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      Antibacterial effect of lidocaine in various clinical conditions

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      https://www.riss.kr/link?id=A106171552

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      다국어 초록 (Multilingual Abstract)

      Background: Infection, one of the complications associated with procedures, can cause fatal outcomes for patients. Although the local anesthetic agent we use is less susceptible to infection due to its antibacterial action, we performed this study to ...

      Background: Infection, one of the complications associated with procedures, can cause fatal outcomes for patients. Although the local anesthetic agent we use is less susceptible to infection due to its antibacterial action, we performed this study to check the change in the antibacterial effect of lidocaine in various clinical conditions.
      Methods: After exposing lidocaine to five contaminated environments, we checked on whether the bacteria could be cultured in blood agar plate (BAP) media. In each contaminated environment, lidocaine was exposed for 4 h (n = 9) and 8 h (n = 9), and the results were compared. Lidocaine was swabbed with chlorhexidine (group A), brought into contact with saliva (group B), skin (group C), an operating room floor and an outpatient room floor (group D), operating room air for 24 h (group A-a), and outpatient room air for 24 h (group A-b). After exposure, the culture was initiated.
      Results: In 2 of 9 BAP media where lidocaine was exposed to saliva (group B) for 8 h, growth of a colony was observed. In gram staining, it was found to be Streptococcus viridans.
      No bacteria were found in any other groups.
      Conclusions: Though lidocaine has strong antibacterial activity, it has been found that long-term exposure to a contaminated environment reduces its antibacterial activity and that drug contamination can be heavily affected not only by environmental but also human effects. Therefore, the use of aseptic drugs is necessary, and stopping the reuse of the drug is a way to prevent complications, including infection.

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      참고문헌 (Reference)

      1 김동희, "척추 주위근 통증유발점주사 후 발생한 경막외와 요근 농양 -증례보고-" 대한통증학회 20 (20): 14-14, 2007

      2 Whyte W, "The importance of airborne bacterial contamination of wounds" 3 : 123-135, 1982

      3 Adler DMT, "The antimicrobial activity of bupivacaine, lidocaine and mepivacaine against equine pathogens : an investigation of 40 bacterial isolates" 223 : 27-31, 2017

      4 이승준, "Spondylodiscitis after Cervical Nucleoplasty without Any Abnormal Laboratory Findings" 대한통증학회 26 (26): 181-185, 2013

      5 Mimoz O, "Skin antisepsis with chlorhexidine-alcohol versus povidone iodine-alcohol, with and without skin scrubbing, for prevention of intravascular-catheter-related infection(CLEAN) : an openlabel, multicentre, randomised, controlled, two-by-two factorial trial" 386 : 2069-2077, 2015

      6 Nicolotti D, "Perineural catheter infection : a systematic review of the literature" 35 : 123-128, 2016

      7 National Nosocomial Infections Surveillance System, "National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2004, issued October 2004" 32 : 470-485, 2004

      8 Johnson SM, "Local anesthetics as antimicrobial agents : a review" 9 : 205-213, 2008

      9 Hebl JR, "Infectious complications of regional anesthesia" 24 : 573-580, 2011

      10 Reynolds F, "Infection as a complication of neuraxial blockade" 14 : 183-188, 2005

      1 김동희, "척추 주위근 통증유발점주사 후 발생한 경막외와 요근 농양 -증례보고-" 대한통증학회 20 (20): 14-14, 2007

      2 Whyte W, "The importance of airborne bacterial contamination of wounds" 3 : 123-135, 1982

      3 Adler DMT, "The antimicrobial activity of bupivacaine, lidocaine and mepivacaine against equine pathogens : an investigation of 40 bacterial isolates" 223 : 27-31, 2017

      4 이승준, "Spondylodiscitis after Cervical Nucleoplasty without Any Abnormal Laboratory Findings" 대한통증학회 26 (26): 181-185, 2013

      5 Mimoz O, "Skin antisepsis with chlorhexidine-alcohol versus povidone iodine-alcohol, with and without skin scrubbing, for prevention of intravascular-catheter-related infection(CLEAN) : an openlabel, multicentre, randomised, controlled, two-by-two factorial trial" 386 : 2069-2077, 2015

      6 Nicolotti D, "Perineural catheter infection : a systematic review of the literature" 35 : 123-128, 2016

      7 National Nosocomial Infections Surveillance System, "National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2004, issued October 2004" 32 : 470-485, 2004

      8 Johnson SM, "Local anesthetics as antimicrobial agents : a review" 9 : 205-213, 2008

      9 Hebl JR, "Infectious complications of regional anesthesia" 24 : 573-580, 2011

      10 Reynolds F, "Infection as a complication of neuraxial blockade" 14 : 183-188, 2005

      11 Gosden PE, "Importance of air quality and related factors in the prevention of infection in orthopaedic implant surgery" 39 : 173-180, 1998

      12 Klevens RM, "Estimating health care-associated infections and deaths in U.S. hospitals, 2002" 122 : 160-166, 2007

      13 Grewal S, "Epidural abscesses" 96 : 292-302, 2006

      14 Dharan S, "Environmental controls in operating theatres" 51 : 79-84, 2002

      15 Kaufman CA, "Emerging infections 10" ASM Press 359-374, 2016

      16 Liu K, "Does use of lidocaine affect culture of synovial fluid obtained to diagnose periprosthetic joint infection (PJI)?" 24 : 448-452, 2018

      17 Begec Z, "Comparison of the antibacterial activity of lidocaine 1% versus alkalinized lidocaine in vitro" 68 : 242-248, 2007

      18 Darouiche RO, "Chlorhexidine–alcohol versus povidone–iodine for surgical-site antisepsis" 362 : 18-26, 2010

      19 Lu CW, "Antimicrobial effect of continuous lidocaine infusion in a Staphylococcus aureus-induced wound infection in a mouse model" 73 : 598-601, 2014

      20 Song JY, "An outbreak of post-acupuncture cutaneous infection due to Mycobacterium abscessus" 6 : 6-, 2006

      21 Jung SY, "An outbreak of joint and cutaneous infections caused by non-tuberculous mycobacteria after corticosteroid injection" 36 : 62-69, 2015

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2027 평가예정 재인증평가 신청대상 (재인증)
      2021-01-01 평가 등재학술지 유지 (재인증) KCI등재
      2018-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2015-01-01 평가 등재학술지 선정 (계속평가) KCI등재
      2013-11-27 학회명변경 한글명 : 대한마취과학회 -> 대한마취통증의학회 KCI등재후보
      2013-01-01 평가 등재후보학술지 유지 (기타) KCI등재후보
      2012-01-01 평가 등재후보학술지 유지 (기타) KCI등재후보
      2011-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2009-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.13 0.13 0.12
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.13 0.13 0.279 0.04
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