Endotoxins in surgical instruments of hip arthroplasty
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.1590/S0080-623420160000400005 http://hdl.handle.net/1843/66481 https://orcid.org/0000-0003-2967-1783 https://orcid.org/0000-0002-7063-8611 https://orcid.org/0000-0002-1356-0854 https://orcid.org/0000-0002-6220-1321 |
Resumo: | OBJECTIVE: To investigate endotoxins in sterilized surgical instruments used in hip arthroplasties. METHOD: A descriptive exploratory study conducted in a public teaching hospital. Six types of surgical instruments were selected, namely: acetabulum rasp, femoral rasp, femoral head remover, chisel box, flexible bone reamer and femoral head test. The selection was based on the analysis of the difficulty in removing bone and blood residues during cleaning. The sample was made up of 60 surgical instruments, which were tested for endotoxins in three different stages. The EndosafeTM Gel-Clot LAL (Limulus Amebocyte Lysate method) was used. RESULT: There was consistent gel formation with positive analysis in eight instruments, corresponding to 13.3%, being four femoral rasps and four bone reamers. CONCLUSION: Endotoxins in quantity ≥0.125 UE/mL were detected in 13.3% of the instruments tested. |
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oai:repositorio.ufmg.br:1843/66481 |
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2024-03-25T20:08:13Z2024-03-25T20:08:13Z2016503405410https://doi.org/10.1590/S0080-6234201600004000051980-220Xhttp://hdl.handle.net/1843/66481https://orcid.org/0000-0003-2967-1783https://orcid.org/0000-0002-7063-8611https://orcid.org/0000-0002-1356-0854https://orcid.org/0000-0002-6220-1321OBJECTIVE: To investigate endotoxins in sterilized surgical instruments used in hip arthroplasties. METHOD: A descriptive exploratory study conducted in a public teaching hospital. Six types of surgical instruments were selected, namely: acetabulum rasp, femoral rasp, femoral head remover, chisel box, flexible bone reamer and femoral head test. The selection was based on the analysis of the difficulty in removing bone and blood residues during cleaning. The sample was made up of 60 surgical instruments, which were tested for endotoxins in three different stages. The EndosafeTM Gel-Clot LAL (Limulus Amebocyte Lysate method) was used. RESULT: There was consistent gel formation with positive analysis in eight instruments, corresponding to 13.3%, being four femoral rasps and four bone reamers. CONCLUSION: Endotoxins in quantity ≥0.125 UE/mL were detected in 13.3% of the instruments tested.OBJETIVO: Investigar endotoxinas em instrumentais cirúrgicos esterilizados empregados em artroplastias do quadril. MÉTODO: Estudo exploratório, descritivo, desenvolvido em um hospital público de ensino. Foram selecionados seis tipos de instrumentais, a saber: raspa acetabular, raspa femural, saca-cabeça de fêmur, formão box, fresa de fêmur e cabeça de prova de fêmur. A seleção foi feita a partir da análise da dificuldade para a remoção de resíduos de sangue e osso durante a limpeza. A amostra foi constituída por 60 instrumentais cirúrgicos, que foram testados para endotoxinas em três momentos distintos. Foi utilizado o método de gel-clot pelo Limulus Amebócito Lisado (LAL) Endosafe(tm). RESULTADO: Houve formação de gel consistente com análise positiva em oito instrumentais, o que corresponde a 13,3%, sendo quatro raspas de fêmur e quatro fresas de fêmur. CONCLUSÃO: Foram detectadas endotoxinas em quantidade ≥0,125 UE/mL em 13,3% dos instrumentais testados.CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoengUniversidade Federal de Minas GeraisUFMGBrasilENF - DEPARTAMENTO DE ENFERMAGEM BÁSICARevista da escola de enfermagem da USPEndotoxinasInstrumentos cirúrgicosArtroplastia de quadrilEnfermagem ortopédicaEnfermagem de centro cirúrgicoEndotoxinsSurgical instrumentsArthroplastyReplacementHipOrthopedic nursingOperating room nursingEndotoxins in surgical instruments of hip arthroplastyEndotoxinas em instrumentais cirúrgicos de artroplastia do quadrilEndotoxinas en instrumentales quirúrgicos de artroplastia de la caderainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.scielo.br/j/reeusp/a/NQZZScPzj8p6VcY5BhqQJgv/#Vania Regina GoveiaIsabel Yovana Quispe MendozaGilberto de Lima GuimarãesFlavia Falci ErcoleBráulio Roberto Gonçalves Marinho CoutoEdna Marilea Meireles LeiteMaria Aparecida Resende StoianoffJosé Antonio Guimarães Ferreiraapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/66481/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALEndotoxins in surgical instruments of hip arthroplasty.pdfEndotoxins in surgical instruments of hip arthroplasty.pdfapplication/pdf654450https://repositorio.ufmg.br/bitstream/1843/66481/2/Endotoxins%20in%20surgical%20instruments%20of%20hip%20arthroplasty.pdf069eef21624cfbcecb23797b719c94dbMD521843/664812024-03-25 17:08:13.558oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2024-03-25T20:08:13Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Endotoxins in surgical instruments of hip arthroplasty |
dc.title.alternative.pt_BR.fl_str_mv |
Endotoxinas em instrumentais cirúrgicos de artroplastia do quadril Endotoxinas en instrumentales quirúrgicos de artroplastia de la cadera |
title |
Endotoxins in surgical instruments of hip arthroplasty |
spellingShingle |
Endotoxins in surgical instruments of hip arthroplasty Vania Regina Goveia Endotoxins Surgical instruments Arthroplasty Replacement Hip Orthopedic nursing Operating room nursing Endotoxinas Instrumentos cirúrgicos Artroplastia de quadril Enfermagem ortopédica Enfermagem de centro cirúrgico |
title_short |
Endotoxins in surgical instruments of hip arthroplasty |
title_full |
Endotoxins in surgical instruments of hip arthroplasty |
title_fullStr |
Endotoxins in surgical instruments of hip arthroplasty |
title_full_unstemmed |
Endotoxins in surgical instruments of hip arthroplasty |
title_sort |
Endotoxins in surgical instruments of hip arthroplasty |
author |
Vania Regina Goveia |
author_facet |
Vania Regina Goveia Isabel Yovana Quispe Mendoza Gilberto de Lima Guimarães Flavia Falci Ercole Bráulio Roberto Gonçalves Marinho Couto Edna Marilea Meireles Leite Maria Aparecida Resende Stoianoff José Antonio Guimarães Ferreira |
author_role |
author |
author2 |
Isabel Yovana Quispe Mendoza Gilberto de Lima Guimarães Flavia Falci Ercole Bráulio Roberto Gonçalves Marinho Couto Edna Marilea Meireles Leite Maria Aparecida Resende Stoianoff José Antonio Guimarães Ferreira |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Vania Regina Goveia Isabel Yovana Quispe Mendoza Gilberto de Lima Guimarães Flavia Falci Ercole Bráulio Roberto Gonçalves Marinho Couto Edna Marilea Meireles Leite Maria Aparecida Resende Stoianoff José Antonio Guimarães Ferreira |
dc.subject.por.fl_str_mv |
Endotoxins Surgical instruments Arthroplasty Replacement Hip Orthopedic nursing Operating room nursing |
topic |
Endotoxins Surgical instruments Arthroplasty Replacement Hip Orthopedic nursing Operating room nursing Endotoxinas Instrumentos cirúrgicos Artroplastia de quadril Enfermagem ortopédica Enfermagem de centro cirúrgico |
dc.subject.other.pt_BR.fl_str_mv |
Endotoxinas Instrumentos cirúrgicos Artroplastia de quadril Enfermagem ortopédica Enfermagem de centro cirúrgico |
description |
OBJECTIVE: To investigate endotoxins in sterilized surgical instruments used in hip arthroplasties. METHOD: A descriptive exploratory study conducted in a public teaching hospital. Six types of surgical instruments were selected, namely: acetabulum rasp, femoral rasp, femoral head remover, chisel box, flexible bone reamer and femoral head test. The selection was based on the analysis of the difficulty in removing bone and blood residues during cleaning. The sample was made up of 60 surgical instruments, which were tested for endotoxins in three different stages. The EndosafeTM Gel-Clot LAL (Limulus Amebocyte Lysate method) was used. RESULT: There was consistent gel formation with positive analysis in eight instruments, corresponding to 13.3%, being four femoral rasps and four bone reamers. CONCLUSION: Endotoxins in quantity ≥0.125 UE/mL were detected in 13.3% of the instruments tested. |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016 |
dc.date.accessioned.fl_str_mv |
2024-03-25T20:08:13Z |
dc.date.available.fl_str_mv |
2024-03-25T20:08:13Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/66481 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.1590/S0080-623420160000400005 |
dc.identifier.issn.pt_BR.fl_str_mv |
1980-220X |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0003-2967-1783 https://orcid.org/0000-0002-7063-8611 https://orcid.org/0000-0002-1356-0854 https://orcid.org/0000-0002-6220-1321 |
url |
https://doi.org/10.1590/S0080-623420160000400005 http://hdl.handle.net/1843/66481 https://orcid.org/0000-0003-2967-1783 https://orcid.org/0000-0002-7063-8611 https://orcid.org/0000-0002-1356-0854 https://orcid.org/0000-0002-6220-1321 |
identifier_str_mv |
1980-220X |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Revista da escola de enfermagem da USP |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.publisher.initials.fl_str_mv |
UFMG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
ENF - DEPARTAMENTO DE ENFERMAGEM BÁSICA |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
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UFMG |
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Repositório Institucional da UFMG |
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