![\"\"](\"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/09\/Hygiejne-1.png?resize=673%2C199&quality=80&ssl=1\")
<\/p>\n<\/p>\n
Download som PDF<\/a><\/p>\n Cecilie Fuglsbjerg, Klinisk Sygepleje Specialist, RN, MSc. Mail: <\/span>Cecilie.fuglsbjerg@regionh.dk<\/a> Introduktion<\/strong> Metode Resultater De seks mest udbredte bakteriearter var: Staphylococcus epidermidis, Micrococcus luteus, S. hominis, S. capitis, S. haemolyticus og S. aureus. Der s\u00e5s ingen signifikante forskelle i sammens\u00e6tningen, ej heller over tid.<\/span><\/p>\n Diskussion Antiseptisk desinfektionsmiddel til hudforberedelse er en velintegreret procedure forud for operationen for at reducere risikoen for PJI. \u200b\u200bH\u00e5rfjernelse i kombination med klorhexidingluconat skal unders\u00f8ges n\u00e6rmere. PJI viser sig ofte sent, og det er derfor sv\u00e6rt at bed\u00f8mme en umiddelbar effekt.<\/span><\/p>\n Dog viser<\/span> studiet,<\/span> at h\u00e5rfjerning kan bidrage til reduceret kolonisering og dermed potentielt reduceret risiko for infektion som er af klinisk betydning.<\/span><\/p>\n Konklusion Implikationer for praksis Download som PDF Cecilie Fuglsbjerg, Klinisk Sygepleje Specialist, RN, MSc. Mail: Cecilie.fuglsbjerg@regionh.dk Trine Herskind Hasl\u00f8v, Projektsygeplerske, RN, MSc. Mail: Trine.herskind.hasloev.01@regionH.dk 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\nTrine Herskind Hasl\u00f8v, Projektsygeplerske, RN, MSc. Mail: <\/span>Trine.herskind.hasloev.01@regionH.dk<\/a><\/p>\n
\n<\/span>Trods succes med kn\u00e6alloplastik, viser unders\u00f8gelser, at 1,6-3 % af patienterne gennemg\u00e5r revision inden for f\u00f8rste postoperative \u00e5r, overvejende pga. infektion. Pr\u00e6operativ klarg\u00f8ring af huden kan potentielt reducere bakteriem\u00e6ngden og risikoen for periprostetiske infektioner (PJI). Virkningerne af h\u00e5rfjerning p\u00e5 PJI er inkonsekvente. Vores prim\u00e6re m\u00e5l var at unders\u00f8ge, om h\u00e5rfjerning med en trimmer kunne neds\u00e6tte m\u00e6ngden af hudmikrobiota samt om sammens\u00e6tningen af species af \u00e6ndrede sig.<\/span><\/p>\n
\n<\/span><\/strong>40 mandlige deltagere, randomiseret til h\u00e5rfjerning i et with-in person studie design, hvor deltagerne fungerede som egenkontrol. Podninger indsamlet f\u00f8r h\u00e5rfjerning (baseline), efter h\u00e5rfjerning (dag 0) og efter \u00e9n og syv dage.<\/span><\/p>\n
\n<\/span><\/strong>Interventionen viste signifikant fald i hudmikrobiota fra baseline til dag 0 (P<0,01) og vedvarende dag 1 (P=0,01). P\u00e5 dag 7 var \u00e6ndringen ikke-signifikant. Kontrolgruppen viste ikke fald i m\u00e6ngden af hudmikrobiota ved opf\u00f8lgning dag 0, 1 eller 7.<\/span><\/p>\n
\n<\/span><\/strong>Studiet viste en sikker metode for h\u00e5rfjernelse, der reducerer m\u00e6ngden af hudmikrobiota. Der s\u00e5s ingen forskel i sammens\u00e6tningen af species.<\/span><\/p>\n
\n<\/span><\/strong>H\u00e5rfjerning med trimmer inden for 24 timer f\u00f8r operation for\u00e5rsager en signifikant ikke-selektiv reduktion i hudkolonisering.<\/span><\/p>\n
\n<\/span><\/strong>H\u00e5rfjerning b\u00f8r betragtes som en nem og relativt lille arbejdsgang sammenlignet med omkostningerne forbundet med PJI.
\nP\u00e5 baggrund af resultaterne b\u00f8r det overvejes som en del af pr\u00e6operativ sygepleje.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"