[논문]Évaluation des mesures d'asepsie lors de la réalisation d'un cathétérisme épidural et perception de son risque infectieux. Résultats d'une enquête en Languedoc-Roussillon

Sleth, JC

doi:10.1016/s0750-7658(98)80090-7

[해외논문] Évaluation des mesures d'asepsie lors de la réalisation d'un cathétérisme épidural et perception de son risque infectieux. Résultats d'une enquête en Languedoc-Roussillon
Asepsis methods in epidural catheterization and perception of its infectious risk. Results of a survey in Languedoc-Roussillon

Annales françaises d'anesthésie et de réanimation, v.17 no.5, 1998년, pp.408 - 414

Sleth, JC

Abstract ▼ AI-Helper

AbstractObjectiveTo assess the level of aseptic practice in epidural catheterization, to determine the perception of its infectious risk and the knowledge of epidural abscess symptoms.Study designCross-sectional regionwide retrospective survey.MaterialQuestionnaire sent after telephone call to 160 anaesthesiologists performing epidural anaesthesia in Languedoc-Roussillon.ResultsReplies were obtained from 96 anaesthesiologists working in 26 centres. Handwashing techniques were various: 53% onefolded with an antiseptic preparation, 38% twofolded and 9% used a simple soap; 41% did never wear a long-sleeved sterile surgical gown and only 53% wored simultaneously a cap; a surgical mask and a sterile gown; 4% of the Tuohy needles were reusable; 21% of the dressings permitted continuous inspection of the site of puncture; 12,5% admitted not to know epidural abcess symptoms and 30% ignored the most adapted radiological diagnostic means.ConclusionsGood aseptic practice in epidural catheterization should be clarified by a consensus conference. There is an obvious lack of knowledge concerning features of epidural abscess.

Abstract

RésuméObjectifsÉvaluer les mesures d'asepsie entourant le cathétérisme épidural et préciser la perception de son risque infectieux, ainsi que la connaissance d'une complication spécifique: l'épidurite infectieuse.Type d'étudeEnquête régionale transversale et rétrospective.MatérielQuestionnaire adressé après contact téléphonique à 160 anesthésistes-réanimateurs (AR) seniors du Languedoc-Roussillon pratiquant l'anesthésie épidurale avec cathétérisme.RésultatsL'enquête a porté sur 96 AR de 26 établissements de soins. Le lavage des mains était de type chirurgical dans 38% des cas, de type antiseptique dans 53% des cas, et dans 9% des cas réalisé avec un simple savon. De plus 41% ne mettaient pas de casaque stérile et seulement 53% des AR portaient un calot, masque et casaque stériles. Des aiguilles de Tuhoy restérilisables étaient utilisées par 4% des AR; 21% des techniques de pansement permettaient un contrôle visuel du point de ponction; 12,5% des AR ne connaissaient pas les signes cliniques de l'épidurite et 30% ignoraient l'examen radiologique le mieux adapté pour son diagnostic.ConclusionsLes mesures d'asepsie utilisées lors du cathétérisme épidural sont très variables d'un AR à un autre et la méconnaissance de la sémiologie de l'infection de l'espace épidural et de son diagnostic radiologique est réelle. Un consensus sur les bonnes pratiques d'hygiène est souhaitable.

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DOI : 10.1016/S0750-7658(98)80090-7
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