuvres - a security profile.
Background: In daily rheumatology clinical practice, routine interventional musculoskeletal ultrasound (MSUS) guided maneuvers such as aspiration, intraarticular or periarticular drug injections require efficient cleaning and disinfection methods for both transducer and patient's skin.Aim: To study...
| Publicado en: | Medical Ultrasonography Vol. 16; no. 3; pp. 214 - 222 |
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| Autores principales: | , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Romanian Society of Ultrasonography in Medicine & Biology
Sep2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103839545&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103839545 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18444172 AX1S jtl: Medical Ultrasonography issn: 18444172 maglogo: N pubinfo: dt: Sep2014 vid: 16 iid: 3 pid: 57537 pub: Romanian Society of Ultrasonography in Medicine & Biology artinfo: ui: 103839545 103839545 NLM25110762 2012682288 10.11152/mu.2013.2066.163.mcm1 NLM25110762 103839545 ppf: 214 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Musculoskeletal ultrasound guided manoeuvres - a security profile. aug: au: Micu, Mihaela C Vlad, Violeta M Bolboac, Sorana D Cârlig, Mihaela Bodizs, Gyorgy I Duu, Alina G Fodor, Daniela Bolboacă, Sorana D Duţu, Alina G affil: Department of Medical Informatics and Biostatistics, "Iuliu Hatieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania sug: subj: Bacterial Infections Prevention and Control Sterilization and Disinfection Equipment Contamination Prevention and Control Joint Diseases Ultrasonography Musculoskeletal System Ultrasonography Skin Microbiology Ultrasonography Equipment and Supplies Adolescence Adult Aged Child Female Human Male Middle Age Prospective Studies Young Adult Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Child: 6-12 years Middle Aged: 45-64 years Female Male ab: Background: In daily rheumatology clinical practice, routine interventional musculoskeletal ultrasound (MSUS) guided maneuvers such as aspiration, intraarticular or periarticular drug injections require efficient cleaning and disinfection methods for both transducer and patient's skin.Aim: To study the efficacy of probe and skin disinfection measures after using simple protocols, to identify the prevalence of septic and other drug related side effects after MSUS guided interventions and to quantify the total procedure time.Material and Methods: Recruitment of consecutive patients with different joint/ periarticular MSUS guided interventions was made in 3 medical centers. Bacterial load was determined on the transducers footprint after dry cleaning with the removal of any gel trace and on patients' skin after rigorous skin disinfection with either Bethadine or alcohol 70° and Bethadine. Non-sterile gel was used as an ultrasound transmission medium. The time spent for some of the invasive procedures was quantified.Results: Nine hundred and ninety eight MSUS guided interventional maneuvers were performed in 945 patients with inflammatory and degenerative musculoskeletal pathologies. Staphylococcus epidermidis was identified in 13.33% cases of the skin bacterial load analysis and in 37.50% cases of the footprint analysis. In two patients pathogenetic germs were detected on the skin. No septic post-procedural complications were reported. In 0.6% of the cohort other side effects occurred: aseptic osteonecrosis, skin depigmentation at injection site and iatrogenic microcristaline reactions. The median time frame dedicated to the intervention was 6 minutes.Conclusion: Rigorous transducer dry cleaning and Bethadine / Bethadine and alcohol 70° skin disinfection are efficacious methods. The risk for septic complications and other drug related side effects related to MSUS guided injections is very low in this context. A correct injection technique must accompany the previous requests. Rapid and safe interventional maneuvers reduce the risks and control the costs of the healthcare system. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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