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Results for “ANTISEPSIS AND ASEPSIS”

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PubMed1954

[Experimental testing of hot air sterilizers].

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Antisepsis↗

PubMed2003

[Structure and limitations of past and future functions of hospitals in Germany from the physicians's point of view].

The present paper describes the emergence of hospitals from the xenodochia of the early Christian period up to the hospitals founded in the middle of the 19th century. Based on this tradition the development of German hospitals up to the present day has been influenced by the increase in scientific medical knowledge (anaesthesia, asepsis, antisepsis, roentgenology). Also, the differentiation of the traditional medical specialties into additional special fields and branches will be illustrated. Here, a special role may be attributed to both the laws and regulations releasing hospitals from the care for the invalid and elderly and a change in the prerequisites for hospital financing, which finally led to today's German hospitals being "acute care hospitals". Especially after World War II, the organisation and management structure of German hospitals were also affected by socio-political changes; it will be emphasised that the pyramidal structure (hierarchy) of quality, experience and competence is an indispensable requirement, which particularly applies to the structure of the medical staff. When a human being falls ill he does so as an entire psychophysical unit; the medical care for the diseased person must therefore not regard this unit that forms man as arbitrarily divided individual sections. The development of modern health technologies (such as--to mention just a few--dialysis, ultrasound, endoscopy, cardiac catheterisation, computed tomography, magnetic resonance imaging) should not lead to a complete autonomy of process engineers and thus to the splitting up of medicine into individual allotments because such an approach would be based on an utterly erroneous perception of man. In German hospitals, measures of internal quality assurance have been known for ages, long before politicians also discovered the necessity of so-called external quality assurance in medicine. Quality assurance has always been a matter-of-factness with hospitals. The presentation of the quality of hospital care to the outside world is a necessity. Scientifically founded clinical guidelines will be welcome in hospitals if they identify the necessary lower limit on medical practices by summarising the world-wide knowledge about diagnosis and treatment and if they are regularly checked and updated. But guidelines determining an upper limit on medical practices serve economical purposes only, fixing the manoeuvring space for practising the art of medicine to the disadvantage of the patients and transforming medicine from an attention-giving into an allocation-oriented profession. The future of German hospitals will only partially depend on the progress achieved in the medical sciences; to a greater extent it will be restricted by political decisions and general economic conditions.

Germany↗

PubMedDate not supplied

[Hospital infection at a private hospital in Ribeirão Preto, São Paulo, Brazil].

The aim of this work is to prospectively evaluate the incidence of infection, from June 1986 to June 1987, in 640 patients submitted to surgical treatment at the São Francisco Hospital, in Ribeirão Preto, São Paulo, Brazil. The overall incidence of infection was 10.31%. The incidence of wound abscess was 6.25%, and urinary infection 5.75%. In the surgical procedures considered as clean, the infection rate was 8.62%, in the clean-contaminated 14.81%, in the contaminated 8.33%, and in the dirty 16.94%. The antimicrobian drugs contributed to increase the infection rate. The hospital infection rate for the patients at infirmaries was 10.88%, and for the patients at private rooms 4.92%. The mortality rate due to hospital infection was 12.12%. The authors stress that a constant attention with the hospital infection is needed to verify the infection rate to be able to make a control program of the asepsis, antisepsis and sterilization methods, as well as to improve the operative techniques and the patient's management during the pre, per and postoperative period.

Brazil↗

PubMedDate not supplied

[Ambulatory phlebectomy].

Being disappointed in the failures of sclerotherapy in varicose veins, the author resorted to ambulatory phlebectomy. Through very tiny incisions (0.5 to 1 mm) the varicose veins are prepared and completely removed. The arch and the proximal part of the internal saphenous vein are left to the surgeon. This technique described 2,000 years ago by Celsus is easy, effective and innocuous, leaves no marks (no stiches or ligatures) and is also inexpensive because of asepsis, antisepsis and anesthesia. A critical review of 1000 of our cases discloses 70 per cent excellent results. The 30 per cent of accidents were benign and transitory. This technique is almost ideal : A harmless cure that improves the appearance of all type of patients with varicose vein.

Ambulatory Care↗

PubMed1978

[Postoperative complications of wound healing in orthopaedic surgery (author's transl)].

From 1. 1. 1971--30. 6. 1977 (6.5 years) 4,169 aseptic orthopaedic operations were performed in the Orthopädische Universitätsklinik Düsseldorf. 42 complications of wound healing have been observed (1%)9 Without an ultrasteril operationbox it is also possible to reduce the complications of wound healing in orthopaedic surgery. It is important to know the principles of asepsis and antisepsis, the method of our preoperative preparation of patients is described; the indication of prophylaxis of chemotherapeutic agents should be severe.

Antisepsis↗

PubMed1977

[Asepsis and hospitalization in surgery].

The authors renews the interest in care of "hospital infection". Recent advances in clinical and epidemiologic research give us important informations and caution than we shall not be able in futher avoid them. Special care is needed and the frequency of post operative wound infections can be lowered due to respect asepsis and antisepsis principles. Of great importance are the hygienic, technical, surgical and education measures taken for preventing infections.

Antisepsis↗

PubMed1980