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Efficacy of laparotomy sponges to reduce bacterial contamination using an in vitro gastrointestinal surgery model
Use of laparotomy sponges to protect abdominal viscera during gastrointestinal surgery is described in nonspecific terms by various sources, but no definitive guidelines have been established in veterinary literature. The objective of this study was to compare the in vitro efficacy of various layer-...
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Published in: | PloS one 2022-04, Vol.17 (4), p.e0267293-e0267293 |
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description | Use of laparotomy sponges to protect abdominal viscera during gastrointestinal surgery is described in nonspecific terms by various sources, but no definitive guidelines have been established in veterinary literature. The objective of this study was to compare the in vitro efficacy of various layer-densities of laparotomy sponges at reducing bacterial contamination from multiple contaminant volumes during multiple exposure times. A standardized Escherichia coli inoculum water solution was applied over sterile laparotomy sponges overlying blood agar plates. Four laparotomy sponge layer-densities, 4 volumes of E. coli inoculum water solution, and 4 exposure times were evaluated. All blood agar plates were incubated for 48 hours followed by surface area measurements of colonization of each blood agar plate at 24 and 48 hours. The procedure was repeated thrice. Bacterial colonization occurred on 100% (192/192) of inoculated blood agar plates. There was a statistically significant decrease in colonized area with increasing layer-density of laparotomy sponges (P |
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The objective of this study was to compare the in vitro efficacy of various layer-densities of laparotomy sponges at reducing bacterial contamination from multiple contaminant volumes during multiple exposure times. A standardized Escherichia coli inoculum water solution was applied over sterile laparotomy sponges overlying blood agar plates. Four laparotomy sponge layer-densities, 4 volumes of E. coli inoculum water solution, and 4 exposure times were evaluated. All blood agar plates were incubated for 48 hours followed by surface area measurements of colonization of each blood agar plate at 24 and 48 hours. The procedure was repeated thrice. Bacterial colonization occurred on 100% (192/192) of inoculated blood agar plates. There was a statistically significant decrease in colonized area with increasing layer-density of laparotomy sponges (P<0.0001). Comparison between the layer-density of sponges were statistically significant in resulting infected area (P<0.01), except comparison between 6- and 8-layers (P = 0.9490). Colonized area was not significantly altered by time of exposure. Results suggested that increasing the layer-density of laparotomy sponges has significant effect on reducing strikethrough bacterial colonization in an in vitro model. The results of this study can be used when performing gastrointestinal surgery to help guide laparotomy sponge use to reduce peritoneal bacterial contamination.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0267293</identifier><identifier>PMID: 35486617</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abdomen ; Agar ; Antibiotics ; Bacteria ; Biology and Life Sciences ; Biopsy ; Blood ; Colonization ; Contaminants ; Contamination ; Density ; Digestive System Surgical Procedures ; E coli ; Emergency services ; Escherichia coli ; Exposure ; Inoculum ; Laboratory animals ; Laparotomy ; Medicine and Health Sciences ; Methods ; Patient outcomes ; Peritonitis ; Physical Sciences ; Plates ; Sponges ; Statistical analysis ; Surgery ; Viscera ; Water</subject><ispartof>PloS one, 2022-04, Vol.17 (4), p.e0267293-e0267293</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Bezhentseva et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Bezhentseva et al 2022 Bezhentseva et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c641t-e9ae9835cad23671e40d2c7fa516e2dc7797d13da97ab676b2fd4d57f8f5e7c53</cites><orcidid>0000-0001-5244-0612</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2657315387/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2657315387?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35486617$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Staley, Christopher</contributor><creatorcontrib>Bezhentseva, Alla</creatorcontrib><creatorcontrib>St Germaine, Lindsay L</creatorcontrib><creatorcontrib>Hoffmann, Daniel E</creatorcontrib><title>Efficacy of laparotomy sponges to reduce bacterial contamination using an in vitro gastrointestinal surgery model</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Use of laparotomy sponges to protect abdominal viscera during gastrointestinal surgery is described in nonspecific terms by various sources, but no definitive guidelines have been established in veterinary literature. The objective of this study was to compare the in vitro efficacy of various layer-densities of laparotomy sponges at reducing bacterial contamination from multiple contaminant volumes during multiple exposure times. A standardized Escherichia coli inoculum water solution was applied over sterile laparotomy sponges overlying blood agar plates. Four laparotomy sponge layer-densities, 4 volumes of E. coli inoculum water solution, and 4 exposure times were evaluated. All blood agar plates were incubated for 48 hours followed by surface area measurements of colonization of each blood agar plate at 24 and 48 hours. The procedure was repeated thrice. Bacterial colonization occurred on 100% (192/192) of inoculated blood agar plates. There was a statistically significant decrease in colonized area with increasing layer-density of laparotomy sponges (P<0.0001). Comparison between the layer-density of sponges were statistically significant in resulting infected area (P<0.01), except comparison between 6- and 8-layers (P = 0.9490). Colonized area was not significantly altered by time of exposure. Results suggested that increasing the layer-density of laparotomy sponges has significant effect on reducing strikethrough bacterial colonization in an in vitro model. The results of this study can be used when performing gastrointestinal surgery to help guide laparotomy sponge use to reduce peritoneal bacterial contamination.</description><subject>Abdomen</subject><subject>Agar</subject><subject>Antibiotics</subject><subject>Bacteria</subject><subject>Biology and Life Sciences</subject><subject>Biopsy</subject><subject>Blood</subject><subject>Colonization</subject><subject>Contaminants</subject><subject>Contamination</subject><subject>Density</subject><subject>Digestive System Surgical Procedures</subject><subject>E coli</subject><subject>Emergency services</subject><subject>Escherichia coli</subject><subject>Exposure</subject><subject>Inoculum</subject><subject>Laboratory animals</subject><subject>Laparotomy</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>Patient outcomes</subject><subject>Peritonitis</subject><subject>Physical 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Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bezhentseva, Alla</au><au>St Germaine, Lindsay L</au><au>Hoffmann, Daniel E</au><au>Staley, Christopher</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of laparotomy sponges to reduce bacterial contamination using an in vitro gastrointestinal surgery model</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-04-29</date><risdate>2022</risdate><volume>17</volume><issue>4</issue><spage>e0267293</spage><epage>e0267293</epage><pages>e0267293-e0267293</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Use of laparotomy sponges to protect abdominal viscera during gastrointestinal surgery is described in nonspecific terms by various sources, but no definitive guidelines have been established in veterinary literature. The objective of this study was to compare the in vitro efficacy of various layer-densities of laparotomy sponges at reducing bacterial contamination from multiple contaminant volumes during multiple exposure times. A standardized Escherichia coli inoculum water solution was applied over sterile laparotomy sponges overlying blood agar plates. Four laparotomy sponge layer-densities, 4 volumes of E. coli inoculum water solution, and 4 exposure times were evaluated. All blood agar plates were incubated for 48 hours followed by surface area measurements of colonization of each blood agar plate at 24 and 48 hours. The procedure was repeated thrice. Bacterial colonization occurred on 100% (192/192) of inoculated blood agar plates. There was a statistically significant decrease in colonized area with increasing layer-density of laparotomy sponges (P<0.0001). Comparison between the layer-density of sponges were statistically significant in resulting infected area (P<0.01), except comparison between 6- and 8-layers (P = 0.9490). Colonized area was not significantly altered by time of exposure. Results suggested that increasing the layer-density of laparotomy sponges has significant effect on reducing strikethrough bacterial colonization in an in vitro model. The results of this study can be used when performing gastrointestinal surgery to help guide laparotomy sponge use to reduce peritoneal bacterial contamination.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>35486617</pmid><doi>10.1371/journal.pone.0267293</doi><tpages>e0267293</tpages><orcidid>https://orcid.org/0000-0001-5244-0612</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Abdomen Agar Antibiotics Bacteria Biology and Life Sciences Biopsy Blood Colonization Contaminants Contamination Density Digestive System Surgical Procedures E coli Emergency services Escherichia coli Exposure Inoculum Laboratory animals Laparotomy Medicine and Health Sciences Methods Patient outcomes Peritonitis Physical Sciences Plates Sponges Statistical analysis Surgery Viscera Water |
title | Efficacy of laparotomy sponges to reduce bacterial contamination using an in vitro gastrointestinal surgery model |
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