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Radiology, Vol 199, 721-723, Copyright © 1996 by Radiological Society of North America

ARTICLES

Free-hand technique with ordinary antisepsis in abdominal US-guided fine-needle punctures: three-year experience

E Caturelli, A Giacobbe, D Facciorusso, MR Villani, MM Squillante, DA Siena, C Cellerino and A Andriulli
Department of Gastroenterology, Ospedale Casa Sollievo della Sofferenza, Instituto Ricovero e Cura a Carattere Scientifico, Foggia, Italy.

PURPOSE: To evaluate the adequacy of ordinary antisepsis in ultrasound (US)-guided free-hand fine-needle puncture. MATERIALS AND METHODS: Diagnostic and therapeutic procedures (n = 573) were performed in 456 patients. No puncture attachments, sterile gloves, or drapes or covers were used. Before each procedure the transducer was cleaned with a solution of water and 70% alcohol. No needles were contaminated. Patients were monitored for 5 days to exclude sepsis. Subsequently, the patients underwent follow-up blood and laboratory testing, including testing for for hepatitis B and C markers and human immunodeficiency virus antibodies, every 3 months for 6 months. The operators underwent the same follow-up for the first 6 months and for an additional 6 months. RESULTS: No patient or operator presented with fever or sepsis or with negative viral or hepatitis markers that became positive during follow-up. CONCLUSION: Use of this free-hand US-guided technique with ordinary antisepsis is safe for patients and operators, and it allows savings in time and the cost of materials.


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