Evaluation of lid speculum with a drape (LiDrape®) for preventing surgical-field contamination

Toru Urano,1 Masataka Kasaoka,1 Kimitaka Sagawa,2 Ryoji Yamakawa1 1Department of Ophthalmology, Kurume University School of Medicine, 2Department of Laboratory Medicine, Kurume University Hospital, Kurume, Japan Purpose: To compare the degree of surgical-field contamination in cataract surgeries b...

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Autores principales:	Urano T, Kasaoka M, Sagawa K, Yamakawa R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/c497e2dc33f8450ebd2edd41dae1c958
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spelling	oai:doaj.org-article:c497e2dc33f8450ebd2edd41dae1c9582021-12-02T03:30:31ZEvaluation of lid speculum with a drape (LiDrape®) for preventing surgical-field contamination1177-5483https://doaj.org/article/c497e2dc33f8450ebd2edd41dae1c9582015-07-01T00:00:00Zhttp://www.dovepress.com/evaluation-of-lid-speculum-with-a-drape-lidrapereg-for-preventing-surg-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Toru Urano,1 Masataka Kasaoka,1 Kimitaka Sagawa,2 Ryoji Yamakawa1 1Department of Ophthalmology, Kurume University School of Medicine, 2Department of Laboratory Medicine, Kurume University Hospital, Kurume, Japan Purpose: To compare the degree of surgical-field contamination in cataract surgeries between a new draping method using a lid speculum with a drape (LiDrape®) and a conventional draping method. Methods: Cataract surgery was performed on 21 eyes using LiDrape® (LiDrape® group) and on 22 eyes using a conventional draping method (conventional group). Contamination was evaluated by bacterial culture of conjunctival sac scrapings and ocular surface irrigation fluid. Conjunctival sac scrapings were collected before and after application of preoperative antibiotics. Ocular surface irrigation fluid was collected before incision placement and during surgery. Bacterial detection rate and types of organisms isolated at these four time points were examined. Results: Bacterial detection rates were significantly decreased in the LiDrape® group at all time points after the application of antibiotics compared with preapplication. Regarding between-group comparisons, the bacterial detection rate in the LiDrape® group was only significantly lower than that in the conventional group in the intraoperative sample. Propionibacterium acnes was the most common organism isolated from ocular surface irrigation fluid. The number of P. acnes in the intraoperative sample was significantly lower in the LiDrape® group compared with the conventional group. There were no significant differences in detection rates for other bacteria between the groups. Conclusion: LiDrape® was as effective as conventional draping for preventing surgical-field contamination. The number of P. acnes during surgery was significantly lower in the LiDrape® group compared with the conventional group, suggesting that LiDrape® may contribute to the prevention of postoperative infection.Keywords: LiDrape®, cataract surgery, surgical field contamination, Propionibacterium acnesUrano TKasaoka MSagawa KYamakawa RDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 1227-1232 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Urano T Kasaoka M Sagawa K Yamakawa R Evaluation of lid speculum with a drape (LiDrape®) for preventing surgical-field contamination
description	Toru Urano,1 Masataka Kasaoka,1 Kimitaka Sagawa,2 Ryoji Yamakawa1 1Department of Ophthalmology, Kurume University School of Medicine, 2Department of Laboratory Medicine, Kurume University Hospital, Kurume, Japan Purpose: To compare the degree of surgical-field contamination in cataract surgeries between a new draping method using a lid speculum with a drape (LiDrape®) and a conventional draping method. Methods: Cataract surgery was performed on 21 eyes using LiDrape® (LiDrape® group) and on 22 eyes using a conventional draping method (conventional group). Contamination was evaluated by bacterial culture of conjunctival sac scrapings and ocular surface irrigation fluid. Conjunctival sac scrapings were collected before and after application of preoperative antibiotics. Ocular surface irrigation fluid was collected before incision placement and during surgery. Bacterial detection rate and types of organisms isolated at these four time points were examined. Results: Bacterial detection rates were significantly decreased in the LiDrape® group at all time points after the application of antibiotics compared with preapplication. Regarding between-group comparisons, the bacterial detection rate in the LiDrape® group was only significantly lower than that in the conventional group in the intraoperative sample. Propionibacterium acnes was the most common organism isolated from ocular surface irrigation fluid. The number of P. acnes in the intraoperative sample was significantly lower in the LiDrape® group compared with the conventional group. There were no significant differences in detection rates for other bacteria between the groups. Conclusion: LiDrape® was as effective as conventional draping for preventing surgical-field contamination. The number of P. acnes during surgery was significantly lower in the LiDrape® group compared with the conventional group, suggesting that LiDrape® may contribute to the prevention of postoperative infection.Keywords: LiDrape®, cataract surgery, surgical field contamination, Propionibacterium acnes
format	article
author	Urano T Kasaoka M Sagawa K Yamakawa R
author_facet	Urano T Kasaoka M Sagawa K Yamakawa R
author_sort	Urano T
title	Evaluation of lid speculum with a drape (LiDrape®) for preventing surgical-field contamination
title_short	Evaluation of lid speculum with a drape (LiDrape®) for preventing surgical-field contamination
title_full	Evaluation of lid speculum with a drape (LiDrape®) for preventing surgical-field contamination
title_fullStr	Evaluation of lid speculum with a drape (LiDrape®) for preventing surgical-field contamination
title_full_unstemmed	Evaluation of lid speculum with a drape (LiDrape®) for preventing surgical-field contamination
title_sort	evaluation of lid speculum with a drape (lidrape®) for preventing surgical-field contamination
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/c497e2dc33f8450ebd2edd41dae1c958
work_keys_str_mv	AT uranot evaluationoflidspeculumwithadrapelidraperegforpreventingsurgicalfieldcontamination AT kasaokam evaluationoflidspeculumwithadrapelidraperegforpreventingsurgicalfieldcontamination AT sagawak evaluationoflidspeculumwithadrapelidraperegforpreventingsurgicalfieldcontamination AT yamakawar evaluationoflidspeculumwithadrapelidraperegforpreventingsurgicalfieldcontamination
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Evaluation of lid speculum with a drape (LiDrape&reg;) for preventing surgical-field contamination

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