PDF(Pubmed)
Abstract：
The use of reusable tourniquets is widespread around the world, and reports suggest they may be overused. Several studies have shown that reusable tourniquets can affect the spread of pathogens between patients. Based on available studies, this review aims to analyse the indirect transmission of antimicrobial-resistant pathogens present on blood collection tourniquets, which may spread infectious diseases between patients in daily clinical practice.
A systematic review of the literature was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) protocol guidelines. The contents of PubMed, EBSCO (electronic databases), and Scopus were screened. Keywords used in the search included: \"tourniquet,\" \"cross infection,\" \"nosocomial infection,\" \"staphylococcus aureus,\" \"MRO,\" \"pathogen,\" \"infectious disease,\" \"anti-microbial,\" or a combination of these using AND or OR operators. Finally, 13 publications were included. Data were analysed both descriptively and quantitatively by calculating a balanced average for specific synthesized data.
The proportional observation based on the number sampled median was 77. The genus MRSA was the type of bacteria most commonly found: on 12% of all tested tourniquets. The amount of MRSA found on tourniquets was mean ± SD 14.6 ± 45.89. A review of studies also revealed the presence of coagulase-negative staphylococci, grew Bacillus, and Staphylococcus aureus.
Patient safety may be at risk due to elevated contamination rates of reusable tourniquets. The microorganisms responsible for this contamination include a variety of species, the most common being the genus Staphylococcus. For this reason, we recommend the use of disposable tourniquets.
A systematic review of the literature was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) protocol guidelines. The contents of PubMed, EBSCO (electronic databases), and Scopus were screened. Keywords used in the search included: \"tourniquet,\" \"cross infection,\" \"nosocomial infection,\" \"staphylococcus aureus,\" \"MRO,\" \"pathogen,\" \"infectious disease,\" \"anti-microbial,\" or a combination of these using AND or OR operators. Finally, 13 publications were included. Data were analysed both descriptively and quantitatively by calculating a balanced average for specific synthesized data.
The proportional observation based on the number sampled median was 77. The genus MRSA was the type of bacteria most commonly found: on 12% of all tested tourniquets. The amount of MRSA found on tourniquets was mean ± SD 14.6 ± 45.89. A review of studies also revealed the presence of coagulase-negative staphylococci, grew Bacillus, and Staphylococcus aureus.
Patient safety may be at risk due to elevated contamination rates of reusable tourniquets. The microorganisms responsible for this contamination include a variety of species, the most common being the genus Staphylococcus. For this reason, we recommend the use of disposable tourniquets.
摘要：
■可重复使用的止血带在世界范围内广泛使用，报告显示它们可能被过度使用。一些研究表明，可重复使用的止血带会影响病原体在患者之间的传播。根据现有的研究，这篇综述旨在分析采血止血带上存在的抗微生物耐药病原体的间接传播，这可能在日常临床实践中在患者之间传播传染病。
■根据PRISMA（系统审查和荟萃分析的首选报告项目）方案指南对文献进行了系统审查。PubMed的内容,EBSCO(电子数据库)，和Scopus进行了筛选。搜索中使用的关键字包括：“止血带，“交叉感染”，医院感染，金黄色葡萄球菌,\"\"MRO,\"\"病原体,“\”传染病，\"\"抗微生物,\"或使用AND或OR运算符的组合。最后,包括13种出版物。通过计算特定合成数据的平衡平均值，对数据进行了描述性和定量分析。
■基于采样数量中位数的比例观察结果为77。MRSA属是最常见的细菌类型：在所有测试的止血带中占12％。在止血带上发现的MRSA的量为平均值±SD14.6±45.89。对研究的回顾还揭示了凝固酶阴性葡萄球菌的存在，生长的芽孢杆菌，和金黄色葡萄球菌。
■由于可重复使用的止血带的污染率升高，患者的安全可能会受到威胁。造成这种污染的微生物包括多种物种，最常见的是葡萄球菌属。出于这个原因,我们建议使用一次性止血带。
■根据PRISMA（系统审查和荟萃分析的首选报告项目）方案指南对文献进行了系统审查。PubMed的内容,EBSCO(电子数据库)，和Scopus进行了筛选。搜索中使用的关键字包括：“止血带，“交叉感染”，医院感染，金黄色葡萄球菌,\"\"MRO,\"\"病原体,“\”传染病，\"\"抗微生物,\"或使用AND或OR运算符的组合。最后,包括13种出版物。通过计算特定合成数据的平衡平均值，对数据进行了描述性和定量分析。
■基于采样数量中位数的比例观察结果为77。MRSA属是最常见的细菌类型：在所有测试的止血带中占12％。在止血带上发现的MRSA的量为平均值±SD14.6±45.89。对研究的回顾还揭示了凝固酶阴性葡萄球菌的存在，生长的芽孢杆菌，和金黄色葡萄球菌。
■由于可重复使用的止血带的污染率升高，患者的安全可能会受到威胁。造成这种污染的微生物包括多种物种，最常见的是葡萄球菌属。出于这个原因,我们建议使用一次性止血带。
