Bacterial contamination of irrigation fluid and suture material during ACL reconstruction and meniscus surgery : Low infection rate despite increasing contamination over surgery time.
ACL reconstruction
Contamination
Infection
Meniscus surgery
Prophylaxis
Journal
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Titre abrégé: Knee Surg Sports Traumatol Arthrosc
Pays: Germany
ID NLM: 9314730
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
received:
02
08
2020
accepted:
25
01
2021
pubmed:
11
2
2021
medline:
2
2
2022
entrez:
10
2
2021
Statut:
ppublish
Résumé
During knee arthroscopy, irrigation fluid from the surgical site accumulates in the sterile reservoir. Whether these fluid collections and also suture material used during the arthroscopic surgical processes show bacterial contamination over time during surgery remains unclear. The purpose of this study was to determine this contamination rate and to analyze its possible influence on postoperative infection. In this study, 155 patients were included. Fifty-eight underwent reconstruction of the anterior cruciate ligament (ACL), 63 meniscal surgery and 34 patients combined ACL reconstruction and meniscus repair. We collected pooled samples of irrigation fluid from the reservoir on the sterile drape every 15 min during the surgery. In addition, we evaluated suture material of ACL graft and meniscus repair for bacterial contamination. Samples were sent for microbiological analysis, incubation time was 14 days. All patients were seen in the outpatient department 6, 12 weeks and 12 months postoperatively and examined for clinical signs of infection. A strong statistical correlation (R Since bacterial contamination of accumulated fluid increases over time the contact with the fluid reservoirs should be avoided. IV.
Identifiants
pubmed: 33566145
doi: 10.1007/s00167-021-06481-3
pii: 10.1007/s00167-021-06481-3
pmc: PMC8800874
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
246-252Informations de copyright
© 2021. The Author(s).
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