High-pressure pulsatile lavage propagates bacteria into soft tissue

Clinical Orthopaedics and Related Research

Volumn 439, Issue , 2005, Pages 27-31

  Hassinger, Sean Michael ^a   Harding, Gordon ^a   Wongworawat, Montri Daniel ^a  

^a LOMA LINDA UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

FLUORESCENT DYE;

ABSCESS; ANIMAL TISSUE; BACTERIAL COUNT; BACTERIUM CONTAMINATION; BONE STRUCTURE; CONFERENCE PAPER; CONTROLLED STUDY; COW; HIGH PRESSURE PULSATILE LAVAGE; INTERMETHOD COMPARISON; LAVAGE; LOW PRESSURE GRAVITY FLOW LAVAGE; MUSCLE CELL; NONHUMAN; OPEN FRACTURE; PRIORITY JOURNAL; SOFT TISSUE; STAINING; STAPHYLOCOCCUS AUREUS; TECHNIQUE; TISSUE SECTION; WOUND CARE; WOUND INFECTION; ANIMAL; ARTICLE; DEBRIDEMENT; IN VITRO STUDY; METHODOLOGY; MICROBIOLOGY; OBSERVER VARIATION; PRESSURE; PULSATILE FLOW; SHEEP; SOFT TISSUE INFECTION; SOFT TISSUE INJURY; STAPHYLOCOCCUS INFECTION; STATISTICS;

ANIMALS; COLONY COUNT, MICROBIAL; DEBRIDEMENT; FLUORESCENT DYES; IRRIGATION; OBSERVER VARIATION; PRESSURE; PULSATILE FLOW; SHEEP; SOFT TISSUE INFECTIONS; SOFT TISSUE INJURIES; STAPHYLOCOCCAL INFECTIONS; STAPHYLOCOCCUS AUREUS;

EID: 26244464461     PISSN: 0009921X     EISSN: 15281132     Source Type: Journal    
DOI: 10.1097/01.blo.0000182246.37454.b2     Document Type: Conference Paper

References (32)

1. Adili A, Bhandari M, Schemitsch EH: The biomechanical effect of high-pressure irrigation on diaphyseal fracture healing in vivo. J Orthop Trauma 16:413-417, 2002.
2. Anglen JO: Wound irrigation in musculoskeletal injury. J Am Acad Orthop Surg 9:219-226, 2001.
3. Anglen JO, Gainor BJ, Simpson WA, Christenson G: The use of detergent irrigation for musculoskeletal wounds. Int Orthop 27:40-46, 2003.
4. Badia JM, Torres JM, Tur C, Sitges-Serra A: Saline wound irrigation reduces the postoperative infection rate in guinea pigs. J Surg Res 63:457-459, 1996.
5. Bahrs C, Schnabel M, Frank T, et al: Lavage of contaminated surfaces: An in vitro evaluation of the effectiveness of different systems. J Surg Res 112:26-30, 2003.
6. Belzunegui J, Rodriguez-Arrondo F, Gonzalez C, et al: Musculoskeletal infection in intravenous drug addicts: Report of 34 cases with analysis of antimicrobial aspects and pathogenic mechanisms. Clin Exp Rheumatol 18:383-386, 2000.
7. Bhandari M, Adili A, Lachowski RJ: High pressure pulsatile lavage of contaminated human tibiae: An in vitro study. J Orthop Trauma 12:479-484, 1998.
8. Bhandari M, Adili A, Schemitsch EH: The efficacy of low-pressure lavage with different irrigating solutions to remove adherent bacteria from bone. J Bone Joint Surg 84A:412-419, 2001.
9. Bhandari M, Schemitsch EH, Adili A, et al: High and low pressure pulsatile lavage of contaminated tibial fractures: An in vitro study of bacterial adherence and bone damage. J Orthop Trauma 13:526-533, 1999.
10. Boyd III JI, Wongworawat MD: High-pressure pulsatile lavage causes soft tissue damage. Clin Orthop Relat Res 427:13-17, 2004.
11. Brown LL, Shelton HT, Bornside GH, Cohn I: Evaluation of wound irrigation by pulsatile jet and conventional methods. Ann Surg 187:170-173, 1978.
12. Budde BB, Jakobsen M: Real-Time Measurements of the Interaction between single cells of Listeria monocytogenes and Nisin on a Solid Surface. Appl Environ Microbiol 66:3586-3591, 2000.
13. Bureau NJ: Chhem RK, Cardinal E: Musculoskeletal infections: US manifestations. Radiographics 19:1585-1592, 1999.
14. Cunha BA: Osteomyelitis in elderly patients. Clin Infect Dis 35:287-293, 2002.
15. DeFlaun MF, Fuller ME, Zhang P, et al: Comparison of methods for monitoring bacterial transport in the subsurface. J Microbiol Methods 47:219-231, 2001.
16. Dirschl DR, Duff GP, Dahners LE, et al: High pressure pulsatile lavage irrigation of intraarticular fractures: Effects on fracture healing. J Orthop Trauma 12:460-463, 1998.
17. Ford CW, Hamel JC, Stapert D, Yancey RJ: Establishment of an experimental model of a Staphylococcus aureus abscess in mice by use of dextran and gelatin microcarriers. J Med Microbiol 28:259-266, 1989.
18. Fuller ME, Streger SH, Rothmel RK, et al: Development of a vital fluorescent staining method for monitoring bacterial transport in subsurface environments. Appl Environ Microbiol 66:4486-4496, 2000.
19. Gustilo RB, Anderson JT: Prevention of infection in the treatment of one thousand and twenty five open fractures of long bones: Retrospective and prospective analyses. J Bone Joint Surg 58A:453-458, 1976.
20. Hammill HA, Owens WE, Ford LC, Finegold SM: A rat model of unilateral tubo-ovarian abscess. Rev Infect Dis 6(Suppl 1):S96-S100, 1984.
21. Hirn MY, Salmela PM, Vuento RE: High-pressure saline washing of allografts reduces bacterial contamination. Acta Orthop Scand 72:83-85, 2001.
22. Kaiser AB, Kernodle DS, Parker RA: Low-inoculum model of surgical wound infection. J Infect Dis 166:393-399, 1992.
23. Konig C, Simmen HP, Blaser J: Bacterial concentrations in pus and infected peritoneal fluid-implications for bactericidal activity of antibiotics. J Antimicrob Chemother 43:423-425, 1999.
24. Kraft WG, Johnson PT, David BC, Morgan DR: Cutaneous infection in normal and immunocompromised mice. Infect Immun 52:707-713, 1986.
25. Lee EW, Dirschl DR, Duff G, Dahners LE, Miclau T: High-pressure pulsatile lavage irrigation of fresh intraarticular fractures: Effectiveness at removing particulate matter from bone. J Orthop Trauma 16:162-165, 2002.
26. Ludbrook J: Multiple comparison procedures updated. Clin Exp Pharmacol Physiol 25:1032-1037, 1998.
27. Molne L, Tarkowski A: An experimental model of cutaneous infection induced by superantigen-producing Staphylococcus aureus. J Invest Derm 114:1120-1125, 2000.
28. Murai M, Seki K, Sakurada J, Usui A, Masuda S: Subcutaneous growth of Staphylococcus aureus concomitantly inoculated with Ehrlich ascites tumor cells. Microbiol Immunol 39:725-728, 1995.
29. Pronchik D, Barber C, Rittenhouse S: Low- versus high-pressure irrigation techniques in Staphylococcus aureus-inoculated wounds. Am J Emerg Med 17:121-124, 1999.
30. Rodeheaver GT, Pettry D, Thacker JG, Edgerton MT, Edlich RF: Wound cleansing by high pressure irrigation. Surg Gynecol Obstet 141:357-362, 1975.
31. Stott NS: Review article: Paediatric bone and joint infection. J Orthop Surg (Hong Kong) 9:83-90, 2001.
32. Wheeler CB, Rodeheaver GT, Thacker JG, Edgerton MT, Edilich RF: Side-effects of high pressure irrigation. Surg Gynecol Obstet 143:775-778, 1976.