PMID: 15345966Sep 4, 2004Paper

Treatment of field water with sodium hypochlorite for surgical irrigation

The Journal of Trauma
Steven J CyrGary E Benedetti

Abstract

Early irrigation and surgical debridement of high-energy wounds and open fractures effectively prevents infection. Rapid wound care has been maximized by the United States military's "forward surgical teams." However, the volume of sterile irrigant required to treat multiple patients with multiple wounds presents a significant logistical burden. Using ground-derived field water could eliminate this burden. We collected 100 water samples from five sources. An initial bacterial count (CFU/mL) was determined before treatment. 5% sodium hypochlorite was then added to each sample to derive a concentration of 0.025%. After treatment, a final bacterial colony count was performed. We found no bacterial growth in 99/100 samples. One post-treatment sample grew a single colony of a Bacillus species not present in the pretreatment culture and was determined to be an air contaminant. Our field-expedient modification of Dakin's solution could substitute for sterile irrigation fluid when it is neither available nor logistically feasible.

References

Nov 1, 1992·Annals of Emergency Medicine·D L Morgan
Sep 1, 1991·The Journal of Burn Care & Rehabilitation·J P HeggersM C Robson
Apr 1, 1988·Archives of Surgery·R A KozolS A Elgebaly
Mar 1, 1985·Archives of Surgery·W LineaweaverT Rumley
Mar 1, 1985·Plastic and Reconstructive Surgery·W LineaweaverR Howard
Apr 1, 1972·The Journal of the American Dental Association·S N BhaskarE E Hunsuck
Sep 1, 1994·Food and Chemical Toxicology : an International Journal Published for the British Industrial Biological Research Association·F RacioppiP Vlachos
May 1, 1993·The Journal of Bone and Joint Surgery. American Volume·R SandersP Spiegel
Jan 1, 1997·The Laryngoscope·E H Harley, M D Collins
Sep 1, 1996·International Endodontic Journal·D BarnardD Figdor
Dec 13, 1997·The Laryngoscope·S D RauchJ B Nadol
May 29, 1999·Wilderness & Environmental Medicine·S M Milner, J P Heggers
Jul 30, 1999·Journal of Endodontics·B H SenL S Spångberg
Aug 13, 1999·Drug and Chemical Toxicology·F AndiranA Hiçsönmez
Oct 12, 1999·Annals of Plastic Surgery·B J WilhelmiL G Phillips
Feb 7, 2003·Applied and Environmental Microbiology·C H JohnsonD G Korich

❮ Previous
Next ❯

Citations

May 13, 2008·The Journal of Trauma·Steven J SvobodaJoseph C Wenke
Jun 8, 2006·Current Surgery·Combiz RezayatMark A Hardy
May 9, 2012·ISRN Urology·Bülent AltunolukHalit Baykan
Jan 16, 2018·Case Reports in Surgery·Samuel B WeimerKevin N Foster

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Biological Chemistry
Joseph S Fruton
Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
Patricia CornwellMyra F Varnado
The Journal of Surgical Research
Clarissa L DassMarc D Basson
© 2021 Meta ULC. All rights reserved