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Профилактика местной инфекции
A microbial sealant applied to skin immediately
before surgical incision reduced the rate of skin infection from 26% to 2% (P=0.001) among 47 patients undergoing coronary artery bypass grafting. The sealant was applied to legs before bilateral saphenous veins were harvested. Wound swabs were taken at five days and wounds were assessed at 30 days by two blinded observers. Each patient had one leg treated with the sealant and one leg prepared in a conventional way. The sealant caused no adverse reactions, and its application was easily incorporated into existing routine preoperative procedures ( Journal of Thoracic and Cardiovascular Surgery 2011;142:438-42). |