背景:在外科手术过程中,热产生设备被广泛用于产生手术烟雾(SS)。由于SS可以传播传染性病毒,本系统综述旨在调查通过SS传播的潜在病毒.
方法:PubMed,Scopus,WebofScience,ProQuest,和Embase数据库,还有Cochran图书馆,和谷歌学者搜索引擎进行了系统搜索(到2024年4月21日)。没有语言,地点,并考虑了时间限制。所有评估SS和病毒传播的研究,关于通过SS传播的病毒感染的整个调查完全被认为是纳入标准.此外,非原创,定性,病例报告,案例系列,给编辑的信,社论,和综述研究被排除在分析之外.这项研究是根据PRISMA2020声明进行的。
结果:选择了26项符合条件的研究并进行了数据提取审查。结果表明,SS含有病毒和相关成分。在SS中鉴定出六种类型的病毒或病毒成分,包括乳头瘤病毒(HPV,BPV),人类免疫缺陷病毒(HIV),水痘带状疱疹,乙型肝炎(HBV),SARS-CoV-2和口服脊髓灰质炎病毒(OPV),通过产生烟雾的装置传播给手术团队。
结论:由于研究证实了病毒的存在,和SS中的病毒成分,对医护人员的潜在风险,尤其是在手术室(OR),似乎是可能的。因此,采取针对SS的保护策略至关重要。尽管使用了个人防护装备(PPE),这些病毒可能会影响外科手术中的手术室人员.
BACKGROUND: During surgical procedures, heat-generating devices are widely used producing surgical smoke (SS). Since the SS can transmit infectious viruses, this systematic
review was designed to investigate the potential viruses transmitted through SS.
METHODS: PubMed, Scopus, Web of Science, ProQuest, and Embase databases, along with Cochran Library, and Google Scholar search engine were searched systematically (by April 21, 2024). No language, place, and time restrictions were considered. All studies evaluating the SS and virus transmission, and whole investigations regarding the viral infections transmitted through SS were totally considered inclusion criteria. Besides, non-original, qualitative, case reports, case series, letters to the editor, editorial, and
review studies were excluded from the analysis. This study was conducted in accordance with the PRISMA 2020 statement.
RESULTS: Twenty-six eligible studies were selected and reviewed for data extraction. The results showed that the SS contains virus and associated components. Six types of viruses or viral components were identified in SS including papillomavirus (HPV, BPV), Human Immunodeficiency Virus (HIV), varicella zoster, Hepatitis B (HBV), SARS-CoV-2, and Oral poliovirus (OPV), which are spread to surgical team through smoke-producing devices.
CONCLUSIONS: Since the studies confirm the presence of viruses, and viral components in SS, the potential risk to the healthcare workers, especially in operating room (OR), seems possible. Thus, the adoption of protective strategies against SS is critical. Despite the use of personal protective equipment (PPE), these viruses could affect OR personnel in surgical procedures.