Endotoxins in surgical instruments of hip arthroplasty

Authors

  • Vania Regina Goveia Universidade Federal de Minas Gerais; Escola de Enfermagem
  • Isabel Yovana Quispe Mendoza Universidade Federal de Minas Gerais; Escola de Enfermagem
  • Gilberto Lima Guimarães Universidade Federal de Minas Gerais; Escola de Enfermagem
  • Flavia Falci Ercole Universidade Federal de Minas Gerais; Escola de Enfermagem
  • Bráulio Roberto Gonçalves Marinho Couto Centro Universitário de Belo Horizonte; Instituto de Engenharia e Tecnologia
  • Edna Marilea Meireles Leite Universidade Federal de Minas Gerais; Hospital Risoleta Tolentino Neves
  • Maria Aparecida Resende Stoianoff Universidade Federal de Minas Gerais; Instituto de Ciências Biológicas
  • José Antonio Guimarães Ferreira Universidade Federal de Minas Gerais; Instituto de Ciências Biológicas

DOI:

https://doi.org/10.1590/S0080-623420160000400005

Keywords:

Endotoxins, Surgical Instruments, Arthroplasty, Replacement, Hip, Orthopedic Nursing, Operating Room Nursing

Abstract

OBJECTIVE To investigate endotoxins in sterilized surgical instruments used in hip arthroplasties. METHOD A descriptive exploratory study conducted in a public teaching hospital. Six types of surgical instruments were selected, namely: acetabulum rasp, femoral rasp, femoral head remover, chisel box, flexible bone reamer and femoral head test. The selection was based on the analysis of the difficulty in removing bone and blood residues during cleaning. The sample was made up of 60 surgical instruments, which were tested for endotoxins in three different stages. The EndosafeTM Gel-Clot LAL (Limulus Amebocyte Lysate method) was used. RESULT There was consistent gel formation with positive analysis in eight instruments, corresponding to 13.3%, being four femoral rasps and four bone reamers. CONCLUSION Endotoxins in quantity ≥0.125 UE/mL were detected in 13.3% of the instruments tested.

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Published

2016-06-01

Issue

Vol. 50 No. 3 (2016)

Section

Original Article

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

How to Cite

Goveia, V. R., Mendoza, I. Y. Q., Guimarães, G. L., Ercole, F. F., Couto, B. R. G. M., Leite, E. M. M., Stoianoff, M. A. R., & Ferreira, J. A. G. (2016). Endotoxins in surgical instruments of hip arthroplasty. Revista Da Escola De Enfermagem Da USP, 50(3), 405-410. https://doi.org/10.1590/S0080-623420160000400005