Perspectives of using of “aseptic” drains for abdominal drainage


COD: 01_2017_06_2207 Categorie: ,

Merab Kiladze, Paata Tutberidze, Maka Gogoladze, David Tugushi, Ramaz Katsarava,
Tsismari Gatenadze

Ann. Ital. Chir., 2017 88: 1-6

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drain-associated infection rate of abdominal drainage procedures.
MATERIALS AND METHODS: 80 cases of used so called “standard”, “coladerm” and “chlorhexidine” drain tubes for abdominal
drainage were analysed. “Standard” drain tubes were used 35 times and “coladerm” and “chlorhexidine” tubes –
20 and 25 times respectively. There were adopted in different elective and emergency so called “clean”, ”potentially contaminated”
and “contaminated” abdominal surgical procedures. The drain tubes were removed between 2 to 14 days
after the operations followed by the bacteriological study in search of bacteria growth on the surface of drainage tubes
were examined.
RESULTS: Of all 35 cases of used “standard” drain tubes the bacterial growth was found in 23 cases, that means 65,7%;
of 20 cases of drains covered by “coladerm” polymer the bacterial growth was found in 6 cases (30%) and only in 3
cases of 25 cases of drain tubes covered by polymer and “chlorhexidine” were positive, that means 12%. The most interesting
data were obtained considering the so called “clean” and “contaminated” operations. After the so called “clean”
operations the bacterial growth using “standard” drain tubes was found almost in 50% of cases and in 8,3% of cases
using “chlorhexidine” drain tubes. After the “potentially contaminated” and “contaminated” operations the bacterial growth
was found in 68,2% using “standard” tubes, and using “coladerm” and “chlorhexidine” drain tubes – in 50% and
16,7% respectively.
CONCLUSIONS: In our limited experience using of new antimicrobial polymeric composites as coatings mean the adhesion
of bacteria and formation of biofilm at drainage tubes is prevented, which can significantly reduce the drain-associated
infection rate.