Evidence map›Paper›PMID 35937673›Full record

Trial reportScanning2022

Comparison of Improved Surgical Eight-Step Handwashing Combined with ATP Fluorescence in Detecting the Infection Rate at the Site of Seven-Step Surgical Handwashing and 30-Day Orthopaedic Surgery: A Randomized Study.

Xiong Chen, Tao Wang, Qinglian Li, Lixia Cheng, Zhimin Xie, Jianping Xu, Dejian Yang

RetractedOpen access · hybridAbstract readRandomized Controlled TrialRetracted Publication
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Scanning, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Xiong ChenDepartment of Operating Room, Xianyou County General Hospital, Putian 351200, China.ORCID https://orcid.org/0000-0001-6313-8822
Tao WangDepartment of Orthopedics, Beijing Jishuitan Hospital, Beijing 100035, China.ORCID https://orcid.org/0000-0001-9830-6830
Qinglian LiDepartment of Operating Room, Xianyou County General Hospital, Putian 351200, China.ORCID https://orcid.org/0000-0002-3671-0077
Lixia ChengDepartment of Orthopedics, Putian Medical District, The 900th Hospital of Joint Logistic Support Force, PLA, Putian 351100, China.ORCID https://orcid.org/0000-0001-6788-2122
Zhimin XieDepartment of Orthopedics, Putian Medical District, The 900th Hospital of Joint Logistic Support Force, PLA, Putian 351100, China.ORCID https://orcid.org/0000-0003-2973-8810
Jianping XuDepartment of Orthopedics, Putian Medical District, The 900th Hospital of Joint Logistic Support Force, PLA, Putian 351100, China.ORCID https://orcid.org/0000-0002-6093-7212
Dejian YangDepartment of Operating Room, Xianyou County General Hospital, Putian 351200, China.ORCID https://orcid.org/0000-0002-6677-5365
Putian University · CNPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To compare the effects of two hand cleaning schemes on the prevention of surgical site infection in routine orthopaedic surgery. Compared with the standard surgical seven-step washing technique and detected by ATP fluorescence method, the handwashing effects of the improved surgical eight-step washing technique and the standard surgical seven-step washing technique were compared, so as to provide a basis for eliminating the handwashing blind area of the surgical seven step washing technique and improving the surgical handwashing method. Methods: A total of 800 consecutive patients who underwent clean and clean-contaminated orthopaedic surgery between January 1, 2020 and December 31, 2020. Twenty orthopaedic doctors in the operating room of our research team were randomly divided into the improved eight-step washing technique group (improved group) and the traditional seven-step washing technique group (traditional group), with 10 people in each group. Each person was randomly sampled 40 times, 400 people in each group, a total of 800 people, and completed by stages in 12 months. Results: The 2 protocols were comparable in regard to surgical site infection risk factors. The infection rate of surgical site in the traditional group was 10 cases (2.50%) in 400 cases and 0 cases (0%) in the improved group. Three culture areas were added: the qualified rate of lateral edge of palm, medial edge of palm, and nail groove and nail root of middle finger, and the nosocomial infection rate of surgical incision between the two groups was statistically significant ( Conclusions: The improved surgical eight-step washing technique combined with ATP fluorescence detection is helpful to eliminate the "blind area" of handwashing. It is also necessary to add three training areas. Handwashing and training are more scientific, rigorous, and effective. They are effective in reducing orthopaedic surgical infection and have application value. They can safely replace the traditional surgical seven-step washing technique, which is worthy of clinical promotion.

Indexed as

Hand DisinfectionOrthopedic ProceduresOrthopedicsSurgical Wound InfectionAdenosine TriphosphateFluorescenceHumansAdenosine Triphosphate

Identifiers

PMID35937673
PMCPMC9325653
OpenAlexW4286214472

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.