WorldWideScience

Sample records for antisepsis

  1. [Principles of antisepsis, disinfection and sterilization].

    Science.gov (United States)

    Hernández-Navarrete, María-Jesús; Celorrio-Pascual, José-Miguel; Lapresta Moros, Carlos; Solano Bernad, Victor-Manuel

    2014-12-01

    This article aims to provide a brief review of the main concepts on which the prevention and control of infection are based. Antisepsis comprises a set of techniques aimed at the total sterilization, or at most, disinfection, removing germs that contaminate an environment. Both procedures must be preceded by an environmental cleanup in the location in which they intend to be applied. The disinfection is carried out using biocides or germicides. Antimicrobial chemicals, that have mechanisms of action and resistances very similar to antibiotics, are generating concern due to the possibility of crossing genetic information that aggravates the problem of bacterial resistance. Most biocides can act as antiseptics, and applied to skin tissue, or disinfectants on inanimate materials. The spectrum of action of germicides depends on the product itself and external controllable factors: temperature, concentration, exposure time, etc. Sterilization techniques are primarily physical, by exposing the material to steam, or sterilizing gas, using autoclaves. Major advances are the use of low temperatures with shorter exposure times, in parallel with technological advances in instrumentation in order to avoid high temperatures and high use rotations due to workload. PMID:25023372

  2. Antisepsis of the follicular reservoir by treatment with tissue-tolerable plasma (TTP)

    Science.gov (United States)

    Lademann, O.; Kramer, A.; Richter, H.; Patzelt, A.; Meinke, M. C.; Roewert-Huber, J.; Czaika, V.; Weltmann, K.-D.; Hartmann, B.; Koch, S.

    2011-04-01

    The application of tissue-tolerable electrical plasma (TTP) is highly efficient in skin antisepsis. However, the germs are not only located on the skin surface, but also in the hair follicles, from where they re-colonize the skin surface after antisepsis, e.g. The objective of the present study was to show that plasma is able to reach the follicular reservoir for antisepsis. For this purpose, a solution containing particulate chlorophyll dye had been applied onto porcine skin samples. The fluorescent properties of the dye changed during the plasma tissue interaction. The results demonstrate that TTP penetrates deep into the hair follicles, whereupon the hairs act as a conductor for the plasma. Therefore, it can be concluded that micro-organisms of the follicular reservoir are destroyed more efficiently by the plasma than by conventional liquid antiseptics.

  3. The Forgotten Role of Alcohol: A Systematic Review and Meta-Analysis of the Clinical Efficacy and Perceived Role of Chlorhexidine in Skin Antisepsis

    OpenAIRE

    Maiwald, Matthias; Chan, Edwin S. Y.

    2012-01-01

    Background Skin antisepsis is a simple and effective measure to prevent infections. The efficacy of chlorhexidine is actively discussed in the literature on skin antisepsis. However, study outcomes due to chlorhexidine-alcohol combinations are often attributed to chlorhexidine alone. Thus, we sought to review the efficacy of chlorhexidine for skin antisepsis and the extent of a possible misinterpretation of evidence. Methods We performed a systematic literature review of clinical trials and s...

  4. Surgical hand antisepsis in veterinary practice: evaluation of soap scrubs and alcohol based rub techniques.

    Science.gov (United States)

    Verwilghen, Denis R; Mainil, Jacques; Mastrocicco, Emilie; Hamaide, Annick; Detilleux, Johann; van Galen, Gaby; Serteyn, Didier; Grulke, Sigrid

    2011-12-01

    Recent studies have shown that hydro-alcoholic solutions are more efficient than traditional medicated soaps in the pre-surgical hand antisepsis of human surgeons but there is little veterinary literature on the subject. The aim of this study was to compare the efficiency of medicated soaps and a hydro-alcoholic solution prior to surgery using an in-use testing method in a veterinary setting. A preliminary trial was performed that compared the mean log(10) number of bacterial colony forming units (CFU) and the reduction factors (RF) between two 5-min hand-scrubbing sessions using different soaps, namely, povidone iodine (PVP) and chlorhexidine gluconate (CHX), and the 1.5-min application of a hydro-alcoholic rub. A clinical in-use trial was then used to compare the hydro-alcoholic rub and CHX in a surgical setting. Sampling was performed using finger printing on agar plates. The hydro-alcoholic rub and CHX had a similar immediate effect, although the sustained effect was significantly better for the hydro-alcoholic rub, while PVP had a significantly lower immediate and sustained effect. The hydro-alcoholic rub showed good efficiency in the clinical trial and could be considered as a useful alternative method for veterinary surgical hand antisepsis. PMID:21316990

  5. Does chlorhexidine and povidone-iodine preoperative antisepsis reduce surgical site infection in cranial neurosurgery?

    Science.gov (United States)

    Davies, B M; Patel, H C

    2016-07-01

    Introduction Surgical site infection (SSI) is a significant cause of postoperative morbidity and mortality. Effective preoperative antisepsis is a recognised prophylactic, with commonly used agents including chlorhexidine (CHG) and povidone-iodine (PVI). However, there is emerging evidence to suggest an additional benefit when they are used in combination. Methods We analysed data from our prospective SSI database on patients undergoing clean cranial neurosurgery between October 2011 and April 2014. We compared the case-mix adjusted odds of developing a SSI in patients undergoing skin preparation with CGH or PVI alone or in combination. Results SSIs were detected in 2.6% of 1146 cases. Antisepsis with PVI alone was performed in 654 (57%) procedures, while 276 (24%) had CHG alone and 216 (19%) CHG and PVI together. SSIs were associated with longer operating time (pSSI (adjusted odds ratio [AOR] 0.12, 95% confidence interval [CI] 0.02-0.63) than either agent alone. There was no difference in SSI rates between CHG and PVI alone (AOR 0.60, 95% CI 0.24-1.5). Conclusions Combination skin preparation with CHG and PVI significantly reduced SSI rates compared to CHG or PVI alone. A prospective, randomized study validating these findings is now warranted. PMID:27055411

  6. Lipid A-based affinity biosensor for screening anti-sepsis components from herbs

    Directory of Open Access Journals (Sweden)

    Jie Yao

    2014-05-01

    Full Text Available LPS (lipopolysaccharide, an outer membrane component of Gram-negative bacteria, plays an important role in the pathogenesis of sepsis and lipid A is known to be essential for its toxicity. Therefore it could be an effective measure to prevent sepsis by neutralizing or destroying LPS. Numerous studies have indicated that many traditional Chinese medicines are natural antagonists of LPS in vitro and in vivo. The goal of this study is to develop a rapid method to screen anti-sepsis components from Chinese herbs by use of a direct lipid A-based affinity biosensor technology based on a resonant mirror. The detergent OG (n-octyl β-D-glucopyranoside was immobilized on a planar non-derivatized cuvette which provided an alternative surface to bind the terminal hydrophilic group of lipid A. A total of 78 herbs were screened based on the affinity biosensor with a target of lipid A. The aqueous extract of PSA (Paeonia suffruticosa Andr was found to possess the highest capability of binding lipid A. Therefore an aqueous extraction from this plant was investigated further by our affinity biosensor, polyamide chromatography and IEC–HPLC. Finally, we obtained a component (PSA-I-3 from Paeonia suffruticosa Andr that was evaluated with the affinity biosensor. We also studied the biological activities of PSA-I-3 against sepsis in vitro and in vivo to further confirm the component we screened with the biosensor. In vitro, we found that PSA-I-3 could decrease TNFα (tumour necrosis factor α release from RAW264.7 cells induced by LPS in a dose-dependent manner. In vivo, it increased remarkably the survival of KM (KunMing mice by challenging both lethal-dose LPS and heat-killed Escherichia coli compared with control groups. Our results suggest that the constructed affinity biosensor can successfully screen the anti-sepsis component from Chinese herbs.

  7. Comparison of an alcohol-based hand rub and water-based chlorhexidine gluconate scrub technique for hand antisepsis prior to elective surgery in horses.

    Science.gov (United States)

    da Silveira, Eduardo Almeida; Bubeck, Kirstin A; Batista, Edisleidy Rodriguez; Piat, Perrine; Laverty, Sheila; Beauchamp, Guy; Archambault, Marie; Elce, Yvonne

    2016-02-01

    This prospective clinical study evaluates the effectiveness of an alcohol-based hand rub (Avagard™) for pre-surgical hand antisepsis in an equine hospital and compares it with traditional scrubbing technique using 4% chlorhexidine gluconate sponges and water. Prior to elective surgery, 3 board-certified surgeons were randomly assigned to hand antisepsis with either technique. Culture samples of each hand were taken at 4 times: before and after neutral soap hand wash, after scrub or rubbing technique, and after surgery. There was no significant difference in mean bacterial colony forming units between scrub and rub techniques over the 3 time periods (P = 0.6), controlling for initial counts. One horse from the scrub group had a skin incision infection following stifle arthroscopy; this was resolved with medical treatment. The alcohol-based hand rub is equivalent in efficacy for pre-surgical hand antisepsis to traditional water-based scrubs in an equine hospital setting. PMID:26834268

  8. Combined education and skin antisepsis intervention for persistently high blood-culture contamination rates in neonatal intensive care.

    Science.gov (United States)

    O'Connor, C; Philip, R K; Powell, J; Slevin, B; Quinn, C; Power, L; O'Connell, N H; Dunne, C P

    2016-05-01

    Contaminated blood cultures represent challenges regarding diagnosis, duration of hospitalization, antimicrobial use, pharmacy and laboratory costs. Facing problematic neonatal blood culture contamination (3.8%), we instigated a successful intervention combining skin antisepsis using sterile applicators with 2% chlorhexidine gluconate in 70% isopropanol prior to phlebotomy (replacing 70% isopropanol) and staff education. In the six months prior to intervention, 364 neonatal peripheral blood samples were collected. Fourteen (3.8%) were contaminated. In the post-intervention six months, 314 samples were collected. Three (0.96%) were contaminated, representing significant improvement (Fisher's exact test: P = 0.0259). No dermatological sequelae were observed. The improvement has been sustained. PMID:26944902

  9. Computer-aided identification of new histone deacetylase 6 selective inhibitor with anti-sepsis activity.

    Science.gov (United States)

    Yoo, Jakyung; Kim, So-Jin; Son, Dohyun; Seo, Heewon; Baek, Seung Yeop; Maeng, Cheol-Young; Lee, Changsik; Kim, In Su; Jung, Young Hoon; Lee, Sun-Mee; Park, Hyun-Ju

    2016-06-30

    Histone deacetylase (HDAC) inhibitors have been recognized as promising approaches to the treatment of various human diseases including cancer, inflammation, neurodegenerative diseases, and metabolic disorders. Several pan-HDAC inhibitors are currently approved only as anticancer drugs. Interestingly, SAHA (vorinostat), one of clinically available pan-HDAC inhibitors, shows an anti-inflammatory effect at concentrations lower than those required for inhibition of tumor cell growth. It was also reported that HDAC6 selective inhibitor tubastatin A has anti-inflammatory and anti-rheumatic effect. In our efforts to develop novel HDAC inhibitors, we rationally designed various HDAC inhibitors based on the structures of two hit compounds identified by virtual screening of chemical database. Among them, 9a ((E)-N-hydroxy-4-(2-styrylthiazol-4-yl)butanamide) was identified as a HDAC6 selective inhibitor (IC50 values of 0.199 μM for HDAC6 versus 13.8 μM for HDAC1), and it did not show significant cytotoxicity against HeLa cells. In vivo biological evaluation of 9a was conducted on a lipopolysaccharide (LPS)-induced mouse model of sepsis. The compound 9a significantly improved 40% survival rate (P = 0.0483), and suppressed the LPS-induced increase of TNF-α and IL-6 mRNA expression in the liver of mice. Our study identified novel HDAC6 selective inhibitor 9a, which may serve as a potential lead for the development of anti-inflammatory or anti-sepsis agents. PMID:27060764

  10. Beyond antisepsis: Examining the relevance of the works of Joseph Baron Lister to the contemporary surgeon-scientist

    Directory of Open Access Journals (Sweden)

    Graeme E Glass

    2014-01-01

    Full Text Available As the father of antispesis, the legacy of Joseph Baron Lister is assured and his influence on the development of contemporary surgical practice is recognised in the context of his achievement of predictable, infection-free surgery. However, looking beyond Lister′s finest achievement and examining this work in the context of his whole career as a surgeon-scientist reveals important lessons pertinent to aspiring peers in how, by replacing surgical dogma with observation, deductive reasoning and scientific verification, by pursuing good ideas in the face of resistance and by making research directly relevant and patient-focused, lasting changes can be accomplished. This short paper aims to put Lister′s developments in antisepsis in the context of his whole career, to evaluate his legacy and to commend his approach to contemporary surgeon-scientists.

  11. Beyond antisepsis: Examining the relevance of the works of Joseph Baron Lister to the contemporary surgeon-scientist.

    Science.gov (United States)

    Glass, Graeme E

    2014-01-01

    As the father of antispesis, the legacy of Joseph Baron Lister is assured and his influence on the development of contemporary surgical practice is recognised in the context of his achievement of predictable, infection-free surgery. However, looking beyond Lister's finest achievement and examining this work in the context of his whole career as a surgeon-scientist reveals important lessons pertinent to aspiring peers in how, by replacing surgical dogma with observation, deductive reasoning and scientific verification, by pursuing good ideas in the face of resistance and by making research directly relevant and patient-focused, lasting changes can be accomplished. This short paper aims to put Lister's developments in antisepsis in the context of his whole career, to evaluate his legacy and to commend his approach to contemporary surgeon-scientists. PMID:25593429

  12. USE OF HYDROALCOHOLIC EXTRACT OF Schinus terebinthifolius Raddi IN PRE- AND POST-MILKING ANTISEPSIS OF THE TEAT IN DAIRY COWS

    Directory of Open Access Journals (Sweden)

    Ângela Faccin

    2016-01-01

    Full Text Available Medicinal plants have been used for centuries as an alternative treatment for health problems. Schinus terebinthifolius Raddi is a median tree that belongs to the Anacardiaceae family. The antibacterial effect of leaves extract of this plant has already been demonstrated. The objective of this study was to test a substance derived from this plant to be used in pre- and post-milking teat antisepsis. The hydroalcoholic extract of Brazilian pepper tree was used in opposite quarters for twelve consecutive weeks, and commercial iodine was used as control. None of the indices analyzed – black background mug, CMT, intramammary infections, skin health, and teat health – showed a statistical difference between the treatments, suggesting that the plant extract can be used in pre- and post-milking teat antisepsis, as a substitute for conventional products for herds in an agroecological production system.

  13. USE OF HYDROALCOHOLIC EXTRACT OF Schinus terebinthifolius Raddi IN PRE- AND POST-MILKING ANTISEPSIS OF THE TEAT IN DAIRY COWS

    OpenAIRE

    Ângela Faccin; Luiz Filipe Damé Schuch; Diane Bender Almeida Schiavon; Carolina Lambrecht Gonçalves; Fernanda Voight Mota; Lisiane Ferreira Lessa

    2016-01-01

    Medicinal plants have been used for centuries as an alternative treatment for health problems. Schinus terebinthifolius Raddi is a median tree that belongs to the Anacardiaceae family. The antibacterial effect of leaves extract of this plant has already been demonstrated. The objective of this study was to test a substance derived from this plant to be used in pre- and post-milking teat antisepsis. The hydroalcoholic extract of Brazilian pepper tree was used in opposite quarters for twelve co...

  14. 消炎片抗菌抗炎作用的研究%Study of antisepsis and antiinflammatory effects of Xiaoyan tablet

    Institute of Scientific and Technical Information of China (English)

    黄桂雅; 王海峰; 唐晓东; 张景艳; 张惠政; 陈国平

    2001-01-01

    OBJECTIVE:To observe the antisepsis and anti-inflammatory action of Xiaoyan tablet.METHODS:Using physiological saline as control,the antiinflammatory effiects on the oncotic extent of the ear auricle of the mouse caused by xylene and swollen toes of rat caused by rat mucllago. and the antibiotic effects on staphylococcus aureus,beta hemolytic streptococcus,pneumococcus,bacillus influenzae were studied.RESULTS:The inflammatory effects of taking medicine group was dramatic compared with physiological saline group(P<0.01).Its antisepsis action is equivalent to oral liquor of double coptis chinensis.CONCLUSION:The antisepsis and anti-inflammatory action of Xiaoyan tablet is better.%目的:观察消炎片抗菌抗炎作用。方法:以生理盐水为对照组,考察消炎片对小鼠二甲苯性耳壳肿胀程度和大鼠角叉菜胶性足跖肿胀程度的影响,并观察其对金黄色葡萄球菌,乙型溶血性链球菌,肺炎双球菌,流感嗜血杆菌的抑菌作用。结果:用药组与生理盐水组比较,其抗炎作用十分显著(P<0.01),其抑菌作用与双黄连口服液相当。结论:消炎片具有较好的抗菌抗炎作用。

  15. Efeito da anti-sepsia da ferida cirúrgica alveolar sobre o crescimento bacteriano em fios de sutura de algodão Effect of the antisepsis of the alveolar surgical wound on bacterial growth over cotton suture threads

    Directory of Open Access Journals (Sweden)

    Ulysses Nicida SOARES

    2001-03-01

    Full Text Available Embora os fios de sutura empregados rotineiramente em cirurgias bucais possam favorecer o acúmulo e o crescimento bacteriano, há poucos trabalhos na literatura relatando preocupação com a anti-sepsia da ferida cirúrgica durante o período pós-operatório e antes de sua remoção. O presente trabalho teve por objetivo avaliar o efeito de dois métodos de anti-sepsia intra-oral sobre o crescimento bacteriano em fios de sutura de algodão. Os resultados evidenciaram que todos os fios de sutura apresentaram-se contaminados com estreptococos, antes e após a anti-sepsia da ferida cirúrgica. A análise dos resultados obtidos permitiu concluir que os dois métodos de anti-sepsia avaliados reduziram o número de estreptococos isolados dos fragmentos de fios de sutura, entretanto, a análise estatística demonstrou que os dois métodos avaliados não apresentaram diferenças estatisticamente significantes.The objective of this study was to evaluate bacterial growth on cotton suture. The efficiency of cetylpyridinium chloride (50%, hydrogen peroxide (3% and chlorhexidine (0.12% in antisepsis was investigated. For that, 20 patients who were submitted to extraction of impacted lower third molars were studied. Five days after extraction, samples were obtained from the oral and alveolar sides of the sutures, before and after antisepsis of the wounds, and were submitted to bacteriological analysis. Bacterial growth was observed in all examined samples. The number of streptococci decreased after antisepsis and there were no statistically significant differences between the methods of antisepsis used.

  16. ATP生物荧光法快速监测外科手消毒的应用研究%Application research on ATP bioluminescence assay in the evaluation of the effectiveness for monitoring surgical hand antisepsis rapidly

    Institute of Scientific and Technical Information of China (English)

    柯雅娟; 许晨耘; 俞诗娃; 周淑萍; 冯菲菲

    2013-01-01

    目的 探讨三磷酸腺苷(ATP)生物荧光法在外科手消毒效果评价中应用的可行性及能反映外科手消毒合格的ATP相对吸光值.方法 采用ATP生物荧光法与细菌培养计数法观察外科手消毒监测效果,用百分位数法计算ATP生物荧光仪的测量RLU值95%正常值上限,并进行成本比较.结果 ATP生物荧光仪测量的RLU值与细菌培养监测结果不成线性关系,RLU值95%正常值上限为48.02;其监测成本比细菌培养法节约59.89元.结论 ATP生物荧光法可快速监测外科手消毒效果,且操作成本较低,利于推广至现场快速监测工作.%OBJECTIVE To discuss the application feasibility of the ATP bioluminescence assay in the evaluation of the effectiveness of surgical hand antisepsis and ATP relative extinction value which can reflect the disinfection qualified. METHODS We used the ATP bioluminescence assay and bacilli culture notation respectively, to monitor the effectiveness of surgical hand antisepsis and calculate by method of percentiles to measure RLU value 95% normal value upper limit of ATP bioluminescence assay, then compared the cost. RESULTS The RLU value of ATP bioluminescence assay was not linear related to the results of bacilli culture, RLU value 95% normal value upper limit of ATP bioluminescence assay was 48.02, and the cost was 59.89 RMB less than bacilli culture. CONCLUSION ATP bioluminescence assay may appraise the effectiveness of monitoring surgical hand antisepsis rapidly and is lower cost, which can promote application on scene monitoring.

  17. Status Quo of Twice Supplying Water for High Building and Antisepsis Effect of MF-2 Disinfector%高层建筑二次供水的现状及MF-2消毒剂的消毒效果

    Institute of Scientific and Technical Information of China (English)

    刘庆增; 王金兰

    2002-01-01

    Objective To discuss status quo of twice supplying water for high building and validateantisepsis effect of MF - 2 disinfector. Methods By field test and searching reference, discussing thequestions of above - describe. According to state prescriptive method for disinfecting drinking water, vali-dating the antisepsis effect of disinfecting twice supplying water. Results Currently, establishment fortwice supplying water and the quality of the supplying water has some questions. According to the qualityof twice supplying water, acceding to some MF - 2 disinfector to disinfect, it will achieve the standard ofdrinking water. Conclusion Circumstance management department and sanitation supervise departmentshould smeliorate and manage the quality of twice supplying water, and insure the safety of using drinkingwater. So MF - 2 disinfector may replace contain chlorin disinfector to disinfect twice supplying water.

  18. Revisão sistemática sobre antissepsia cirúrgica das mãos com preparação alcoólica em comparação aos produtos tradicionais Revisión sistemática sobre antisepsia quirúrgica de manos con preparación alcohólica comparada a productos tradicionales A systematic review of surgical hand antisepsis utilizing an alcohol preparation compared to traditional products

    Directory of Open Access Journals (Sweden)

    Karen de Jesus Gonçalves

    2012-12-01

    soporte a la seguridad de las preparaciones alcohólicas para la antisepsia quirúrgica de las manos.Surgical hand antisepsis aims at preventing surgical site infections, an important cause of postoperative morbidity and mortality and escalating hospital costs. The objectives of this study were to compare the efficacy of alcohol preparations with traditional surgical hand antisepsis products by means of a systematic review of the literature. Primary and secondary studies were included, considering the microbial count or surgical site infection rates as outcomes. The search was performed on the BVS Portal, PubMed, Ask and MEDLINE. Twenty-five studies were selected (two systematic reviews, nineteen experimental and four cohort studies. The alcohol preparations promoted a microbial reduction equal to and/or greater than traditional products in 17 studies, and a lesser reduction in four studies; similar surgical site infection rates were identified. Therefore, there is scientific evidence that support the safety of alcohol preparations for surgical hand antisepsis.

  19. Experimental evaluation of chlorhexidine gluconate for ocular antisepsis.

    OpenAIRE

    Hamill, M B; Osato, M S; Wilhelmus, K R

    1984-01-01

    Chlorhexidine gluconate is a bisguanide germicide currently available with 70% isopropanol (Hibistat, Hibitane) or a detergent (Hibiclens, Hibiscrub) for preoperative skin preparation. As these solvents are toxic to the cornea, we investigated the safety and efficacy of aqueous chlorhexidine solutions for ophthalmic use. Chlorhexidine in Tris-glycine buffer was evaluated for retardation of epithelial regeneration after experimental corneal abrasion in rabbits. Irrigant concentrations of 2.0 a...

  20. Antisepsis of the Skin by Treatment with Tissue-Tolerable Plasma (TTP): Risk Assessment and Perspectives

    Science.gov (United States)

    Lademann, Jürgen; Richter, Heike; Patzelt, Alexa; Meinke, Martina C.; Fluhr, Joachim W.; Kramer, Axel; Weltmann, Klaus-Dieter; Lademann, Olaf

    The application of tissue tolerable plasma (TTP) is well suited for ­disinfection of living tissue. In particular, when treating chronic wounds, it has ­several advantages in comparison to the classical application of antiseptics, which do not penetrate sufficiently into the tissue or inhibit wound regeneration. The mode of action of the plasma is mainly based on synergetic effects between temperature increase and the formation of free radicals, which destroy the bacteria and fungi.

  1. Effect of postmilking teat antisepsis on teat canal infections in lactating dairy cows.

    Science.gov (United States)

    Nickerson, S C; Watts, J L; Boddie, R L; Ray, C H

    1990-02-01

    Effects of a .18% iodophor teat dip and a fatty acid plus lactic acid teat dip on teat canal infections were studied in two separate trials under experimental challenge procedures using Staphylococcus aureus and Streptococcus agalactiae. The iodophor teat dip was 90% effective in preventing new S. aureus teat canal infections and 95.6% effective in reducing progression of S. aureus teat canal infections to intramammary infections. The dip also reduced persistence of S. aureus teat canal colonizations from week to week by 94.4%. The fatty acid plus lactic acid dip had no effect on preventing S. aureus teat canal infections but reduced progression of S. aureus teat canal infections to intramammary infections by 43.8%. The fatty acid plus lactic acid dip also reduced the persistence of S. aureus teat canal infections by 39%. An insufficient number of Strep. agalactiae teat canal infections was detected in both trials for valid analyses. Neither dip had any effect on prevalence of naturally occurring, coagulase-negative staphylococcal teat canal infections or on teat canal infections by other organisms. PMID:2184176

  2. Comparison of Chlorhexidine and Tincture of Iodine for Skin Antisepsis in Preparation for Blood Sample Collection

    OpenAIRE

    Barenfanger, Joan; Drake, Cheryl; Lawhorn, Jerry; Verhulst, Steven J.

    2004-01-01

    Rates of contamination of blood cultures obtained when skin was prepared with iodine tincture versus chlorhexidine were compared. For iodine tincture, the contamination rate was 2.7%; for chlorhexidine, it was 3.1%. The 0.41% difference is not statistically significant. Chlorhexidine has comparable effectiveness and is safer, cheaper, and preferred by staff, so it is an alternative to iodine tincture.

  3. Antisepsis and Fresh-keeping Effects of Natamycin Coating Compounds Treatment on Red Global Grape

    Institute of Scientific and Technical Information of China (English)

    Huiling ZHOU; Meiying LIU; Xiaolin REN; Zhulian WU; Wei ZHANG

    2012-01-01

    The aim was to research fresh-keeping effects of natamycin on cold-pre- served grape. Red globe grapes were processed with compound coating liquid of chitosan with mass fraction at 1% and natamycin with mass fractions at 0.20% (T1), 0.40% (T2) and 0.60% (T3), respectively. Grapes processed with water (CK3) and 1% chitosan (CK2) were taken as control groups. Rotten rate, seed shattering rate, mass loss rate, respiratory intensity and related physiological quality in test and control groups were compared. The results indicated that respiratory intensity, mass loss rate, rotten rate and seed shattering rate in CK1 were all higher than those in CK2. In addition, T1, T2 and T3 were lower in the indices than CK1 and CK2, but still kept at a high level in fruit hardness. Furthermore, mass fractions of Vc and titratable acid declined more slowly in T1, T2 and T3, compared with CK1 and CK2. Natamycin better preserved grapes and prolonged storage period. In general, natamycin with mass fraction at 0.4% proved best in fresh-keeping.

  4. An anti-sepsis monomer, 2',5,6',7-tetrahydroxyflavanonol (THF), identified from Scutellaria baicalensis Georgi neutralizes lipopolysaccharide in vitro and in vivo.

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    Fu, Jianfeng; Cao, Hongwei; Wang, Ning; Zheng, Xinchun; Lu, Yongling; Liu, Xin; Yang, Dong; Li, Bin; Zheng, Jiang; Zhou, Hong

    2008-12-10

    Lipopolysaccharide (LPS) is a known trigger in the pathogenesis of sepsis, lipid A being the toxic component. One of several adjuvant therapeutic approaches for severe sepsis is currently focusing on the neutralization of LPS. In order to obtain the components from traditional Chinese herbs that can neutralize the endotoxin, aqueous extractions of twelve herbs were tested using affinity biosensor technology. From twelve herbs, Scutellaria baicalensis Georgi (Huang Qin) found to possess high lipid A-binding abilities, and was selected in subsequent experiments. After subjected to macroporous adsorptive resins and HPLC, we obtained 2',5,6',7-tetrahydroxyflavanonol (THF) from S. baicalensis Georgi under the direction of neutralization of LPS and reducing proinflammatory cytokines. In vitro, THF directly bound to LPS and neutralized its activity. THF not only down-regulated TNF-alpha mRNA expression but also decreased TNF-alpha and IL-6 release from RAW264.7 cells induced by LPS in a dose-dependent manner. THF-mediated inhibition on proinflammatory cytokine release is probably associated with downregulation of LPS-induced TLR4 mRNA augmentation. In vivo, THF could significantly protect mice against a lethal challenge with heat-killed E. coli 35218 (E. coli 35218) in a dose-dependent manner, and decreased the plasma LPS level in endotoxemia mice. These findings provide compelling evidence that THF may be an important potential drug for sepsis treatment. Considering the inhibitory effects of THF on LPS-induced cytokine release are unlikely due to its nonspecific cellular toxicity, THF should be considered as a safe putative candidate for development as a drug for sepsis treatment. PMID:18755299

  5. 喷砂技术在火电厂防腐工程中的应用%Application of Sandblast Technology for Antisepsis Projec tin Power Plants

    Institute of Scientific and Technical Information of China (English)

    徐立冬; 孙艳芬

    2006-01-01

    对西柏坡电厂三期扩建工程防腐除锈施工中大量使用的喷砂技术进行了介绍,并对施工中存在的问题和解决方案进行了陈述,对施工经验进行了总结, 并对今后的施工工作提出了建议.

  6. Design of Ventilation and Dust Removal for Large Structures of Antisepsis Sandblast(Bepowder) Plant%大型构件防腐喷砂(涂)车间通风除尘设计

    Institute of Scientific and Technical Information of China (English)

    陈开岩; 李江; 李钢

    2003-01-01

    考虑到大型构件喷砂(涂)车间铝粉尘污染的特点以及构件进出空间的限制,比较了各种类型的除尘器,选择了最合理的通风除尘方案,进行了通风除尘系统的设计.该设计方案实施后,除尘效果显著.

  7. 杨梅叶水溶性提取物的抗氧化、抗菌活性与防腐应用

    Czech Academy of Sciences Publication Activity Database

    君酸, 杨.; 云酸, 朱.; 清酸, 吴.; 洁酸, 尹.; Langhansová, Lenka; Vaněk, Tomáš; 生酸, 高.

    2014-01-01

    Roč. 28, č. 2 (2014), s. 198-202. ISSN 1006-2513 Institutional support: RVO:61389030 Keywords : Myrica rubra leaf * antioxidation * antisepsis Subject RIV: EF - Botanics http://d.g.wanfangdata.com.cn/Periodical_zgsptjj201402029.aspx

  8. O gluconato de clorexidina ou o álcool-iodo-álcool na anti-sepsia de campos operatórios em cães Chlorhexidine gluconate or alcohol-iodine-alcohol in the antisepsis of surgical area in dogs

    OpenAIRE

    Décio Adair Rebellatto da Silva; Mateus Matiuzzi da Costa; Agueda Castagna de Vargas; Marcelo Meller Alievi; João Eduardo Wallau Schossler; Tatiana Resende da Silva

    2000-01-01

    Foi comparada a efetividade da anti-sepsia de sítios operatórios em vinte e quatro animais, subdivididos em três grupos, utilizando água destilada (grupo controle), álcool-iodo-álcool (grupo I) e gluconato de clorexidina (grupo II). As amostras foram coletadas através de swab da pele, depois da tricotomia (T0), após anti-sepsia (T1) e duas horas após o uso do anti-séptico (T2), e submetidas à contagem de Unidades Formadoras de Colônia(UFC)/ml. Nos três grupos, ocorreu crescimento bacteriano e...

  9. Polivinilpirrolidona-iodo (PVP-I) em base aquosa na antissepsia de campo operatório oftálmico de cães Water-soluble polyvinylpyrrolidone-iodine (PVP-I) on concentrations of 0.1% and 0.5% in antisepsis of dogs ophthalmic surgery

    OpenAIRE

    Priscilla Santos Bagbed Pithon; Sônia da Silva Laborda; Emanoel Ferreira Martins Filho; Ariane Pontes Oriá; Pietro de Menezes Oliveira; Melissa Hanzer Pinna; Deusdete Conceição Gomes Júnior; João Moreira Costa Neto

    2010-01-01

    Com o presente trabalho, objetivou-se comparar o efeito bactericida do polivinilpirrolidona-iodo nas concentrações a 0,1% e 0,5% sobre a antissepsia do campo operatório oftálmico de cães. Foram utilizados 20 cães e soluções em concentrações diferentes para cada olho. No olho direito, utilizou-se solução de polivinilpirrolidona-iodo a 0,1% e no olho esquerdo a 0,5%. A colheita da amostra conjuntival de ambos os grupos foi realizada antes da antissepsia (0), após 30 minutos (1), 1,5 horas (2) e...

  10. Prospective evaluation of 2% (w/v alcoholic chlorhexidine gluconate as an antiseptic agent for blood donor arm preparation

    Directory of Open Access Journals (Sweden)

    Sweta Shah

    2014-01-01

    Full Text Available Aim: A prospective study was undertaken to evaluate the use of 2% (w/v alcoholic chlorhexidine gluconate (2% AlcCHG in donor arm preparation, to monitor the contamination rate of blood products after the collection and to find incidence of transfusion associated bacteremia. Settings and Design: Optimal skin antisepsis of the phlebotomy site is essential to minimize the risk of contamination. Food and Drug Administration (FDA in India has recommended antisepsis with three-step regimen of spirit-10% povidone iodine-spirit for donor arm antisepsis, but not with chlorhexidine, which is recommended by many other authors. Material and Methods: A total of 795 donors were studied from July 2011 to January 2012. Spirit-10% povidone iodine-spirit was used for 398 donors and 2% AlcCHG was used for 397 donors with the two-step method for arm antisepsis. Swabs were collected before and after use of antiseptic agents for all the donors. All the blood products collected from donors with growth in post-antisepsis swabs were cultured. A total of 123 various blood products were cultured irrespective of the method and result of antisepsis was observed. A total of seven patients had mild transfusion reaction. The transfused blood products, blood and urine specimen of the patients who had transfusion reaction were also cultured. Results: Seven donors out of 398 donors had growth in post-antisepsis swab with spirit-10% povidone iodine-spirit protocol and three donors out of 397 donors had growth in post-antisepsis swab with 2% AlcCHG protocol. All blood products collected from donors who had growth in post-antisepsis swabs when cultured had no growth. There was no contamination of blood products. Conclusions: Two percent (w/v alcoholic chlorhexidine gluconate with two-step protocol can be used as an antiseptic agent for donor arm preparation without considerable cost difference. It is at par with spirit 10% povidone iodine spirit protocol as suggested by FDA in India

  11. [SURGICAL HAND WASHING: HANDSCRUBBING OR HANDRUBBING].

    Science.gov (United States)

    Santacatalina Mas, Roser; Peix Sagues, Ma Teresa; Miranda Salmerón, Josep; Claramunt Jofre, Marta; López López, Alba; Salas Marco, Elena

    2016-02-01

    The importance of protocols for preoperative antisepsis of the hands is given by the risk of transferring bacteria from the hands of the surgical team to the patient during surgery and it is relationship with infection of surgical wound site (SSI). Careful surgical scrub reduces the number of bacteria on the skin, but does not eliminate them completely, remaining transient microorganisms on hands after the surgical scrub. There fore if micropuncture in surgical gloves occurs, the correct preoperative preparation of hands and double gloving will be essential to reduce the risk of bacterial transmission to patients. The protocols for surgical hand antisepsis are two: Surgical scrub with antiseptic soap (hand scrubbing). Surgical scrub by rubbing alcohol (handrubbing). The hand antisepsis by rubbing with an alcohol solution has proved to be significantly more effective compared to soap solutions. We must also see that in surgical hand antisepsis with soap, you must rinse them with water. And often hospitals' taps and keys are contaminated by Pseudomonas spp., including P. aeuinosa. PMID:27101645

  12. Nanostructure formation enhances the activity of LPS-neutralizing peptides.

    NARCIS (Netherlands)

    Mas-Moruno, C.; Cascales, L.; Cruz, L.J.; Mora, P.; Perez-Paya, E.; Albericio, F.

    2008-01-01

    Peptides that interact with lipopolysaccharide (LPS) can provide the basis for the development of new antisepsis agents. In this work, several LPS-neutralizing acyl peptides derived from LALF, BPI, and SAP were prepared, structurally characterized, and biologically evaluated. In all cases, peptides

  13. 杨梅叶水溶性提取物的抗氧化、抗菌活性 与防腐应用

    Czech Academy of Sciences Publication Activity Database

    Jun, Y.; Li-yun, Z.; Jun-qing, W.; Jie, Y.; Langhansová, Lenka; Vaněk, Tomáš; Yong-sheng, G.; Ji-dong, L.

    -, č. 2 (2014), s. 198-202. ISSN 1006-2513 R&D Projects: GA MŠk LH12165 Institutional support: RVO:61389030 Keywords : Myrica rubra leaf * antioxidation * antimicrobial Subject RIV: FR - Pharmacology ; Medidal Chemistry http://caod.oriprobe.com/articles/42399762/Antioxidant_antimicrobial_and_antisepsis_properties_of_the_water_solub.htm

  14. Antimicrobial biocides in the healthcare environment: efficacy, usage, policies, and perceived problems

    OpenAIRE

    Maillard, Jean-Yves

    2005-01-01

    Biocides are heavily used in the healthcare environment, mainly for the disinfection of surfaces, water, equipment, and antisepsis, but also for the sterilization of medical devices and preservation of pharmaceutical and medicinal products. The number of biocidal products for such usage continuously increases along with the number of applications, although some are prone to controversies. There are hundreds of products containing low concentrations of biocides, including various fabrics such ...

  15. Antimicrobial Analysis of an Antiseptic Made from Ethanol Crude Extracts of P. granatum and E. uniflora in Wistar Rats against Staphylococcus aureus and Staphylococcus epidermidis

    OpenAIRE

    Thaís Honório Lins Bernardo; Regina Célia Sales Santos Veríssimo; Valter Alvino; Maria Gabriella Silva Araujo; Raíssa Fernanda Evangelista Pires dos Santos; Max Denisson Maurício Viana; Maria Lysete de Assis Bastos; Magna Suzana Alexandre-Moreira; João Xavier de Araújo-Júnior

    2015-01-01

    Introduction. Surgical site infection remains a challenge for hospital infection control, especially when it relates to skin antisepsis in the surgical site. Objective. To analyze the antimicrobial activity in vivo of an antiseptic from ethanol crude extracts of P. granatum and E. uniflora against Gram-positive and Gram-negative bacteria. Methods. Agar drilling and minimal inhibitory tests were conducted for in vitro evaluation. In the in vivo bioassay were used Wistar rats and Staphylococcus...

  16. Antibacterial effects on dry-fast and traditional water-based surgical scrubbing methods: a two-time points experimental study.

    Science.gov (United States)

    Chen, Shu-Hwa; Chou, Chuan-Yu; Huang, Jui-Chen; Tang, Ya-Fen; Kuo, Yur-Ren; Chien, Li-Yu

    2014-06-01

    This study determined the in-use effects of dry-fast and traditional hand-washing surgical scrubs among operating room staff members. This is a static group comparison study with purposive sampling. A total of 156 staff members were recruited in an operating room in a medical center located in southern Taiwan. The participants were divided into traditional and dry-fast hand-washing groups. Microbial counts were measured right after the two groups finished surgical scrubbing and at the completion of surgery. The results showed that the use of dry-fast antisepsis has a better persistent effect (P = 0.001), more nurses chose dry-fast antisepsis than surgeons (P = 0.012), and the post-operation number of colonies for nurses was significantly higher than that for surgeons (P = 0.003). Operating room nurses are long-term and frequent users of antibacterial agents, and their requirement of skin protection is higher. The dry-fast technique has the advantage of being less irritating to the skin and less time consuming; therefore, brush-free and dry-fast antisepsis is recommended. PMID:23992610

  17. Antoni Christian Bryk (1820-1881) - professor of forensic medicine at Jagiellonian University (1852-1860), and director of the surgical clinic of Jagiellonian University in Cracow (1860-1881).

    Science.gov (United States)

    Zajączkowski, Tadeusz

    2014-01-01

    scientific discipline. In the 19th century two milestones revolutionised surgery: the development of narcosis, which enabled painless surgery, and the introduction of antisepsis and asepsis. The author presents the beginnings of academic surgery in Cracow. Its pioneer surgeons are presented. Extensive research was undertaken to collect the literature and documents in Polish, Austrian and German archives and libraries in order to prepare this study. Biographical details of the director of the Surgical Clinic, Prof. Antoni Bryk, are provided. He was the first person in Poland to introduce antisepsis and galvanocautery as routine procedures in the Cracow Clinic. The introduction of antisepsis contributed to a reduction in infection during surgery, and a reduction in postoperative mortality in Cracow Surgical Clinic. In this way Professor Bryk became the first Polish surgeon to apply Lister's antiseptic method in the treatment of wounds. Thus enlarged, the scope of surgery for intracranial, bone and other procedures became routine. Surgery is the oldest discipline in medicine. Poland's first university chair of surgery was established in the 18th century. Surgery, which until then had been the domain of barbers and bath house attendants, became a clinical, PMID:25518102

  18. Committee Opinion No. 571: Solutions for surgical preparation of the vagina.

    Science.gov (United States)

    2013-09-01

    Currently, only povidone-iodine preparations are approved for vaginal surgical-site antisepsis. However, there are compelling reasons to consider chlorhexidine gluconate solutions for off-label use in surgical preparation of the vagina, especially in women with allergies to iodine. Although chlorhexidine gluconate solutions with high concentrations of alcohol are contraindicated for surgical preparation of the vagina, solutions with low concentrations of alcohol (eg, 4%) are both safe and effective for off-label use as vaginal surgical preparations and may be used as an alternative to iodine-based preparations in cases of allergy or when preferred by the surgeon. PMID:23963423

  19. Development of bacterial resistance to biocides and antimicrobial agents as a consequence of biocide usage

    OpenAIRE

    Seier-Petersen, Maria Amalie; Ussery, David; Aarestrup, Frank Møller; Agersø, Yvonne

    2013-01-01

    Biocider er kemiske stoffer med antimikrobielle egenskaber og bruges i vid udstrækning til desinfektion, antisepsis og til konservering. Biocider er blevet anvendt i århundreder til eksempelvis rensning af sår med vin, eddike eller honning og til saltning af fisk og kød på grund af tidlige empiriske tilgange. I dag, bliver store mængder af biocider anvendt til desinfektion for at opnå et tilfredsstillende niveau af hygiejne i forskellige miljøer og anvendelsen af biocider er blevet en integre...

  20. Mise au point et évaluation d'une solution hydro-alcoolique colorée de chlorhexidine

    OpenAIRE

    Malriq, Alexia; Monset, A.; Baudoin, Amandine; Renaud, Julie; Salmon, D.; Pirot, Fabrice; Pivot, Christine

    2013-01-01

    Les solutions hydro alcooliques (70%) de chlorhexidine (0,5%) sont couramment utilisées pour l'antisepsie avant intervention chirurgicale. Cependant, il a été rapporté une instabilité du colorant (azorubine, E122) lors du stockage prolongé à de faibles températures. Dans ce travail, nous avons développé une nouvelle formulation d'une solution hydro alcoolique colorée de chlorhexidine plus stable à faible température. Par ailleurs, une étude préliminaire de biodisponibilité cutanée du colorant...

  1. Interactions of a designed peptide with lipopolysaccharide: Bound conformation and anti-endotoxic activity

    International Nuclear Information System (INIS)

    Designed peptides that would selectively interact with lipopolysaccharide (LPS) or endotoxin and fold into specific conformations could serve as important scaffolds toward the development of antisepsis compounds. Here, we describe solution structure of a designed amphipathic peptide, H2N-YVKLWRMIKFIR-CONH2 (YW12D) in complex with endotoxin as determined by transferred nuclear Overhauser effect spectroscopy. The conformation of the isolated peptide is highly flexible, but undergoes a dramatic structural stabilization in the presence of LPS. Structure calculations reveal that the peptide presents two amphipathic surfaces in its bound state to LPS whereby each surface is characterized by two positive charges and a number of aromatic and/or aliphatic residues. ITC data suggests that peptide interacts with two molecules of lipid A. In activity assays, YW12D exhibits neutralization of LPS toxicity with very little hemolysis of red blood cells. Structural and functional properties of YW12D would be applicable in designing low molecular weight non-toxic antisepsis molecules

  2. Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HIPAC/SHEA/APIC/IDSA Hand Hygiene Task Force.

    Science.gov (United States)

    Boyce, John M; Pittet, Didier

    2002-12-01

    The Guideline for Hand Hygiene in Health-Care Settings provides health-care workers (HCWs) with a review of data regarding handwashing and hand antisepsis in health-care settings. In addition, it provides specific recommendations to promote improved hand-hygiene practices and reduce transmission of pathogenic microorganisms to patients and personnel in health-care settings. This report reviews studies published since the 1985 CDC guideline (Garner JS, Favero MS. CDC guideline for handwashing and hospital environmental control, 1985. Infect Control 1986;7:231-43) and the 1995 APIC guideline (Larson EL, APIC Guidelines Committee. APIC guideline for handwashing and hand antisepsis in health care settings. Am J Infect Control 1995;23:251-69) were issued and provides an in-depth review of hand-hygiene practices of HCWs, levels of adherence of personnel to recommended handwashing practices, and factors adversely affecting adherence. New studies of the in vivo efficacy of alcohol-based hand rubs and the low incidence of dermatitis associated with their use are reviewed. Recent studies demonstrating the value of multidisciplinary hand-hygiene promotion programs and the potential role of alcohol-based hand rubs in improving hand-hygiene practices are summarized. Recommendations concerning related issues (e.g., the use of surgical hand antiseptics, hand lotions or creams, and wearing of artificial fingernails) are also included. PMID:12461507

  3. 脓毒症治疗——挑战与机遇并存%Sepsis treatment——Challenge and chance

    Institute of Scientific and Technical Information of China (English)

    周红; 刘鑫; 郑江

    2013-01-01

    Sepsis-related organ dysfunction and shock are primary causes of death in critical illness, which is triggered by pathogen associated molecules patterns (PAMPs) and progresses into life threatening stages as a result of systemic dysfunction in inflammatory reactions, coagulation cascades and immune responses. Advances in our understanding of pathogenesis in sepsis prompt different kinds of anti-sepsis strategies. Unfortunately, there is no specific agent for sepsis except for recombinant human activated protein C, which is withdrawn because of its severe adverse effects. Therefore, it is significant to reevaluate the drugs in clinic and reconsider the strategies in preclinical or clinical studies. Herein, we discuss the therapeutic approaches for sepsis that affect different stages of sepsis progression, their efficacy in treating sepsis, and possible fields for discovering new agents for sepsis treatment.

  4. [Significance and prevention of post-operative wound complications].

    Science.gov (United States)

    Napp, M; Gümbel, D; Lange, J; Hinz, P; Daeschlein, G; Ekkernkamp, A

    2014-01-01

    Although surgical site infections (SSI) in dermatologic operative procedures are extremely rare, it is important to understand risks and etiological factors to initiate risk assessment and specific preventive measures. SSI commonly are associated with a complicated, long-term and expensive outcome. Typical wound pathogens of these infections include a variety of multiresistant organisms along with Staphylococcus aureus, Staphylococcus epidermidis, hemolytic streptococci and the gram-negative bacilli Escherichia coli and Pseudomonas aeruginosa. Effective hygienic measures as part of an adequate quality management system should consider the critical points in the development of SSI, particularly in the setting of an outpatient dermatologic unit, such as preparation of the operative area, preoperative skin antisepsis, hand hygiene, safe and skilled technique by surgeons, and barrier nursing to prevent spread of pathogens. The baseline infection incidence in dermatologic surgery inherently is low; nevertheless significant improvements can be achieved by implementation of risk-adapted infection control measures. PMID:24445942

  5. Lack of new antiinfective agents: Passing into the pre-antibiotic age?

    Institute of Scientific and Technical Information of China (English)

    Klaus; Brandenburg; Tobias; Schürholz

    2015-01-01

    The lack of newly developed antibiotics, together with the increase in multi-resistance of relevant pathogenic bacteria in the last decades, represents an alarming signal for human health care worldwide. The number of severely infected persons increases not only in developing but also in highly industrialized countries. This relates in first line to the most severe form of a bacterial infection, sepsis and the septic shock syndrome, with high mortality on critical care units. No particular anti-sepsis drug is available, and the therapy with conventional antibiotics more and more fails to provide a survival benefit. Due to the fact that the pharmaceutical industry has withdrawn to a high degree from the development of anti-infectious agents, a huge challenge for health care is approaching in the 21 st century. In this article, these problems are outlined and possible alternatives are presented which may be helpful to solve the problem.

  6. Gastroschisis

    Directory of Open Access Journals (Sweden)

    Ada Arleny Pérez Mayo

    2015-06-01

    Full Text Available This is a case of a neonate treated because of gastroschisis in San Pedro Necta National Hospital in Huehuetenango Department, Guatemala. As there was no abdominal echography and there were viscera out of the cavity, including the stomach and the small and large intestines, an urgent surgical intervention was carried out during the first hour after birth. A careful preoperative process was carried out which included skin local antisepsis and the administration of amikacin and metronidazole as the available prophylactic antibiotic treatment. The surgical technique consisted of a primary closure of the abdominal wall defect and the return of the intestines to the abdominal cavity. No complications were reported and the hospital stay lasted 14 days.

  7. Identification of a new anti-LPS agent, geniposide, from Gardenia jasminoides Ellis, and its ability of direct binding and neutralization of lipopolysaccharide in vitro and in vivo.

    Science.gov (United States)

    Zheng, Xinchuan; Yang, Dong; Liu, Xin; Wang, Ning; Li, Bin; Cao, Hongwei; Lu, Yongling; Wei, Guo; Zhou, Hong; Zheng, Jiang

    2010-10-01

    Lipopolysaccharide (LPS/endotoxin) is a key pathogen recognition molecule for sepsis. Currently, one of the therapeutic approaches for severe sepsis is focusing on the neutralization of LPS, and clinical trials have shown a lot of traditional Chinese herbs possess anti-sepsis function. Herein, to elucidate the bioactive components of traditional Chinese herbs that can neutralize LPS, the lipid A-binding abilities of sixty herbs were tested using affinity biosensor technology. The aqueous extract of Gardenia jasminoides Ellis, traditionally used to treat inflammation in Asian countries for centuries, was further investigated. Subsequently, a monomer, identified as geniposide, was isolated. In vitro, geniposide was found to directly bind LPS and neutralize LPS. It dose-dependently inhibited cytokines release from RAW264.7 cells induced by LPS without affecting the cell viability, and inhibited TNF-α mRNA expression up-regulated by LPS. However, geniposide did not decrease TNF-α release induced by CpG DNA, Poly I:C or IL-1β. Significantly, geniposide dose-dependently down-regulated TLR4 mRNA expression up-regulated by LPS, and suppressed the phosphorylations of p38 MAKP induced by LPS but not by IL-1β. In vivo, geniposide (40mg/kg) could significantly protect mice challenge with lethal heat-killed E. coli, and dose-dependently decreased the level of serum endotoxin which was tightly associated with the cytokine levels in endotoxemia mice. In summary, we successfully isolated geniposide from G. jasminoides Ellis. Geniposide directly bound LPS and neutralized LPS in vitro, and significantly protected sepsis model mice. Therefore, geniposide could be as a useful lead compound for anti-sepsis drug development. PMID:20655404

  8. Antiseptic efficacy of selected agents and tissue tolerable plasma (TTP on C. albicans biofilms – has the biofilm maturity influence on it?

    Directory of Open Access Journals (Sweden)

    Koban, Ina

    2009-12-01

    Full Text Available Background: The formation of biofilms is crucial to the pathogenesis of many dental microbial infections. Oral candidosis are common and often found under removable partial dentures. Nonthermal atmospheric plasma (tissue tolerable plasma, TTP was tested for its antimicrobial activity against different matured Candida albicans biofilms.Methods: We assessed the efficacy of selected agents (chlorhexidine, sodium hypochlorite, fluconazol and TTP against in vitro biofilms of C. albicans grown 12 h (young, 24 h and 48 h (mature in microtiter plates.Results: One minute TTP-treatment was shown to have significant effects on biofilm formation during the whole measurement period of young and mature biofilms. Only the effects of fluconazol and TTP could reduce formation of young biofilms for a longer period.Conclusions: The maturity level of biofilms influences the antiseptic efficacy of different agents. Young biofilms are very sensitive to antimicrobial effects, but they recover from it very fast. Mature biofilms show lower but long-term effects. Single plasma treatment for 1 min reduces the formation of young as well as mature biofilms. For the future physical treatment by TTP may get an alternative to chemical antisepsis.

  9. Five millennia of wound care products--what is new? A literature review.

    Science.gov (United States)

    Mouës, Chantal M; Heule, Freerk; Legerstee, Ron; Hovius, Steven E R

    2009-03-01

    The first wound an wound treatments were described five millennia ago. Since then, various principles of wound care have been passed on from generation to generation. In contrast to large numbers of general technological inventions over the last 100 years, progress beyond ancient wound care practices is a recent phenomenon. It is essential to know the historical aspects of wound treatment (both successes and failures) in order to continue this progress and provide future direction. A survey of the literature shows that concepts such as "laudable pus" persisted for hundreds of years and that lasting discoveries and meaningful progress did not occur until grand-scale manufacturing and marketing started. Landmarks such as understanding the principles of asepsis/antisepsis, fundamental cellular research findings, knowledge about antibiotics/antimicrobials, moist wound healing, and the chemical and physical processes of wound healing have provided the foundation to guide major developments in wound management, including available evidence-based guidelines. Although research regarding interaction of basic wound management principles remains limited, the combined efforts of global research and clinical groups predict a bright future for improved wound management. PMID:19359707

  10. Low temperature plasma biomedicine: A tutorial reviewa)

    Science.gov (United States)

    Graves, David B.

    2014-08-01

    Gas discharge plasmas formed at atmospheric pressure and near room temperature have recently been shown to be potentially useful for surface and wound sterilization, antisepsis, bleeding cessation, wound healing, and cancer treatment, among other biomedical applications. This tutorial review summarizes the field, stressing the likely role of reactive oxygen and nitrogen species created in these plasmas as the biologically and therapeutically active agents. Reactive species, including radicals and non-radical compounds, are generated naturally within the body and are now understood to be essential for normal biological functions. These species are known to be active agents in existing therapies for wound healing, infection control, and cancer treatment. But they are also observed at elevated levels in persons with many diseases and are associated with aging. The physical and chemical complexity of plasma medical devices and their associated biochemical effects makes the development of safe, effective plasma medical devices and procedures a challenge, but encouragingly rapid progress has been reported around the world in the last several years.

  11. Low temperature plasma biomedicine: A tutorial review

    Energy Technology Data Exchange (ETDEWEB)

    Graves, David B., E-mail: graves@berkeley.edu [University of California at Berkeley, Berkeley, California 94720 (United States)

    2014-08-15

    Gas discharge plasmas formed at atmospheric pressure and near room temperature have recently been shown to be potentially useful for surface and wound sterilization, antisepsis, bleeding cessation, wound healing, and cancer treatment, among other biomedical applications. This tutorial review summarizes the field, stressing the likely role of reactive oxygen and nitrogen species created in these plasmas as the biologically and therapeutically active agents. Reactive species, including radicals and non-radical compounds, are generated naturally within the body and are now understood to be essential for normal biological functions. These species are known to be active agents in existing therapies for wound healing, infection control, and cancer treatment. But they are also observed at elevated levels in persons with many diseases and are associated with aging. The physical and chemical complexity of plasma medical devices and their associated biochemical effects makes the development of safe, effective plasma medical devices and procedures a challenge, but encouragingly rapid progress has been reported around the world in the last several years.

  12. Sutureless prepuceplasty with wound healing by second intention: An alternative surgical approach in children's phimosis treatment

    Directory of Open Access Journals (Sweden)

    Christianakis Efstratios

    2008-03-01

    Full Text Available Abstract Background A new technique for the treatment of children's phimosis is presented that minimizes the repairing time, the postoperative complications and maintains the physical foreskin appearance intact. Methods Eightyseven children with phimosis were treated with this new developed technique, between 2003 and 2005. Sutureless prepuceplasty creates a permanent surgical extension of the close prepuce. Stretching and retraction of phimotic foreskin reveals a tight prepuce ring that is cutting in its dorsal surface longitudinally. Rarely triple symmetric incisions in the preputial outlet are necessary. The foreskin is loose and moves absolutely free in bilateral courses. The wounds are healing by second intention. Antisepsis, steroids and Elicina cream, (which contains allantoin, collagen, elastin, glycolic acid and vitamins A, D, and E should apply daily, for twenty to thirty days. Results The foreskin is moving in centripetal or efferent courses absolutely loosely, painlessly and bloodlessly. The mean time of follow-up was 27 months (one to four years. No complications were observed. Conclusion Sutureless prepuceplasty may present an acceptable alternative in children's phimosis reconstruction.

  13. Antimicrobial Analysis of an Antiseptic Made from Ethanol Crude Extracts of P. granatum and E. uniflora in Wistar Rats against Staphylococcus aureus and Staphylococcus epidermidis

    Directory of Open Access Journals (Sweden)

    Thaís Honório Lins Bernardo

    2015-01-01

    Full Text Available Introduction. Surgical site infection remains a challenge for hospital infection control, especially when it relates to skin antisepsis in the surgical site. Objective. To analyze the antimicrobial activity in vivo of an antiseptic from ethanol crude extracts of P. granatum and E. uniflora against Gram-positive and Gram-negative bacteria. Methods. Agar drilling and minimal inhibitory tests were conducted for in vitro evaluation. In the in vivo bioassay were used Wistar rats and Staphylococcus aureus (ATCC 25923 and Staphylococcus epidermidis (ATCC 14990. Statistical analysis was performed through variance analysis and Scott-Knott cluster test at 5% probability and significance level. Results. In the in vitro, ethanolic extracts of Punica granatum and Eugenia uniflora and their combination showed the best antimicrobial potential against S. epidermidis and S. aureus. In the in vivo bioassay against S. epidermidis, there was no statistically significant difference between the tested product and the patterns used after five minutes of applying the product. Conclusion. The results indicate that the originated product is an antiseptic alternative source against S. epidermidis compared to chlorhexidine gluconate. It is suggested that further researches are to be conducted in different concentrations of the test product, evaluating its effectiveness and operational costs.

  14. Comparison of tissue damage caused by various laser systems with tissue tolerable plasma by light and laser scan microscopy

    International Nuclear Information System (INIS)

    Tissue tolerable plasma (TTP) represents a novel therapeutic method with promising capabilities in the field of dermatological interventions, in particular disinfection but also wound antisepsis and regeneration. The energy transfer by plasma into living tissue is not easily educible, as a variety of features such as the medium’s actual molecule-stream, the ions, electrons and free radicals involved, as well as the emission of ultraviolet, visible and infrared light contribute to its increasingly well characterized effects. Thus, relating possible adversary effects, especially of prolonged exposure to a single component of the plasma’s mode of action, is difficult. Until now, severe adverse events connected to plasma exposure have not been reported when conducted according to existing therapeutic protocols. In this study, we have compared the tissue damage-potential of CO2 and dye lasers with TTP in a porcine model. After exposure of pig ear skin to the three treatment modalities, all specimens were examined histologically and by means of laser scan microscopy (LSM). Light microscopical tissue damage could only be shown in the case of the CO2 laser, whereas dye laser and plasma treatment resulted in no detectable impairment of the specimens. In the case of TTP, LSM examination revealed only an impairment of the uppermost corneal layers of the skin, thus stressing its safety when used in vivo. (letter)

  15. History and evolution of surgical ethics: John Gregory to the twenty-first century.

    Science.gov (United States)

    Namm, Jukes P; Siegler, Mark; Brander, Caroline; Kim, Tae Yeon; Lowe, Christian; Angelos, Peter

    2014-07-01

    As surgery grew to become a respected medical profession in the eighteenth century, medical ethics emerged as a response to the growing need to protect patients and maintain the public's trust in physicians. The early influences of John Gregory and Thomas Percival were instrumental in the formulation of patient-centered medical ethics. In the late nineteenth century, the modern surgical advances of anesthesia and antisepsis created the need for a discipline of ethics specific to surgery in order to confront new and evolving ethical issues. One of the founding initiatives of the American College of Surgeons in 1913 was to eliminate unethical practices such as fee-splitting and itinerant surgery. As surgery continued to advance in the era of solid organ transplantation and minimally invasive surgery in the latter half of the twentieth century, surgical innovation and conflict of interest have emerged as important ethical issues moving forward into the twenty-first century. Surgical ethics has evolved into a distinct branch of medical ethics, and the core of surgical ethics is the surgeon-patient relationship and the surgeon's responsibility to advance and protect the well-being of the patient. PMID:24763442

  16. Evaluation of bacterial contamination rate of the anterior chamber during phacoemulsification surgery using an automated microbial detection system

    Institute of Scientific and Technical Information of China (English)

    Ibrahim; Kocak; Funda; Kocak; Bahri; Teker; Ali; Aydin; Faruk; Kaya; Hakan; Baybora

    2014-01-01

    ·AIM: To assess the incidence of anterior chamber bacterial contamination during phacoemulsification surgery using an automated microbial detection system(BacT/Alert).·METHODS: Sixty-nine eyes of 60 patients who had uneventful phacoemulsification surgery, enrolled in this prospective study. No prophylactic topical or systemic antibiotics were used before surgery. After antisepsis with povidone-iodine, two intraoperative anterior chamber aqueous samples were obtained, the first whilst entering anterior chamber, and the second at the end of surgery. BacT/Alert culture system was used to detect bacterial contamination in the aqueous samples.·RESULTS: Neither aqueous samples obtained at the beginning nor conclusion of the surgery was positive for microorganisms on BacT/Alert culture system. The rate of bacterial contamination during surgery was 0%. None of the eyes developed acute-onset endophthalmitis after surgery.· CONCLUSION: In this study, no bacterial contamination of anterior chamber was observed during cataract surgery. This result shows that meticulous surgical preparation and technique can prevent anterior chamber contamination during phacoemulsification cataract surgery.

  17. Air spark-like plasma source for antimicrobial NOx generation

    International Nuclear Information System (INIS)

    We demonstrate and analyse the generation of nitrogen oxides and their antimicrobial efficacy using atmospheric air spark-like plasmas. Spark-like discharges in air in a 1 L confined volume are shown to generate NOx at an initial rate of about 1.5  ×  1016 NOx molecules/J dissipated in the plasma. Such a discharge operating in this confined volume generates on the order of 6000 ppm NOx in 10 min. Around 90% of the NOx is in the form of NO2 after several minutes of operation in the confined volume, suggesting that NO2 is the dominant antimicrobial component. The strong antimicrobial action of the NOx mixture after several minutes of plasma operation is demonstrated by measuring rates of E. coli disinfection on surfaces and in water exposed to the NOx mixture. Some possible applications of plasma generation of NOx (perhaps followed by dissolution in water) include disinfection of surfaces, skin or wound antisepsis, and sterilization of medical instruments at or near room temperature. (paper)

  18. Retention of clay-solidified grouting curtain to Cd2+,Pb2+ and Hg2+ in landfill of municipal solid waste

    Institute of Scientific and Technical Information of China (English)

    张可能; 陈永贵; 邓飞跃; 田庆余

    2004-01-01

    The effects of components and their ratio of grouts on anti-seepage capability of clay-solidified grouting curtain and its permeability of heavy metal cations were investigated by permeating experiments, using reactive solute transport model to study the permeation of heavy metals (Cd2+ , Pb2+ and Hg2+ ). The study of permeating for different mixture ratios of cement and clay indicates that hydraulic conductivity of clay-solidified grouting curtain with different ratios of solid to liquid or with the same ratio of solid to liquid but with different ratios of cement to clay is changed. The laboratory simulation test results also show that precipitates produced in heavy metal cation migration process in curtain block up water flowing passage which makes the hydraulic conductivity of the solution-permeated curtain decrease with the leakage time. The permeation velocities for different heavy metal cations vary with ionic concentration, exchange capacity and ion radius etc. The test results indicate that the permeation rapidity order of heavy metals cations in clay-solidified grouting curtain is Hg2+ >Pb2+ in the same experimental circumstance. In addition, permeability for different mixture ratios and antisepsis capabilities of clay-solidified grouting curtain were studied in tests.

  19. Peptide inhibition of p22phox and Rubicon interaction as a therapeutic strategy for septic shock.

    Science.gov (United States)

    Kim, Ye-Ram; Koh, Hyun-Jung; Kim, Jae-Sung; Yun, Jin-Seung; Jang, Kiseok; Lee, Joo-Youn; Jung, Jae U; Yang, Chul-Su

    2016-09-01

    Sepsis is a clinical syndrome that complicates severe infection and is characterized by the systemic inflammatory response syndrome (SIRS), is a life threatening disease characterized by inflammation of the entire body. Upon microbial infection, p22phox-gp91phox NADPH oxidase (NOX) complexes produce reactive oxygen species (ROS) that are critical for the elimination of invading microbes. However, excess production of ROS represents a key element in the cascade of deleterious processes in sepsis. We have previously reported direct crosstalk between autophagy and phagocytosis machineries by demonstrating that the Rubicon protein interacts with p22phox upon microbial infection, facilitating phagosomal trafficking of the p22phox-gp91phox NOX complex to induce a ROS burst, inflammatory cytokine production, and thereby, potent anti-microbial activities. Here, we showed N8 peptide, an N-terminal 8-amino acid peptide derived from p22phox, was sufficient for Rubicon interaction and thus, capable of robustly blocking the Rubicon-p22phox interaction and profoundly suppressing ROS and inflammatory cytokine production. Consequently, treatment with the Tat-N8 peptide or a N8 peptide-mimetic small-molecule dramatically reduced the mortality associated with Cecal-Ligation-and-Puncture-induced polymicrobial sepsis in mice. This study demonstrates a new anti-sepsis therapeutic strategy by blocking the crosstalk between autophagy and phagocytosis innate immunity machineries, representing a potential paradigm shift for urgently needed therapeutic intervention against this life-threatening SIRS. PMID:27267627

  20. Nosocomial infections in dialysis access.

    Science.gov (United States)

    Schweiger, Alexander; Trevino, Sergio; Marschall, Jonas

    2015-01-01

    Nosocomial infections in patients requiring renal replacement therapy have a high impact on morbidity and mortality. The most dangerous complication is bloodstream infection (BSI) associated with the vascular access, with a low BSI risk in arteriovenous fistulas or grafts and a comparatively high risk in central venous catheters. The single most important measure for preventing BSI is therefore the reduction of catheter use by means of early fistula formation. As this is not always feasible, prevention should focus on educational efforts, hand hygiene, surveillance of dialysis-associated events, and specific measures at and after the insertion of catheters. Core measures at the time of insertion include choosing the optimal site of insertion, the use of maximum sterile barrier precautions, adequate skin antisepsis, and the choice of catheter type; after insertion, access care needs to ensure hub disinfection and regular dressing changes. The application of antimicrobial locks is reserved for special situations. Evidence suggests that bundling a selection of the aforementioned measures can significantly reduce infection rates. The diagnosis of central line-associated BSI (CLABSI) is based on clinical signs and microbiological findings in blood cultures ideally drawn both peripherally and from the catheter. The prompt installation of empiric antibiotic treatment covering the most commonly encountered organisms is key regarding CLABSI treatment. Catheter removal is recommended in complicated cases or if cultures yield Staphylococcus aureus, enterococci, Pseudomonas or fungi. In other cases, guide wire exchange or catheter salvage strategies with antibiotic lock solutions may be acceptable alternatives. PMID:25676304

  1. [Cytologic diagnosis of abdominal lesions with fine needle aspiration guided by ultrasound].

    Science.gov (United States)

    Candia, P; Rojas, M; Alvarado, M; Garassini, M A; Römer, M A

    1990-01-01

    The purpose of this work was to analyse the advantages and disadvantages of puncture-aspiration with fine needle, guided by ultrasonography, trying to determine its usefulness in our hospitals and its reliability in the diagnosis of intraabdominal lesions of different locations. 29 punctures were practiced on 19 patients, 9 women and 10 men of ages comprised between 34 and 94 years, with lesions in different organs of the abdominal cavity diagnosed by ultrasonography with real time equipment and lineal 3.5 and 5 MHz transducers. After cleaning and antisepsis a Chiba needle is introduced under ultrasonographic vision, up to the location of the lesion, the guide is removed and under a negative pressure, the sample is taken, which is later dried into the air and coloured using the May-Grünwald-Giemsa Technique. Only in one case it was not possible to obtain adequate material for the cytological study. There were 11 positive cases for malignity and 7 negative, one of which was a false negative. The sensibility of the method was of 91.6% with a specificity of 100% and a reliability of 89.4%. We definitely believe that the method is practical, very easy to carry out in our hospitals with a minimum amount of risk, and most of all, dependable to clarify certain diagnoses. PMID:2152268

  2. On the significance of negative-pressure wound therapy with instillation in dermatology.

    Science.gov (United States)

    Müller, Cornelia Sigrid Lissi; Burgard, Barbara; Zimmerman, Monika; Vogt, Thomas; Pföhler, Claudia

    2016-08-01

    Methods used in the treatment of acute and chronic wounds undergo constant evolution, reevaluation, and innovation. While negative-pressure wound therapy (NPWT) is an established treatment modality, the combination of NPWT and instillation of normal saline as well as solutions with active antiseptic components for topical treatment of the wound bed represents a novel approach. The well-known effects of NPWT may thus be combined with those of local antisepsis. They include a decrease in wound area, induction of granulation tissue, and reduction in bacterial colonization. To date, studies have focused on NPWT with instillation for orthopedic/surgical indications, whereas clinical data in dermatosurgery is limited to case reports or small case series. There are as yet no randomized prospective studies investigating NPWT with instillation in the treatment of skin disorders. The goal of this review is to present the method of NPWT with instillation, to highlight its mode of action as well as possible complications and contraindications, and to review the recent literature. In summary, there is increasing evidence that both simple and complicated wounds may be effectively treated with NPWT with instillation, resulting in markedly accelerated tissue granulation and thus earlier defect closure. PMID:27509412

  3. From antiseptics to antibiotics – and back?

    Directory of Open Access Journals (Sweden)

    Assadian, Ojan

    2007-09-01

    Full Text Available There is no straight line to trace the trajectory of antiseptics; rather, this has been manifested more as a fluctuating line, a backwards and forwards movement, seen in the wake of major discoveries but of colossal mistakes too. While today no one would allow their prophylactic policies to be guided by miasma or contagia, there continues to be some uncertainly about how to manage anti-infectives effectively even today. When in 1941 the first human being was successfully treated with penicillin, interest in antiseptics gradually waned. From that time onwards, everything was treated with antibiotics, unleashing a race for the discovery of novel antibiotics, as witnessed decades earlier in the case of antiseptics. The significance of antiseptics declined to such an extent that among physicians they were associated merely with cleaning agents or sanitary disinfection. Today, at the beginning of the 21st century we know that the euphoria generated by antibiotics was just another station along the pathway of discoveries. Bacterial infections and new, hitherto unknown infectious diseases continue to play a major role. Several viral infections continue to be refractory to successful treatment and bacterial antibiotic resistance has become a problem worldwide. The most effective countermeasures no longer entail only the development of new antibiotics but above all responsible management of antibiotics and strict observance of infection control measures in the hospital setting. Set against that background, interest in antiseptics has been rekindled. In that spirit we can look eagerly forward over the coming years to further developments in antisepsis.

  4. Hand hygiene among health care workers

    Directory of Open Access Journals (Sweden)

    Mani Ameet

    2010-01-01

    Full Text Available Healthcare-associated infections are an important cause of morbidity and mortality among hospitalized patients worldwide. Transmission of health care associated pathogens generally occurs via the contaminated hands of health care workers. Hand hygiene has long been considered one of the most important infection control measures to prevent health care-associated infections. For generations, hand washing with soap and water has been considered a measure of personal hygiene. As early as 1822, a French pharmacist demonstrated that solutions containing chlorides of lime or soda could eradicate the foul odor associated with human corpses and that such solutions could be used as disinfectants and antiseptics. This paper provides a comprehensive review of data regarding hand washing and hand antisepsis in healthcare settings. In addition, it provides specific recommendations to uphold improved hand-hygiene practices and reduce transmission of pathogenic microorganisms to patients and personnel in healthcare settings. This article also makes recommendations and suggests the significance of hand health hygiene in infection control.

  5. Modern pacemaker therapy

    Directory of Open Access Journals (Sweden)

    Mijatov Milan

    2010-01-01

    Full Text Available Introduction. Pacemakers are devices that modern medicine and cardiology cannot be imagined without. The technique of implantation comes to surgical procedure where all principles of asepsis and antisepsis have to be respected. Although some complications do happen, they are rather rare. Results. After the implantation of the device, the patient is not handicapped (unless the heart was additionally damaged. On the contrary, the patient returns to his work and functions normally within his family in most of the cases. The first medical appointment is scheduled a month after the implantation and the following are three and six months after. Types of devices. Today there are „new types of electrostimulation”- implantable cardioverter defibrillators and multisite electrostimulators. The former is implanted in patients at high risk of sudden cardiac death and the latter in patients with heart failure and left bundle branch block. Owing to these devices, the sudden cardiac death can be prevented successfully and the quality of a patient’s life is improved.

  6. Changing pattern of causative factors in development of umbilical infections (omphalitis) in newborns

    International Nuclear Information System (INIS)

    Despite the drastic decrease in the incidence of neonatal tetanus due to better aseptic techniques in cutting and tying of umbilical cord at birth, an increase in the prevalence of umbilical infections has been noticed. Objectives The objectives were to assess the ongoing practices in umbilical care, detect the prevailing causative factors responsible for umbilical infections in newborns and suggest measures for minimizing these infections. Design setting This descriptive study was a collaborative effort at CMH Nowshera, Mardan and Lahore from January 2007 through 2009. Patients and Methods Three hundred consecutive cases of umbilical sepsis ( omphalitis), infants less than 20 days old were included irrespective of place of delivery and severity of infection. Those with congenital anomalies of umbilicus were excluded. A detailed questionnaire was filled for every patient covering related aspects. Results Antisepsis (mainly spirit) was used in 91 % cases irrespective of place of delivery. Major tool for cutting the cord was surgical or new common blade (277 cases). Clamp was used in 138 cases. Cord was intentionally attended in subsequent weeks after birth in only 48 cases. Hand washing practice was found in only 62 parents in subsequent weeks after birth. Diapers were used in 261 cases, majority of these were found covering the umbilicus or umbilical stump when initially examined (81 %). 48% of infected unshed cords were more than 3 inches long. Use of unwarranted substances applied on cord was found in only 16 cases. (author)

  7. Low temperature plasma biomedicine: A tutorial review

    International Nuclear Information System (INIS)

    Gas discharge plasmas formed at atmospheric pressure and near room temperature have recently been shown to be potentially useful for surface and wound sterilization, antisepsis, bleeding cessation, wound healing, and cancer treatment, among other biomedical applications. This tutorial review summarizes the field, stressing the likely role of reactive oxygen and nitrogen species created in these plasmas as the biologically and therapeutically active agents. Reactive species, including radicals and non-radical compounds, are generated naturally within the body and are now understood to be essential for normal biological functions. These species are known to be active agents in existing therapies for wound healing, infection control, and cancer treatment. But they are also observed at elevated levels in persons with many diseases and are associated with aging. The physical and chemical complexity of plasma medical devices and their associated biochemical effects makes the development of safe, effective plasma medical devices and procedures a challenge, but encouragingly rapid progress has been reported around the world in the last several years

  8. Etiology, antimicrobial susceptibility profile of Staphylococcus spp. and risk factors associated with bovine mastitis in the states of Bahia and Pernambuco

    Directory of Open Access Journals (Sweden)

    Carina C. Krewer

    2013-05-01

    Full Text Available The purpose of this paper was to study the etiology of mastitis, determine the antimicrobial susceptibility profile of Staphylococcus spp. and to identify the risk factors associated with infection in dairy cows in the states of Bahia and Pernambuco, Brazil. From the 2,064 milk samples analyzed, 2.6% were associated with cases of clinical mastitis and 28.2% with subclinical mastitis. In the microbiological culture, Staphylococcus spp. (49.1% and Corynebacterium spp. (35.3% were the main agents found, followed by Prototheca spp. (4.6% and Gram negative bacilli (3.6%. In the antimicrobial susceptibility testing, all 218 Staphylococcus spp. were susceptible to rifampicin and the least effective drug was amoxicillin (32.6%. Multidrug resistance to three or more drugs was observed in 65.6% of Staphylococcus spp. The risk factors identified for mastitis were the extensive production system, not providing feed supplements, teat drying process, not disinfecting the teats before and after milking, and inadequate hygiene habits of the milking workers. The presence of multiresistant isolates in bovine milk demonstrates the importance of the choice and appropriate use of antimicrobial agents. Prophylactic and control measures, including teat antisepsis and best practices for achieving hygienic milking should be established in order to prevent new cases of the disease in herds.

  9. Efficacy of different carrier gases for barrier discharge plasma generation compared to chlorhexidine on the survival of Pseudomonas aeruginosa embedded in biofilm in vitro.

    Science.gov (United States)

    Matthes, R; Hübner, N-O; Bender, C; Koban, I; Horn, S; Bekeschus, S; Weltmann, K-D; Kocher, T; Kramer, A; Assadian, O

    2014-01-01

    Because of its antimicrobial properties, nonthermal plasma could serve as an alternative to chemical antisepsis in wound treatment. Therefore, this study investigated the inactivation of biofilm-embedded Pseudomonas aeruginosa SG81 by a surface barrier-discharged (SBD) plasma for 30, 60, 150 and 300 s. In order to optimize the efficacy of the plasma, different carrier gases (argon, argon admixed with 1% oxygen, and argon with increased humidity up to approx. 80%) were tested and compared against 0.1% chlorhexidine digluconate (CHG) exposure for 600 s. The antimicrobial efficacy was determined by calculating the difference between the numbers of colony-forming units (CFU) of treated and untreated biofilms. Living bacteria were distinguished from dead by fluorescent staining and confocal laser scanning microscopy. Both SBD plasmas and CHG showed significant antimicrobial effects compared to the untreated control. However, plasma treatment led to a higher antimicrobial reduction (argon plasma 4.9 log10 CFU/cm(2), argon with admixed oxygen 3 log10 CFU/cm(2), and with increased gas humidity 2.7 log10 CFU/cm(2) after 300 s) compared to CHG. In conclusion, SBD plasma is suitable as an alternative to CHG for inactivation of Pseudomonas aeruginosa embedded in biofilm. Further development of SBD plasma sources and research on the role of carrier gases and humidity may allow their clinical application for wound management in the future. PMID:24434726

  10. Air spark-like plasma source for antimicrobial NOx generation

    Science.gov (United States)

    Pavlovich, M. J.; Ono, T.; Galleher, C.; Curtis, B.; Clark, D. S.; Machala, Z.; Graves, D. B.

    2014-12-01

    We demonstrate and analyse the generation of nitrogen oxides and their antimicrobial efficacy using atmospheric air spark-like plasmas. Spark-like discharges in air in a 1 L confined volume are shown to generate NOx at an initial rate of about 1.5  ×  1016 NOx molecules/J dissipated in the plasma. Such a discharge operating in this confined volume generates on the order of 6000 ppm NOx in 10 min. Around 90% of the NOx is in the form of NO2 after several minutes of operation in the confined volume, suggesting that NO2 is the dominant antimicrobial component. The strong antimicrobial action of the NOx mixture after several minutes of plasma operation is demonstrated by measuring rates of E. coli disinfection on surfaces and in water exposed to the NOx mixture. Some possible applications of plasma generation of NOx (perhaps followed by dissolution in water) include disinfection of surfaces, skin or wound antisepsis, and sterilization of medical instruments at or near room temperature.

  11. Comparison of tissue damage caused by various laser systems with tissue tolerable plasma by light and laser scan microscopy

    Science.gov (United States)

    Vandersee, Staffan; Lademann, Jürgen; Richter, Heike; Patzelt, Alexa; Lange-Asschenfeldt, Bernhard

    2013-10-01

    Tissue tolerable plasma (TTP) represents a novel therapeutic method with promising capabilities in the field of dermatological interventions, in particular disinfection but also wound antisepsis and regeneration. The energy transfer by plasma into living tissue is not easily educible, as a variety of features such as the medium’s actual molecule-stream, the ions, electrons and free radicals involved, as well as the emission of ultraviolet, visible and infrared light contribute to its increasingly well characterized effects. Thus, relating possible adversary effects, especially of prolonged exposure to a single component of the plasma’s mode of action, is difficult. Until now, severe adverse events connected to plasma exposure have not been reported when conducted according to existing therapeutic protocols. In this study, we have compared the tissue damage-potential of CO2 and dye lasers with TTP in a porcine model. After exposure of pig ear skin to the three treatment modalities, all specimens were examined histologically and by means of laser scan microscopy (LSM). Light microscopical tissue damage could only be shown in the case of the CO2 laser, whereas dye laser and plasma treatment resulted in no detectable impairment of the specimens. In the case of TTP, LSM examination revealed only an impairment of the uppermost corneal layers of the skin, thus stressing its safety when used in vivo.

  12. The genesis of neurosurgery and the evolution of the neurosurgical operative environment: part I-prehistory to 2003.

    Science.gov (United States)

    Liu, Charles Y; Apuzzo, Michael L J

    2003-01-01

    Despite its singular importance, little attention has been given to the neurosurgical operative environment in the scientific and medical literature. This article focuses attention on the development of neurosurgery and the parallel emergence of its operative setting. The operative environment has, to a large extent, defined the "state of the art and science" of neurosurgery, which is now undergoing rapid reinvention. During the course of its initial invention, major milestones in the development of neurosurgery have included the definition of anatomy, consolidation of a scientific basis, and incorporation of the practicalities of anesthesia and antisepsis and later operative technical adjuvants for further refinement of action and minimalism. The progress, previously long and laborious in emergence, is currently undergoing rapid evolution. Throughout its evolution, the discipline has assimilated the most effective tools of modernity into the operative environment, leading eventually to the entity known as the operating room. In the decades leading to the present, progressive minimalization of manipulation and the emergence of more refined operative definition with increasing precision are evident, with concurrent miniaturization of attendant computerized support systems, sensors, robotic interfaces, and imaging devices. These developments over time have led to the invention of neurosurgery and the establishment of the current state-of-the-art neurosurgical operating room as we understand it, and indeed, to a broader definition of the entity itself. To remain current, each neurosurgeon should periodically reconsider his or her personal operative environment and its functional design with reference to modernity of practice as currently defined. PMID:12493097

  13. A study of the effects of different disinfectants used in Riyadh hospitals and their efficacy against Methicillin Resistant Staphylococcus Aureus (MRSA)

    International Nuclear Information System (INIS)

    Methicillin resistant Staphylococcus aureus (MRSA) and the means of controlling it, continue to be of major interest to the healthcare community. The bactericidal activity of some disinfectants which are in common use in seven major tertiary care hospitals in Riyadh was tested against two control strains of S.aureus, namely MRSA ATCC 33591 and Methicillin sensitive Staphylococcus aureus (MSSA) ATCC 29213. The disinfectants tested in this study were a group used for hand antisepsis (Purell, EZ-clean, Cida stat and Manorapid Synergy) and another group used for environmental disinfection (Combi spray, Tristel fusion, Alphadine, Isopropanol, Presept and Diesin). Presept, diesin and tristel fusion had a remarkable effect on the tested strains, both methicillin sensitive and methicillin resistant. There was hardly any noticeable difference between the effects on either (P>0.05). On the other hand, Purell and EZ-clean and Manorapid Synergy hand rubs had a relatively weak action after 15 and 30 minutes while their effect was better after 1 and 2 hours. There was no observable differences between their effects on MRSA or MSSA, P>0.05. Cita stat had a remarkably pronounced effect against both MRSA and MSSA. Contrary to some previous reports, this study has proven also that chlorhexidine and quaternary ammonium compounds show comparable efficacy against both MRSA and MSSA. (author)

  14. 天然迎春花提取液作为抑菌成分洗手液的制备%The Preparation of Hand Sanitizer with Natural Jasminum Nudiflorum Extracting Solution as Antibacterial Components

    Institute of Scientific and Technical Information of China (English)

    王书红; 杜慧; 张换平; 田大勇; 高战胜; 赵密柱; 李安林

    2015-01-01

    采用迎春花提取液作为杀菌抑菌剂,用十二烷基硫酸钠和乙氧基化烷基硫酸钠作为表面去污活性成分,丙三醇和三乙酸甘油酯作为保湿剂,柠檬酸-柠檬酸钠缓冲液作为pH调节剂,制备了一种新型的洗手液。对洗手液进行了性能检测,结果与国家洗手液标准相比较,总活性物含量、泡沫高度、粘度、重金属含量等指标均符合或优于国家洗手液标准。同时对洗手液的抑菌性能进行了检测,结果说明洗手液的抑菌性能良好。%With Jasminum nudiflorum extracting solution as antisepsis agents, lauryl sodium sulfate and Sodium ethoxylated alkyl sulfate as surface decontamination active ingredients, glycerol and triacetin as humectants, citric acid and sodium citrate as pH modifiers, a new type hand sanitizer was prepared.The performances of the hand sanitizer were tested.The results showed that compared with hand sanitizer standards of the state, the total content of active matter, foam height, viscosity and content of heavy metal comply with the standard, or even higher than the standard of the state.Meanwhile, the antibacterial performance of the hand sanitizer was tested.The result showed that it was good.

  15. The Preparation of Hand Sanitizer with Natural Jasminum Nudiflorum Extracting Solution as Antibacterial Components%天然迎春花提取液作为抑菌成分洗手液的制备

    Institute of Scientific and Technical Information of China (English)

    王书红; 杜慧; 张换平; 田大勇; 高战胜; 赵密柱; 李安林

    2015-01-01

    With Jasminum nudiflorum extracting solution as antisepsis agents, lauryl sodium sulfate and Sodium ethoxylated alkyl sulfate as surface decontamination active ingredients, glycerol and triacetin as humectants, citric acid and sodium citrate as pH modifiers, a new type hand sanitizer was prepared.The performances of the hand sanitizer were tested.The results showed that compared with hand sanitizer standards of the state, the total content of active matter, foam height, viscosity and content of heavy metal comply with the standard, or even higher than the standard of the state.Meanwhile, the antibacterial performance of the hand sanitizer was tested.The result showed that it was good.%采用迎春花提取液作为杀菌抑菌剂,用十二烷基硫酸钠和乙氧基化烷基硫酸钠作为表面去污活性成分,丙三醇和三乙酸甘油酯作为保湿剂,柠檬酸-柠檬酸钠缓冲液作为pH调节剂,制备了一种新型的洗手液。对洗手液进行了性能检测,结果与国家洗手液标准相比较,总活性物含量、泡沫高度、粘度、重金属含量等指标均符合或优于国家洗手液标准。同时对洗手液的抑菌性能进行了检测,结果说明洗手液的抑菌性能良好。

  16. Care and treatment for patients with chronic filariasis in a town of Wujiang city and its effect%吴江市某镇慢性丝虫病患者关怀照料的方法及其效果

    Institute of Scientific and Technical Information of China (English)

    林诚罡

    2012-01-01

    目的 探讨对慢性丝虫病患者关怀照料方法并进行效果评价.方法 纳入照料的256名慢性丝虫病患者,采取以中草药浸泡清洗患肢和抗菌消炎为主的综合照料方法进行照料,并进行照料效果评价.结果 通过综合照料方法的实施,慢性丝虫病患者下肢淋巴管(结)炎急性大、小发作和下肢溃疡的发生情况明显好转(P<0.01),慢性丝虫病患者病情有所好转,Ⅰ期患者比例显著高于照料前(P<0.05).结论 该镇开展的综合照料方法能改善慢性丝虫病患者的病情,阻止疾病的进展,照料效果肯定.%[Objective]To investigate the methods of care and treatment for patients with chronic filariasis, evaluate the effect. [Methods]256 patients with chronic filariasis were given the comprehensive treatments which included Chinese herbal medicine immersion on affected limbs, as well as antisepsis and anti-inflammation. The effect of treatment was evaluated. [ Results] After the comprehensive treatments, the incidence of acute grand/minor seizure of lower extremity lymphangitis and lower limb ulcer decreased significantly (P < 0.01). The disease condition of patients with chronic filariasis had improved, and the proportion of the patients at stage I was significantly higher than that before treatment (P < 0.05). [ Conclusion ] The comprehensive care and treatments can improve the disease condition of patients with chronic filariasis, delay the disease progression, and the effect is obvious.

  17. Efficiency of Local Antiseptic Alkosol (Ethanol, Isopropanol-30g and Ortophenilphenol) and Povidone Iodide on the Incidence Of Surgical Site Infection After Inguinal Hernioplasty

    Science.gov (United States)

    Djozic, Harun; Pandza, Haris; Hasukic, Sefik; Custovic, Samir; Pandza, Berina; Krupalija, Amina; Beciragic, Edin

    2016-01-01

    Background: The risk of wound infection after elective inguinal hernia repair depends on several factors. One of the most important factors is the preoperative skin preparation. The use of antisepsis is performed to reduce the risk of surgical site infections (SSIs) and to remove causing organisms. This work compares two different agent forms for preoperative skin preparation to prevent SSIs. Objectives: The objective of the study is comparing the effects of two different agents used for preoperative skin preparation and prevention of SSIs. Material and methods: 100 adult patients were divided and randomized into two groups, each containing 50 patients. Both groups included patients that are scheduled for elective Lichtenstein inguinal hernia repair. The first group includes patients whose skin preparations were done with povidone iodine (PI) only. The second group included patients that are treated with two antiseptics; Alkosol (96% ethanol, isopropanol-30g and ortophenilphenol-0.1g) and povidone iodide. Alkosol is applied before the induction of anesthesia. The povidone iodide is applied after Alkosol has evaporated. The presence of bacterial growth in the wound was determined 24 and 48 hours after operation. Swabs were used to take samples, which were then cultivated to check for bacterial growth. The presence of infection was also determined by the following criteria: pain or tenderness, induration, erythema, local warmth of the wound etc. Results: The surgeon or clinician declared that after 24 hours the wound was infected in 20 patients in the control group and in 22 patients after 48 hours. In the Alkosol (96% ethanol, isopropanol-30g and ortophenilphenol-0.1g) and povidone iodide group infection was declared in only 3 patients after 24 hours. Discussion: Compared to the use of providone only, the use of Alkosol (96% ethanol, isopropanol-30g and ortophenilphenol-0.1g) and povidone iodide has many advantages and was associated with lower rates of SSIs

  18. Fatores de risco para peritonites e internações Risk factors for peritonitis and hospitalizations

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    Sarah Silva Abrahão

    2010-03-01

    Full Text Available INTRODUÇÃO: Investigou-se um universo de 30 crianças e adolescentes portadores de doença renal crônica em tratamento dialítico, assistidos pelo Hospital das Clínicas da UFMG, a fim de determinar fatores de risco para a frequência de peritonites e de internações. MÉTODO: Estudo descritivo em que para a obtenção dos resultados utilizou-se o software SPSS (Statistical Package for Social Science versão 13.0. Testaram-se as variáveis: baixa escolaridade, baixa renda familiar, nível de informação inadequado, inadequação da antissepsia das mãos para a realização da diálise, ausência de pia no quarto da diálise como fator de risco para maior frequência de peritonites e internações. RESULTADOS: Os valores de Odds Ratio estiveram dentro dos limites dos intervalos de confiança (95% e em alguns casos foram INTRODUCTION: This study assessed 30 children and adolescents with chronic kidney disease on dialysis, cared for at the Hospital das Clínicas of UFMG, aiming at determining the risk factors for the frequency of peritonitis and hospitalizations. METHOD: Descriptive study using the SPSS (Statistical Package for Social Science software, version 13.0. The following variables were assessed as risk factors for a higher frequency of peritonitis and hospitalizations: low educational level; low family income; inadequate level of information; inadequate hand antisepsis during PD; and lack of a sink in the dialysis room. RESULTS: The odds ratio values were within the 95% confidence intervals, and, in some cases, were smaller than 1, indicating the possibility of a negative association between some independent variables and the variables studied, but with no statistically significant difference. CONCLUSION: No statistical significance was observed for the variables studied, despite the tendency towards that.

  19. Prevenção da infecção da corrente sanguínea relacionada ao cateter venoso central: Uma revisão integrativa | Prevention of bloodstream infection related to central venous catheter: An integrative review

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    Alanna Gomes da Silva

    2016-05-01

    Full Text Available Objetivo: Analisar as produções científicas nacionais e internacionais sobre a adoção aos bundles para prevenção de infecção da corrente sanguínea relacionada ao cateter venoso central em unidade de terapia intensiva adulto. Métodos: Foi realizada uma revisão integrativa da literatura nas bases de dados Pubmed, Cinahl e Science Direct, publicados de 2011 a 2014. Resultados: Foram encontrados 11 artigos e em 100% deles as principais medidas adotadas foram antes da inserção do cateter, sendo: antissepsia da pele, uso de barreira máxima de precaução, preferência pela veia subclávia, higienização prévia das mãos e educação e treinamento dos profissionais de saúde. Conclusões: Os bundles estão sendo utilizados na prática clínica como estratégias para redução das infecções, contudo, as infecções da corrente sanguínea relacionadas a cateter continuam a ocorrer de forma alarmante e com grande impacto no cuidado a saúde. Desse modo, estratégias que apontem subsídios para melhoria da prática clínica e segurança do paciente devem ser incentivadas, sobretudo aquelas voltadas para o período crítico da inserção e manutenção do cateter. -----------------------------------------------------------------------------------------------Objective: To analyze the national and international scientific production on the adoption of bundles to prevent bloodstream infection related to central venous catheters in adult intensive care unit. Methods: An integrative literature review of studies published from 2011 to 2014 was conducted in the databases Pubmed, CINAHL and Science Direct. Results: 11 articles were found. In all of them the principal measures adopted before catheter insertion were: skin antisepsis, use of maximum barrier precaution, preference by the subclavian vein, previous hand hygiene, and education and training of health professionals. Conclusions: The bundles are being used in clinical practice as

  20. Efficacy of two ethanol-based skin antiseptics on the forehead at shorter application times

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    Pitten Frank-Albert

    2007-09-01

    Full Text Available Abstract Background Recent research suggests that alcohol-based skin antiseptics exhibit their efficacy on the resident skin flora of the forehead in less than 10 minutes. That is why we have looked at the efficacy of two ethanol-based skin antiseptics applied for 10, 2.5 and 2 minutes on skin with a high density of sebaceous glands. Each experiment was performed in a reference-controlled cross-over design with at least 20 participants. Application of isopropanol (70%, v/v for 10 minutes to the forehead served as the reference treatment. The clear (skin antiseptic A and coloured preparations (skin antiseptic B contain 85% ethanol (w/w. Pre-values and post-values (immediately after the application and after 30 min were obtained by swabbing a marked area of 5 cm2 for about 10 s. Swabs were vortexed in tryptic soy broth containing valid neutralizing agents. After serial dilution aliquots were spread on tryptic soy agar. Colonies were counted after incubation of plates at 36°C for 48 h. The mean log10 reduction of bacteria was calculated. The Wilcoxon matched-pairs signed-ranks test was used for a comparison of treatments. Results Skin antiseptic A applied for 10 min was significantly more effective than the reference treatment. When applied for 2.5 min (three experiments it was significantly more effective than the reference treatment immediately after application (2.7 versus 2.2 log10 reduction; p 10 reduction; p = 0.053. Skin antiseptic B applied for 2.5 min (three experiments was significantly more effective than the reference treatment both immediately after application (2.3 versus 1.9 log10 reduction; p 10 reduction; p = 0.002. Conclusion The clear and coloured skin antiseptics applied for 2.5 min on the skin of the forehead fulfilled the efficacy requirements for skin antisepsis. The shorter application time on skin with a high density of sebaceous glands will allow to act more efficiently in clinical practice.

  1. Preadmission Application of 2% Chlorhexidine Gluconate (CHG): Enhancing Patient Compliance While Maximizing Skin Surface Concentrations.

    Science.gov (United States)

    Edmiston, Charles E; Krepel, Candace J; Spencer, Maureen P; Ferraz, Alvaro A; Seabrook, Gary R; Lee, Cheong J; Lewis, Brian D; Brown, Kellie R; Rossi, Peter J; Malinowski, Michael J; Edmiston, Sarah E; Ferraz, Edmundo M; Leaper, David J

    2016-03-01

    OBJECTIVE Surgical site infections (SSIs) are responsible for significant morbidity and mortality. Preadmission skin antisepsis, while controversial, has gained acceptance as a strategy for reducing the risk of SSI. In this study, we analyze the benefit of an electronic alert system for enhancing compliance to preadmission application of 2% chlorhexidine gluconate (CHG). DESIGN, SETTING, AND PARTICIPANTS Following informed consent, 100 healthy volunteers in an academic, tertiary care medical center were randomized to 5 chlorhexidine gluconate (CHG) skin application groups: 1, 2, 3, 4, or 5 consecutive applications. Participants were further randomized into 2 subgroups: with or without electronic alert. Skin surface concentrations of CHG (μg/mL) were analyzed using a colorimetric assay at 5 separate anatomic sites. INTERVENTION Preadmission application of chlorhexidine gluconate, 2% RESULTS Mean composite skin surface CHG concentrations in volunteer participants receiving EA following 1, 2, 3, 4, and 5 applications were 1,040.5, 1,334.4, 1,278.2, 1,643.9, and 1,803.1 µg/mL, respectively, while composite skin surface concentrations in the no-EA group were 913.8, 1,240.0, 1,249.8, 1,194.4, and 1,364.2 µg/mL, respectively (ANOVA, P<.001). Composite ratios (CHG concentration/minimum inhibitory concentration required to inhibit the growth of 90% of organisms [MIC90]) for 1, 2, 3, 4, or 5 applications using the 2% CHG cloth were 208.1, 266.8, 255.6, 328.8, and 360.6, respectively, representing CHG skin concentrations effective against staphylococcal surgical pathogens. The use of an electronic alert system resulted in significant increase in skin concentrations of CHG in the 4- and 5-application groups (P<.04 and P<.007, respectively). CONCLUSION The findings of this study suggest an evidence-based standardized process that includes use of an Internet-based electronic alert system to improve patient compliance while maximizing skin surface concentrations effective

  2. Efficacy of controlling nosocomial infection of methilcillin-vesistant staphylococcus auveus%MRSA医院感染控制的效果分析

    Institute of Scientific and Technical Information of China (English)

    温朝阳; 方怡; 邢丽珊; 张薇

    2011-01-01

    目的:探讨MRSA的医院感染控制方法.为降低医院MRSA感染提供科学的依据.方法:通过建立MRSA的监测,对高发科室进行主动筛查,隔离患者及携带者,制定多重耐药菌的医院感染控制制度,并督导实施.加强清洁、消毒、隔离工作管理,提高手卫生依从性,运用流行病学定量统计方法评估MRSA的控制效果.结果:2009年每千住院日新发MRSA分离量出现明显上升,2010年1月开始干预后,2010年每千住院日新发MRSA分离量出现明显下降.干预前与干预后的MRSA分离量差异有统计学意义(P<0.05);MRSA感染部位以下呼吸道为主.结论:通过加强监测,对高发科室进行主动筛查,建立多重耐药菌的医院感染控制制度,阻断传播途径等干预措施可有效降低MRSA的医院感染,但应加强呼吸机的清洁消毒的管理以降低MRSA的下呼吸道感染.%Objective To investigate the method of controlling nosocomial infection of methilcillin-vesistant staphylococcus auveus (MRSA). Methods Through the MRSA infection auto monitoring system, we identified departments at high rates of MRSA infection. And then carrier isolation and controlling system of multiple infection of drug-resistant bacteria were established, methods were used to improve the compliance of hand hygiene and the management of healthcare. The effect was evaluated by incidence. Results The incidence of MRSA infection began to increase in 2009, and after the intervention which was administered in Jan 2010, the incidence of MRSA infection was decreased significantly (P< 0.05). The MRSA infection was found more frequently in lower respiratory tract. Conclussins The nosocomial infection of MRSA can be decreased effectively by reinforcement of monitoring, sterilizing, and isolating policies and hand hygiene. We should enhance the antisepsis administer of ventilator to debase the infection rate of low respiratory tract of MRSA.

  3. ANTIBACTERIAL ACTIVITY KINETICS OF MEDICINAL PLANTS EXTRACTS AGAINST CINÉTICA DA ATIVIDADE ANTIBACTERIANA IN VITRO DE EXTRATOS NATURAIS FRENTE A MICRORGANISMOS RELACIONADOS À MASTITE BOVINA

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    Letícia De Toni

    2008-04-01

    Full Text Available The subject of this paper is to test antimicrobials activities by medicinal plants extracts against more important contagious bovine mastitis pathogens. Disinfectants solutions was made from Baccharis trimera (Less D.C., Compositae (Asteracea, Eucalyptus spp Labill., Myrtaceae e Tagetes minuta (Linn., Compositae (Asteracea plants by hidroalcoholic extraction (EHA or decoction (DEC. S. aureus, S. agalactiae, and P. aeruginosa were used. To test for in vitro efficacy, each solution disinfectant was mixed with bacterial suspension containing 105 CFU.mL-1, by 30 seconds, two, 10 ant 30 minutes, with and without 20% of integral milk. Viable bacteria were evaluated by directed plating of neutralized aliquots. The worked included chlorhexidine 0,18% by control and it was executed in duplicate. EHA Eucalytpus spp and EHA T. minuta were as effective as control chlorhexidine against S. aureus. This solutions plus EHA B. trimera, were as effective as control against S. agalactiae. DEC Eucalyptus and DEC B. trimera also inactivated S. agalactiae in more prolongated time. Chlorhexidine was the best against P. multocida in milk absence, although the EHA were effective at ten or thirty minutes. All solutions, inclusive control, it was sensibility to organic load. The observations from the in vitro studies presented here need to be substantiated by in vivo studies by to confirm the potentiality use of plants medicinal extracts as disinfectants/antisepsis in livestock health. O presente trabalho busca avaliar a cinética da atividade antimicrobiana de extratos de plantas medicinais frente a bactérias relacionadas com mastite bovina. Para tal, foram produzidas soluções desinfetantes a partir de folhas e talos de Baccharis trimera (Less D.C., Compositae (Asteraceae, Eucalyptus spp Labill., Myrtaceae e Tagetes minuta (Linn., Compositae (Asteraceae, através de extração hidroalcoólica (EHA e decocto (DEC. Os microrganismos utilizados foram S. aureus, S

  4. Bacteriemia during endodontic treatment in relation to the technique of biomechanical preparation: randomized clinical trial Bacteriemia durante o tratamento endodôntico em função da técnica de preparo biomecânico: ensaio clínico randomizado

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    Adriane Tenório Dourado

    2005-12-01

    Full Text Available OBJECTIVE: The aim of this randomized clinical trial was to evaluate the frequency of bacteriemia during endodontic treatment, with comparison between two techniques for biomechanical preparation of the root canal system. MATERIALS AND METHODS: The sample comprised 50 patients aged 16 to 52 years, of both genders, which were divided into 2 groups with 25 patients each. Group I underwent biomechanical preparation by the step-back technique, and Group II was treated by the rotary technique with nickel-titanium instruments (K3. Patients were submitted to antisepsis of the oral cavity with chlorhexidine digluconate and three samples of blood were collected for blood culture: preoperatively, immediately after the biomechanical preparation and 10 minutes later. The significance level adopted was 5.0%, and analysis was performed by descriptive and inferential statistics by means of the Fisher's exact test, Fisher-Freeman-Halton test and Student's t test. Data were analyzed on the Statexact and SPSS softwares. RESULTS: All blood cultures achieved before and immediately after preparation were negative. On the other hand, with regard to the blood cultures collected 10 minutes after preparation, one (4% positive case was found for Group I. However, this difference was not statistically significant (p = 0.50. CONCLUSION: The frequency of bacteriemia was low and observed just for Group I.OBJETIVO: O objetivo deste ensaio clínico randomizado foi avaliar a freqüência de bacteriemia durante o tratamento endodôntico comparando duas técnicas de preparo biomecânico do sistema de canais radiculares. MATERIAIS E MÉTODOS: A amostra constou de 50 pacientes, com idade variando entre 16 e 52 anos e de ambos os sexos, sendo dividida em 2 grupos de 25 pacientes. No Grupo I, realizou-se o preparo biomecânico através da técnica escalonada com recuo progressivo programado, e, no Grupo II, por meio técnica rotatória, empregando instrumentos de níquel-titânio (K3

  5. The effects of topical application of sunflower-seed oil on open wound healing in lambs Efeitos da aplicação tópica de óleo de semente de girassol em feridas cutâneas, em carneiros

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    Silvio Romero Marques

    2004-06-01

    Full Text Available PURPOSE: To demonstrate the effects of the use of sunflower seed oil on the treatment of skin wounds. METHODS: Eighteen male Saint Inês lambs were divided in 3 groups according to the pos-operative (7, 14 and 21 days. After antisepsis and local anestesia, two 4cm² wounds on each side of the thoracic region, close to the scapule were surgically produced. The experimental wounds were treated with sunflower seed oil, with high concentration of linoleic acid (LA, and the control ones with sterilized Vaseline. Biopsies of the pos-operative wounds tissue were performed on the 7th, 14th, 21st days and histologically evaluated. RESULTS: Topic application of sunflower seed oil accelerated healing process at the 7th and 21st days, reducing wound area and increasing wound contraction. Granulation tissue increased faster on treated wounds. The epidermis of the treated wounds was completely recovered when compared to control wounds. CONCLUSION: The topic use of sunflower seed oil accelerated the healing process, and it can be used as an alternative therapy on second intention wound healing.OBJETIVO: Demonstrar os efeitos do uso de óleo de semente de girassol no tratamento de feridas cutâneas. MÉTODOS: Dezoito carneiros da raça Santa Inês foram divididos em 3 grupos de acordo com o pós-cirúrgico (7, 14, e 21 dias. Após antisepsia e anestesia local foram produzidas cirurgicamente duas feridas de 4 cm² em cada lado da região torácica próxima escápula. As feridas experimentais foram tratadas com óleo de semente de girassol, com alta concentração de ácido linoléico (LA e as controles com vaselina esterilizada. Biopsias dos tecidos das feridas pós-cirúrgicas foram realizadas no 7º, 14º e 21º dias e avaliadas histologicamente. RESULTADOS: A aplicação tópica do óleo de semente de girassol acelerou o processo de cicatrização no 7ºe 21º dias, reduzindo a área e aumentando a contração das feridas. O tecido de granulação se

  6. Método bundle na redução de infecção de corrente sanguínea relacionada a cateteres centrais: revisão integrativa Método bundle en la redución de infecciones relacionadas a catéteres centrales: una revisión integrativa Care bundle to reduce central venous catheter-related bloodstream infection: an integrative review

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    Juliana Dane Pereira Brachine

    2012-12-01

    éter con su retirada inmediata cuando posible. La mayoría de los estudios analizados mostraron una reducción significante de infección sanguínea relacionadas o asociadas con catéteres intravenosos centrales.This is an integrative review of literature aimed to identify evidence-based interventions which make up care bundles to reduce central venous catheter-related or associated bloodstream infections. To collect data in Brazilian and international databases were used the key word bundle and the descriptors catheter-related infection, infection control and central venous catheterization, resulting in fifteen articles, after inclusion criteria application. This work showed five interventions as those commonly employed in the bundles methods: hand hygiene, chlorhexidine gluconate for skin antisepsis, use of maximal sterile barrier precaution during the catheter insertion, avoid the femoral access and daily review of catheter necessity with prompt removal as no longer essential. The majority of the studies showed a significant reduction in bloodstream infection related to or associated with central venous catheters.

  7. Fluorescence Enhancement Method for Determination of Lysozyme Using Fluorescent Gold Nanoparticles as Probe%基于发光金纳米粒子荧光增强法测定溶菌酶

    Institute of Scientific and Technical Information of China (English)

    钱章生; 刘玫瑰; 田大慧; 郝丹; 朱昌青

    2011-01-01

    参照文献方法合成了BSA修饰的水溶性发光金纳米粒子,并考察了其与溶菌酶之间的相互作用.依据溶菌酶对金纳米粒子的发光增强现象,建立了测定溶菌酶的荧光新方法.考察了发光金纳米粒子的浓度、pH值、反应时间及共存物质对测定的影响.优化条件为:发光金纳米粒子浓度4.0×10(-6)mol/L,pH 7.0、反应时间10 min.在此条件下,荧光增强与溶菌酶浓度在2×10(-7)~8×10(-6)mol/L范围内呈良好的线性关系,检出限为3.0×10(-8)mol/L.对4.0×10(-6)mol/L溶菌酶平行测定6次,相对标准偏差为2.6%.本方法具有灵敏度高、探针水溶性好和生物毒性低的优点,同时,常见低等电点蛋白质对分析不干扰.本方法用于合成样品及鸡蛋清中溶菌酶含量测定,平均回收率为97.5%~103.6%.%As lysozyme has the property of dissolving some bacteria, it can be applied in medical treatment, biological engineering, and especially in food antisepsis to replace chemically synthesized ones. Therefore, the development of a simple analytical method for lysozyme assay is very important. Here, water-soluble BSA-modified fluorescent gold nanoparticles (GNPs) were prepared according to the literature, and their interaction with lysozyme was investigated. A novel fluorescence method for the determination of lysozyme has been developed based on the enhancement effect of lysozyme on the fluorescence of GNPs. The effects of GNPs concentration, pH, reaction time and coexisting substances on the determination were tested. Under the optimum conditions, i.e. 4.0 × 10-6 mol/L GNPs, pH 7.0, and reaction time of 10 min, the linear range of the calibration curve was from 2× 10 7 mol/L to 8×l0-6 mol/L and the detection limit was 3. 0× 10-8 mol /L. The relative standard deviation was 2.6% for six replicate measurements of a solution containing 4.0 × 10 6 mol/L lysozyme. The method bore the merits of high sensitivity, good water-solubility and low

  8. Correlação entre os métodos de concepção, ocorrência e formas de tratamento das onfalopatias em bovinos: estudo retrospectivo Correlation between conception methods, occurrence, and type o treatment of the umbilical diseases in cattle: a retrospective study

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    Celso A. Rodrigues

    2010-08-01

    ês foram tratados conservativamente. A análise dos diferentes métodos de concepção, correlacionados à ocorrência de onfalopatias, sugere que os animais provenientes de FIV, apresentam maior frequência de persistência de úraco (66,7%, e aqueles concebidos por IA, maior frequência de hérnia umbilical (58,4%, O tratamento cirúrgico foi mais eficiente que a terapia conservativa. Essa última apresentou melhores resultados nos casos descomplicados e precocemente diagnosticados.Some problems have been observed in bovine products of the in vitro fertilization technical, among these, the high umbilical diseases casuistry. From this observation, the aim of this work was to accomplish a retrospective study of the correlation between the conception methods and the occurrence of umbilical diseases in bovines and describe the results obtained from the conservative and surgical treatments. For this 44 animals attended at Veterinary Teaching Hospital of Unesp Araçatuba, with age varying from one day to 12 months among the years of 2003 and 2007 were used, twenty seven were from in vitro fertilization (IVF, twelve were from artificial insemination (AI, two were from natural mounts and three were from embryo transfer. The clinical-surgical diagnosis of the animals revealed that all of them presented umbilical disorders, being 22 cases of urachus patent, eight omphalophlebitis, eight umbilical hernia, five omphalitis and one umbilical fibrosis. Before and at the postoperative period was administered in all animals once a day for ten days 3mg/kg of ceftiofur sodium IV. In cases of serious infection or lack of response of the initial antimicrobial therapy a complementary treatment during seven days with 6.6 mg/kg of gentamicin sulfate IV was carried out. The antisepsis of the umbilicus with tincture of iodine to 2% was carried out twice daily in cases treated clinically, with out surgery, while the animals underwent surgery received 1.1mg/kg of flunixin meglumine IV once daily

  9. Citologia Hormonal do Trato Urinário Baixo e da Vagina de Mulheres na Pós-menopausa, antes e durante Estrogenioterapia Oral e Transdérmica Urinary and Vaginal Cytology of Postmenopausal Women with Oral and Transdermal Estrogen Replacement

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    Áurea Belas Lustosa

    2002-10-01

    . No entanto, quando se utiliza a via oral, nem sempre este resultado pode ser observado.Objective: to study the effects of oral or transdermal estrogen replacement on the lower urinary tract and vagina in postmenopausal women. Methods: we studied 25 postmenopausal women evaluating the oral or transdermic estrogen replacement effects on the vaginal cells and urinary sediment during 3 months. The patients were randomly distributed into 2 groups: Group I, n = 14, treated orally with 0.625 mg equine conjugated estrogen plus 5 mg medroxyprogesterone acetate, daily for 3 months; Group II, n = 11, treated transdermally with 50 mug 17-ß-estradiol, once a week, plus 5 mg medroxyprogesterone. Daily, for 3 months, urinary samples were collected from the first miction in the morning after urogenital antisepsis into sterile tubes. The sample was centrifuged and the sediment was smeared. Vaginal and urinary smears were then fixed in absoluted alcohol and stained by the method of Shorr. Results: the patients who used the oral route presented maturation of the vaginal cells (from 45.4 to 65.5% after 2 months of treatment, maintaing 62% afterwards but this did not occur with urinary cells (56.4 before treatment versus 60.4% at the end of the period. The transdermal route promoted maturation of vaginal and urinary cells. Conclusion: we have concluded that transdermal estrogens have satisfactory effects both on vaginal and urethral sites. However, with the oral route we did not find the expected results in the urinary tract in all cases.

  10. Identification of the pathogens of postharvest apricot fruit diseases and indoor screening of fungicides%杏采后病害病原菌鉴定及室内药剂筛选

    Institute of Scientific and Technical Information of China (English)

    张瑾; 徐秉良; 梁巧兰; 张文利; 吴步梅

    2011-01-01

    [Objective] To identify the main pathogens causing fruit rot of storage apricots and screen the effective fungicides, so as to prolong the storage period of apricots and decrease the losses. [Method] Isolation and identification, as well as pathogenicity test and return inoculation experiments were made for the pathogen causing fruit rot of storage apricots in Lanzhou City, Gansu Province. The effective fungicides for the main pathogens were also screened in the laboratory. [Result] Six fungi were identified as the pathogens causing fruit rot of storage apricots, which were Trichothecium roseum Lk. Ex Fr., Alternaria alternata (Fr.) Keissl., Rhizopus nigricans (Ehrenb), Penicillium frequentans, Botrytis cinerea and Monilinia laxa (Aderh. & Ruhl.) Honey. The main pathogens causing postharvest diseases of apricots were A. Alternata, R. Nigricans and T. Roseum. The isolation frequencies of them were 28. 5%, 48. 9% and 9. 4%, respectively. After artificial inoculation with or without wounds, the incidence of fruits infected by A. Alternata, R. Nigricans and T. Roseum were 100%, 100% and 83%, respectively. The results of chemical screening showed that, in PDA media plate, the fludioxonil (50%WP) and iprodione (50% SC) were most effective in controlling the three main pathogens, and the average effect reached more than 94%. The test of fungicides antisepsis of fruits showed that apricots were dipped in the 9000× diluted solution of fludioxonil (50%WP) or in the 1000 X diluted solution of iprodione (50%SC) for 3 min and stored at room temperature (25℃) for 7 days and 13 days. The control effects of fludioxonil against T. Roseum, A. Alternata and R. Nigricans were 78.3%/65%, 79% /67.5% and 80.3%/69.6%, respectively, and the con-trol effects of iprodione were 76%/64.3%, 78. 3%/64.4% and 78.6%/66.4%, respectively. [Conclusion] Theresults may provide a reference for the control of postharvest diseases of apricots.%[目的]确定引起杏采后病害的主要病原菌及