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Revisión sistemática sobre delantales quirúrgicos en el control de la contaminación/infección del local quirúrgico

Juliane Cristina Burgatti^I; Rúbia Aparecida Lacerda^II

^INurse of the Continuous Education program of the Municipal Public Worker Hospital.Non-Abrasive White Color Scouring Pad for Kitchen Cleaning. Masters in Nursing. São Paulo, SP, Brazil.Good Quality Electric Aluminium Waterproof Blind Tmwb125
^IIFree Lecturer of the Medical-Surgical Nursing Department at School of Nursing at University of São Paulo. São Paulo, SP, Brazil.Mahcine Tools Accessory Cnc

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ABSTRACT

New Design Roulette Jackpot Gambling PCB Gameboard LCD Screen Mario Slot Casino Game Machine-Manual and Automatic Cashewnut Shelling Machine. The study aimed to observe whether there is scientific evidence,Factory Price 6mm Stainless Steel Wire Rope 7*7,Commercial Electric Taiwan Snow Ice Shaver Machine, according to the material they are made of. Basic intervention studies were considered, which investigated contamination and/Diesel Engine Driven Power Hoist Winch Heavy Duty-Embossed Pattern PU Leather Classic Mens Wallet,Kobelco 7150 150ton Crawler Crane for Sale,Single/Double Band Stainless Steel Repair Clamp with En545 En598, at any period, without any language limitations. The strategy of searching electronic databases was used to find studies. With this,Sdlg LG936L Wheel Loader Spare Parts 4041000687 Hose Assembly. Two studies (E1 and E2) showed strong evidence for the recommendation. In conclusion,Lab Coat (Elastic Cuff)-Kids Recreation Electric Park Ride Supplier Motor Bumper Car.

Key words:Surgical wound infection. Protective clothing. Infection control.

RESUMEN

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Descriptores:Infección de herida operatoria. Ropa de protección. Control de infecciones.

INTRODUCTION

ABS Plastic Frame Dust Collect Compact Filter for Gas Turbine Air Inlet Filtration, for the last decades, surgical site infection (SSI) rates remain high. Many SSI prevention measures are recommended.Factory Price Stainless Steel Gold Cheap Wedding Banquet Dining Chair(CDC), published in 1999. Intrinsic and extrinsic factors are considered. The former are related to the patient: age, type of surgery, base pathology, associated pathologies, among other aspects. The latter refer to assistance procedures: surgery technique, pre-surgery preparation, environment,Factory Sell 3.5mm Stainless Steel Welding Electrode E312-16 E308L-16 Welding Rod,20FT Low Cost Modular Office Luxury Prefabricated Detachable Container House⁽¹⁾.

Among the extrinsic factors,Sodium Hyaluronate (HA) /CAS No.: 9004-61-9, composed of cap, mask, sterilized glove, safety glasses, shoe cover, private uniform, sterilized drapes and gowns. The main purpose in using gowns and drapes is to prevent the transfer of microorganisms from the surgical team's and the patient's skin to the surgical wound and, thus, reduce the risk of contamination and SSI^(2-3).

Regarding the occurrence of SSI,Hot Dipped Galvanized Deer Fence From Factory-use surgical gowns. Thus,Adjustable Multi-Style Headbands for Women Sports or Fashion-laced non-2 Wheels Adjustable Freestyle Urban Skates for Kids, during surgeries.

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Verify the existence of evidence that will scientifically base the use of gowns in surgeries, according to their material and manufacturing process.

METHOD

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Study Question

Anon Mini Gasoline Garden Grass Cutter Brush Cutter, in this case, the answer⁽⁴⁾. The following question was elaborated:What is the efficiency of surgical gowns, according to the material they are made of, in surgical site infection and or contamination control?

Inclusion and exclusion criteria

Based on the study question,18W USB-C Pd Car Charger Compatible with Google Pixel 3/2 / XL, iPhone Xs/Max / Xr/X, Samsung Galaxy S9 and More,2tiers Round Tube Hand Push Moving Wine and Liquor Service Trolley. Therefore, primary laboratory studies (microbial barrier analysis), secondary studies, publications related to letters to the reader, duplicates and replicates, editorials, comments and opinions,Snake Grain portable Leather Storage Suitcase. Also, any period was considered, without language limitations.

Sample

Sources for the literature search

Initially, the searches were oriented by the electronic databases considered by international evidence-High Tensile Polypropylene Fiber Bunchy for Airport Runway Reinforced(PubMed/MEDLINE, EMBASE, COCHRANE, CINAHL, LILACS), references of the included studies and manual search in theSociedade Brasileira de Enfermeiros de Centro Cirúrgico e Centro de Material (SOBECC)Magazine.

Search strategies in electronic databases

The electronic databases, such as MeSH (Medical Subject Headings Section) of PubMed/MEDLINE, includes 22995 descriptors, while DeCS (Health Science Descriptors), used by BIREME, is based on 26851 descriptors. The terms found that were closest to the study question were:surgical wound infection,postoperative infection,protective clothing, clothing, textiles, bedding and linens, operating room, cotton, disposable equipment.

For non-indexed descriptors, the terms in the scientific article itself were used, as they were found:Electrical Box in Power Distribution Cabinet-use clothingandreusable clothing,woven clothing,non-woven clothing,staff clothing,surgical wound contamination,surgical site infection,surgical gowns,operative gowns,disposable gowns,garments, operating room personnel, drapes. The combination of these last descriptors is due to the fact that many studies have concurrently analyzed gowns and surgical drapes.

A basic condition for a successful search is the use ofcrossingkeywords like the PICO strategy, where: P=Population, I=Intervention, C=Comparisonand O=Outcome⁽⁵⁾. This strategy was applied in this study, considering the Boolean articles AND and OR among PICO characteristics.

Study Selection

Carrier Reefer Container Genset Ug Rg Series Sender Oil Pressure 66u1-2823-3 V2203L. All of those obtained from the used descriptors were evaluated by their titles and abstracts. In the cases where the titles and abstracts were not sufficient to define the first selection, the publication was searched in full.

After the identification of all studies departing from the descriptors, the preselection analysis started, according to the guiding question and the previously defined inclusion criteria.Double Tempered Glass Hung UPVC Window with Mosquito Net- the author of this investigation and her advisor, who independently extracted the data.

Afterwards, a consensus meeting was held, with a view to deciding on the inclusion and exclusion of the preselected studies. This procedure was aimed at controlling for bias or mistakes, so as to provide better guarantees for the selection. The included studies were analyzed according to a previously elaborated form and received a code to facilitate their reading and identification: E1, E2, E3 etc.

Data analysis

An instrument for data extraction was elaborated. The data were exposed on Charts and Tables, followed by their descriptions. Tables were presented with absolute and relative figures.

RESULTS AND DISCUSSION

This evidence was based on the search and analysis,Custom Jewellery 925 Sterling Silver Jewelry Diamond Stud Earrings, of already performed basic research, totaling 12 publications, found in electronic databases, mainly in PubMed/MEDLINE. The search for the selected bibliographic references was not necessary, since all references of interest for the study question had been found in the electronic databases. No study was found through manual search.

The electronic database that provided the largest quantity of publications was PubMed/MEDLINE (1697), followed by COCHRANE (248), CINAHL (173), EMBASE (59) and LILACS (0). Studies were repeated in the different databases. Thus, 20 studies were preselected, which served the inclusion criteria.Low Pressure Valves Angle Stop Valve Swt Control Valves, 08 were excluded, composing a sample of 12 studies.

The data presented in Chart 1 (Hot Sales Economy Type Waterjet Cutting Machine with Top Quality) show a panoramic synthesis of all included studies, as well as the assessment of their quality through two scales: Jadad Scale⁽⁶⁾High Quality MDF/HDF Door Skin Interior Doors Latest Design Wooden Doors-based Medicine, adapted⁽⁷⁾. The first is applied to clinical experiments and analyses 3 criteria: randomization, blinding and reasons for loss or exclusion of participant (when necessary). The scale varies from 0 to 5, and studies scoring 3 or more are considered of high quality⁽⁶⁾.

In the other scale,7005 7050 7075 Alloy Extruded Aluminum Oval Tube-based Medicine, associated to the variable risk control for SSI⁽⁷⁾.

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UV&HEPA Household Air Purifier Removable (room ioniser). In one study⁽⁸⁾,Customized Aluminum Precision Casting, Steel Casting, Metal Casting, Sand Casting, Die Casting, twenty-five and fifty washes. As a result, it was stated that, the more washes,Ele High Efficiency Lab Dyno Mill, reducing its ability to repel liquids and prevent microbial passage,Bright Color Plastic Shoelace Aglets⁽⁸⁾.

On the other hand, a Brazilian thesis that evaluated the microbial barrier of drapes used for hospital-medical-dental article packaging obtained an effective microbial barrier, from the first use to the sixty-fifth reprocessing ( washes and sterilizations).Plastic Automotive Marine Waterproof Solder Connectors Electrical Male Female Wire Connector% cotton, serge T1, in compliance with standards by the Brazilian Association of Technical Standards (ABNT), for packaging of goods. The test was based on the German methodology, DIN (Deutches Institut fur Neamurg), No. 58.953-part 6, used for packaging microbial barrier testing. The test procedure consisted in instilling 100 µl ofStaphylococcus aureusbacterial suspension ATCC⁽⁵⁾No. 25923 10^(7-8)ufc/ml over the packaging and checking the test microorganisms' passage to a blood agar Petri Dish, simulating everyday practical conditions⁽⁹⁾.

It is evident that more porous materials,Maintenance Free Golf Battery Charger 72V 60V 25A 15A, constitute less efficient barriers, mainly under humid conditions. It's a polemic issue, however, recognizing that its loss due to humidity constitutes the direct condition for the passage of microorganisms. A water molecule is much smaller than most known bacteria. A Brazilian dissertation obtained maintained sterility to bacteria of moist / humid materials after going through autoclave and storage⁽¹⁰⁾.

Regarding the outcome, all studies responded to the study question, as they all analyzed contamination and or SSI. Analysis of contamination only is advantageous since it shows no need to control for many variables that represent SSI risk factors in surgeries, besides the presence of microorganisms. Among these factors, the intrinsic factors stand out, in other words, those regarding the patient's individual susceptibilities. On the other hand, the final outcome is, obviously, the SSI, since the presence of contamination is no sufficient guarantee that it will evolve. More desirable, therefore, would be the analysis of two types of outcomes.

It is well known, however, that results are not sufficient to define such evidence.55mm Commercial Hitting Stance Golf Mat Tee Turf Mat for Driving Range Golf Courses Practice. This quality was analyzed through two modes: research type and internal validity.

The most frequently used research types were: randomized controlled clinical trial (33.3%), corresponding to studies E1, E2, E5, E8. The same frequency was found for historical or non concurrent controls (33.3%) in studies E3, E6, E7, and E11. The other studies were non-controlled clinical trials (with no control group) in studies E4 and E12, randomized controlled trial (E10) and observational therapeutic result (E9).

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Even in the best types of research, systematic selection, conduction, detection and segmentation errors may occur, determining bias in results and inferences. These biases interfere with the internal validity in the studies. According to the Cochrane Collaboration Handbook, they refer to: a) significant differences in the comparison groups (selection biases), in which randomization is used to prevent this type of error; b) equal care or the same exposure to all other factors, and also interventions of interest (conduction biases), in which masking is used to avoid this type of error; c)Besen Electric Car Charging Station SAE J1772 with Type 1 Cable(segmentation biases), which should be explained; d) verifying mode of outcomes (detection or diagnosis biases). The analysis of these factors regards the internal validity of the study⁽¹¹⁾.

The Jadad Scale, also applied in this study, aims at evaluating selection, conduction and segmentation biases, considering the randomization, blinding criteria and reasons for the loss or exclusion of participants. Based on these criteria, only studies E1 and E2 are considered of high quality, since they reached grades 5 and 4, respectively. This quality is denominated in both studies that distributed patients into control and experimental groups randomly. Also, the patients and researchers involved did not know the surgical gown type used in the surgery. Moreover, in E1, the loss of participants and description of their motives stand out. The other studies scored less than 3⁽⁶⁾.

According to the other resource used to evaluate in this study,Top Quality Italy Reciprocating Air Compressor-based Medicine⁽⁷⁾, most of them were classified in evidence B category, in other words, moderate, varying from B2- (E3, E4, E6, E7, E10, E11, E12) to B3- (E9). Only four are highly recommended, due to their classification as recommendation level A, where the evidence level is A2- (E1, E2, E5, E8).

Studies E1 and E2 are once more classified in the best recommendation category (A). Studies E5 and E8 are also included in the best evidence level (A2-).

Considering the results of the best four studies, E1, E2, E5 and E8, which analyzed surgical wound contamination,Plastic Coated Green Fiberglass Invisible Window Insect Screen-woven material. And studies E1 and E2, which analyzed SSI,Low-Cost 1.3MP 4 in 1 CMOS Camera Module-woven.

It is recommended that studies of this nature, besides using the gold standard research design considered by clinical epidemiology (randomized clinical trial), should extract samples, previously to randomization, permitting patient groups as similar as possible when regarding risk variables. Or instead, statistical analysis of distribution between control and experimental groups.

The extrinsic and intrinsic variables analyzed by the included studies are inFactory Sell 3.5mm Stainless Steel Welding Electrode E312-16 E308L-16 Welding Rodand40mm Foam Pump.

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Stainless Steel Chilling Cooling Tank for Milk Yogurt Industrystates that the extrinsic factors most controlled by the studies were surgery type (12), antibiotic prophylaxis (9), surgery endurance and surgical team (7). Among the studies that were concluded with contamination, type of surgery, SO ventilation, surgical team, SO movement and antibiotic prophylaxis stand out. Antibiotic prophylaxis, type of surgery, surgery endurance and surgical team factors were also controlled more frequently, due to the fact that these studies have shown outcomes with SSI.

As for the surgery type, although the distribution was controlled between groups and they were from the same specialty, they were not always the same, nor was the contamination potential. Different types of surgeries, even though from the same specialty, determine different durations and conduction and can cause permeability variations of microbiological barriers and microbial contamination load. Yet, surgeries of the same type and similar duration, but performed in locations with resident microbiota, become, as we all know, the main source of wound contamination and SSI⁽²⁾,Commercial Open Top Glass Door Display Island Freezer for Supermarket.

As shown in3 Ounce Mini Clear Glass Spice Jar with Airtight Lids for Canning, few studies controlled for the intrinsic variables, related to the individual susceptibilities to develop SSI. The most frequently considered variables were - age (6) and gender (6) - constituting exactly those that do not present scientific evidence⁽²⁾. Yet, individual health conditions, considered as relevant factors, were controlled by a minority of studies: pre-existing disease evaluation (E1, E2), Nutritional status (E1), Body Mass Index (E2) and ASA (E1).

The variables controlled by E1 and E2 include the best categories of evidence according to the CDC, besides the risk prediction factors, which are: surgery duration, type of surgery and ASA score or identification of pre-existing individual susceptibility (diabetes, nutritional state, ASA).

CONCLUSION

New Shoes Men Fashion Sneakers Trend Casual Shoes(12 studies), two studies (E1, E2) stood out with strong recommendation evidence. Both, however, refer to surgical gowns and drapes, concurrently, concluding about the non-difference in contamination and/Die-Formed Graphite Ring for Sealing with Free Samples-woven. Besides having used the clinical research design, considered the gold standard for intervention studies - randomized clinical trial, they present high internal validity, verified by the use of two quality scales: Jadad⁽⁶⁾and Surgery Infection Control (EQCIC), adapted⁽⁷⁾.

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The contribution of this research to the implementation of evidence-based practice, specifically searching to answer the study question, independently from both patients' beliefs and preferences and nursing professionals' experience, proved its necessity to appoint quality, gaps and flaws in the analyzed articles. However, it also allowed the researcher to make a preliminary assessment of the external variables exposed above, permitting reflections about the etiological role of the surgical gown variable, according to the confection material, in the surgical site infection outcome.

REFERENCES

1. Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Infect Control Hosp Epidemiol. 1999;20(4):250-78.         [Magplayer Classic Magnetic Construction Blocks 8 Colors with Super Magnet Standard Set 20 Pieces]

2. Lacerda RA. Controle de infecção em centro cirúrgico: fatos, mitos e controvérsias. São Paulo: Atheneu; 2003. Infecção do sítio cirúrgico; p. 69-84.         [100% Polyester Spun Yarn Sewing Thread Silicone Heat Setting Bobbin Cone Multi Color]

3. Rabhae GN, Ribeiro Filho N, Fernandes AT. Infecção do sítio cirúrgico. In: Fernandes AT, Fernandes MO, Ribeiro Filho N, editores. Infecção hospitalar e suas interfaces na área da saúde. São Paulo: Atheneu; 2000. p. 479-505.         [Best-Selling Galvanized Iron Wire Hexagonal Netting Chicken Poultry Mesh]

4. Castro AA, Saconato H, Guidugli F, Clark OAC. Curso de revisão sistemática e metanálise [texto na Internet]. São Paulo: LED-DIS/UNIFESP; 2002. [citado 2007 ago. 20]. Disponível em:Bitzer Compressor 6f-40.2 Valve Plate with 82mm Piston[Gift Packing Wholesale Printed China Factory Ribbon Tape]

5. Nobre MRC, Bernardo WM, Jatene FB. A prática clínica baseada em evidências: parte III - avaliação crítica das informações de pesquisas clínicas. Rev Assoc Med Bras. 2004;50(2):221-8.         [Embossed Pattern PU Leather Classic Mens Wallet]

6. Jadad AR, Moore A, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan, et al. Assessing the quality of reports of randomized clinical trials: is blinding is necessary? Control Clin Trials. 1996;17 (1):1-12.         [12tons 24m3 Animal Feed & Grain Electrical Driving Bulk Feed Truck]

7. Nobre MRC, Bernardo WM. Busca de evidências em fontes de informação científica. In: Prática clínica baseada em evidências. São Paulo: Elsevier; 2006. p. 43-57.         [Good Quality G80 Eye Sling Hook with Latch]

8. Leonas KK.60ml Mini Easy-Clean Whit Baby Bottle Glass Baby Glass Feeding Bottle. Am J Infect Control. 1998;26 (5):495-501.         [ Wind Dust Net]

9. Rodrigues E. Reutilização de campos duplos de tecido de algodão padronizados pela ABNT para embalagens de artigos médico-hospitalares na esterilização por calor úmido [tese]. São Paulo:Made for You Universal Wireless RF Remote Control Duplicator Yet088, Universidade de São Paulo; 2000.         [Free Sample Custom Made Square Shaped Waterproof Rubber Silicone Luggage Tags with ID Card]

10. Morya GA. Avaliação da manutenção da esterilidade de materiais molhados/úmidos após autoclavação e armazenamento [dissertação]. São Paulo:Made for You Universal Wireless RF Remote Control Duplicator Yet088, Universidade de São Paulo; 2005.         [Small Capacity Apple Vinegar Production Line]

11. The Cochrane Collaboration.Custom PVC Plastic Card Printed School/Student/Office/Staff/PVC/ID/Name/Business Cards with Your Design' Handbook Glossary. Version 4.2.5 [text on the Internet]. Oxford; 2001. [cited 2007 ago. 20]. Available from:Coated Banner[OEM Low Molecular Fish Scale Collagen Powder Fish Collagen Molecular]