IA Injections and Sterility

[WhtsThFrequency]

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deleted. Jeez.

 

[hrandani]

Man. You Aggies are always something else. Human skin vs. fur of an animal that has no conscious understanding of sterility or infection and frequently try to rub off bandages.

Oh - I know. You were going to launch into a tirade about how health care is so dehumanized these days that vets care more about their patients than your doctor did about you. Congratulations, you win. Feel free to now continue to debate the finer points of animal physiology in a medical forum at 11 o clock on a Friday night.

 

[WhtsThFrequency]

Whoa.

Was asking a simple question out of curiosity....

You were going to launch into a tirade about how health care is so dehumanized these days that vets care more about their patients than your doctor did about you. Congratulations, you win.

What??? Where are you getting this? I was indicating nothing of the sort. It wasn't about caring etc, it was about what was considered the norm for people. I just was curious if it was normally done this way (I went to a school health center, not a hospital, so I know things tend to be done quicker etc). And also if humans naturally were less prone to joint infections as far as anyone knew.

Lord...settle down!! Don't immediately assume I'm trying to get at someone, although that seems to be common on this board. Unwad your panties.


Human skin vs. fur of an animal that has no conscious understanding of sterility or infection and frequently try to rub off bandages.

I wasn't talking about care of the injection site afterwards, I was talking simply about prepwork on skin *before* the procedure.

If such a small question is going to cause such a nasty reply, feel free to remove it.

 

[Guile]

I'm really curious what the question was now.

 

[WhtsThFrequency]

Just a blurb about what was the norm for prep of an IA injection in humans. I had gotten one for myself recently and the prep was very limited, much less than what we typically do for monkeys, horses, dogs, etc. I was just surprised and asked if what my school health center did was normal, and if perhaps it was related to a possible lower propensity to joint infections in humans, and if so, was there reason for it (and yes of course, dogs/horses/etc are a bit more dirty than your average person....but the difference between the two prep methods was quite drastic and I was curious). I wasn't trying to get on any high horse, no pun intended.

 

[Guile]

Ha, yeah I thought you were talking about sterility...as in fertility.

 

[Rendar5]

it really depends on the provider and not everything is evidence based.

alcohol works when it dries on the surface
betadine is taught that it provides sterility when it dries, but I've seen some data that suggests that reality is it works only while it's wet.
Chlorhexidine is probably the best of all 3 though and just requires a scrub on. Our nurses use that for all IV's too, not alcohol.

Everyone is honestly taught a bit different. But outside of a surgery, one sterilization of the area should be sufficient provided it's proper. fRom what I've seen of our orthopods doing it, it's a half sterile procedure involving application of 1-2 layers of betadine with injection occuring immediately after. sterile gloves are used, but they're not treated as if it's a truly sterile field. +/- mask depending on provider.

 

[Guile]

I've also seen betadine x2 used for IA injections and taps. Although at the VA, I've tapped a joint on medicine, and we only used alcohol without sterile gloves. But that's the VA. After seeing suppurative phlebitis, I would ask for chlorhexidine for my IV. I believe it has the best evidence. We use that for all of our lines, but not IVs yet.

 

[hussamdein]

Man. You Aggies are always something else. Human skin vs. fur of an animal that has no conscious understanding of sterility or infection and frequently try to rub off bandages.

Oh - I know. You were going to launch into a tirade about how health care is so dehumanized these days that vets care more about their patients than your doctor did about you. Congratulations, you win. Feel free to now continue to debate the finer points of animal physiology in a medical forum at 11 o clock on a Friday night.

I read the original post (didn't have time to reply until now) and for the life in me do not understand why you would even think about going on such a tirade. Not only did the OP ask a very good quesion (at least in my opinion), but s/he didn't even mention ANYTHING about humans vs. animals, healthcare politics, or anything that your post seems to be implying.

OP, my apologies on behalf of hrandani. Next time, please don't feel like you have to remove your post because of one person who's been out in the sun for too long.

 

[username456789]

Man. You Aggies are always something else. Human skin vs. fur of an animal that has no conscious understanding of sterility or infection and frequently try to rub off bandages.

Oh - I know. You were going to launch into a tirade about how health care is so dehumanized these days that vets care more about their patients than your doctor did about you. Congratulations, you win. Feel free to now continue to debate the finer points of animal physiology in a medical forum at 11 o clock on a Friday night.

And the award for Dumbest Post goes to . . .