Chiyambi:
Njira zogonetsa anthu nthawi zambiri zimachitidwa m'munda wamankhwala.Komabe, kupatsirana kwa bakiteriya kwa intraoperative kumawopseza kwambiri thanzi la odwala.Kafukufuku waposachedwapa akusonyeza kuti kuipitsidwa m’manja mwa anthu ogonetsa ndi vuto lalikulu la kufala kwa mabakiteriya panthawi ya opaleshoni.

Njira:
Phunziroli linayang'ana pa Dartmouth-Hitchcock Medical Center, malo osungirako anamwino a Level III ndi malo opwetekedwa mtima a Level I omwe ali ndi mabedi 400 ogona odwala ndi zipinda zogwirira ntchito za 28.Magulu makumi asanu ndi anayi mphambu awiri a milandu ya opaleshoni, okwana 164, adasankhidwa mwachisawawa kuti afufuzidwe.Pogwiritsa ntchito njira yomwe idatsimikiziridwa kale, ofufuza adazindikira milandu yopatsirana mabakiteriya ophatikizika ndi intravenous stopcock chipangizo komanso malo ogontha.Kenako adafanizira zamoyo zopatsiranazi ndi zomwe zidapatulidwa m'manja mwa opereka opaleshoni kuti adziwe zomwe zakhudzidwa ndi kuipitsidwa kwa manja.Kuphatikiza apo, magwiridwe antchito a maprotocol oyeretsera amakono adawunikidwa.

Zotsatira:
Kafukufukuyu adawonetsa kuti pakati pa milandu 164, 11.5% adawonetsa kufalikira kwa bakiteriya ku intravenous stopcock chipangizo, ndipo 47% ya matendawo amatengera azaumoyo.Kuphatikiza apo, kufalikira kwa bakiteriya kumalo opangira opaleshoni kunawonedwa mu 89% ya milanduyo, ndi 12% ya kufalikira komwe kumachitika ndi othandizira azaumoyo.Kafukufukuyu adawonetsanso kuti chiwerengero cha zipinda zogwirira ntchito zomwe zimayang'aniridwa ndi dokotala wochititsa opaleshoni, zaka za odwala, ndi kusamutsidwa kwa odwala kuchokera m'chipinda chopangira opaleshoni kupita ku chipinda cha odwala kwambiri chinali zifukwa zodziwiratu zodziwiratu za kufalikira kwa mabakiteriya, osagwirizana ndi opereka chithandizo.

Zokambirana ndi Kufunika kwake:
Zotsatira za kafukufukuyu zikugogomezera kufunika kwa kuipitsidwa m'manja pakati pa ogwira ntchito yogonetsa ndi kuipitsidwa kwa malo opangira opaleshoni komanso zida zotsekera m'mitsempha.Zochitika zopatsirana ndi mabakiteriya zomwe zimayambitsidwa ndi opereka chithandizo chamankhwala zimawerengera kuchuluka kwa kupatsirana kwa intraopareshoni, kuyika chiwopsezo ku thanzi la odwala.Chifukwa chake, kufufuza kwina kwa magwero ena opatsirana mabakiteriya a intraoperative ndi kulimbikitsa machitidwe oyeretsa a intraoperative ndikofunikira.

potsiriza, kuipitsidwa kwa manja pakati pa ogwira ntchito yochititsa manyazi ndi chiopsezo chachikulu cha kupatsirana kwa bakiteriya.Pokhazikitsa njira zoyenera zodzitetezera monga kusamba m'manja pafupipafupi, kugwiritsa ntchito magolovesi,Kusankha makina oyenera opha tizilombo toyambitsa matendandi kugwiritsa ntchito mankhwala ophera tizilombo ogwira mtima, chiopsezo chotenga mabakiteriya chikhoza kuchepetsedwa.Zotsatirazi ndizofunikira kwambiri pakuwongolera ukhondo ndi ukhondo m'chipinda chopangira opaleshoni, ndikuwonjezera chitetezo cha odwala.

Kochokera zolemba:
Loftus RW, Muffly MK, Brown JR, Beach ML, Koff MD, Corwin HL, Surgenor SD, Kirkland KB, Yeager MP.Kuyipitsidwa m'manja kwa opereka opaleshoni ndi chinthu chofunikira kwambiri pachiwopsezo chofalitsa mabakiteriya a intraoperative.Anesth Analg.2011 Jan; 112 (1): 98-105.doi: 10.1213/ANE.0b013e3181e7ce18.Epub 2010 Aug 4. PMID: 20686007