Lack of influence of body exhaust gowns on aerobic bacterial surface counts in a mixed-ventilation operating theatre. A study of 62 hip arthroplasties

Journal of Hospital Infection

Volumn 54, Issue 1, 2003, Pages 2-9

  Pasquarella, C ^a   Pitzurra, O ^b   Herren, T ^c   Poletti, L ^d   Savino, A ^e  

^a UNIVERSITY OF PARMA   (Italy)

^b SWISS FEDERAL LABORATORIES FOR MATERIALS SCIENCE AND TECHNOLOGY   (Switzerland)

^c Cantonal Hospital   (Switzerland)

^d Sereco Biotest   (Italy)

^e UNIVERSITY OF PERUGIA   (Italy)

Author keywords

Air quality; Bacterial sedimentation; Clothing; Joint replacement; Operating theatre

Indexed keywords

PYROXYLIN;

ADULT; AEROBIC BACTERIUM; AGED; AIR CONDITIONING; ANESTHESIA; ANESTHETIC EQUIPMENT; ARTICLE; BACTERIAL COUNT; BACTERIUM CONTAMINATION; BACTERIUM DETECTION; COLONY FORMING UNIT; CONTROLLED STUDY; COST; ENERGY CONSERVATION; ENVIRONMENTAL MONITORING; FEMALE; HIP ARTHROPLASTY; HUMAN; LAMINAR AIRFLOW; MAJOR CLINICAL STUDY; MALE; MEDICAL INSTRUMENTATION; MICROBIAL CONTAMINATION; NONHUMAN; NUTRIENT; OPERATING ROOM; PROTECTIVE CLOTHING; SAMPLING; STATISTICAL ANALYSIS; COMPARATIVE STUDY; DISPOSABLE EQUIPMENT; EVALUATION; INFECTION CONTROL; INSTRUMENTATION; METHODOLOGY; MICROBIOLOGY; MIDDLE AGED; SWITZERLAND;

ADULT; AGED; AGED, 80 AND OVER; AIR MICROBIOLOGY; ARTHROPLASTY, REPLACEMENT, HIP; COLONY COUNT, MICROBIAL; DISPOSABLE EQUIPMENT; ENVIRONMENTAL MONITORING; FEMALE; HUMANS; INFECTION CONTROL; MALE; MIDDLE AGED; OPERATING ROOMS; PROTECTIVE CLOTHING; SWITZERLAND; VENTILATION;

EID: 0141611725     PISSN: 01956701     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0195-6701(03)00077-X     Document Type: Article

References (36)

1. Charnley J. Eftekhar N. Postoperative infection in total prosthetic replacement arthroplasty of the hip joint Br J Surg 56 1969 641-649
2. Lidwell O.M. Air, antibiotics and sepsis in replacement joints J Hosp Infect 11 Suppl. C 1988 18-40
3. Gosden P.E. MacGowan A.P. Bannister G.C. Importance of air quality and related factors in the prevention of infection in orthopaedic implant surgery J Hosp Infect 39 1998 173-180
4. Lidwell O.M. Lowbury E.J.L. Whyte W. Blowers R. Stanley S.J. Lowe D. Effect of ultraclean air in operating rooms on deep sepsis in the joint after total hip or knee replacement: a randomized study BMJ 285 1982 10-14
5. Charnely J. Postoperative infection after total hip replacement with special reference to air contamination in the operating room. Internal publication No. 38, Wigan, England: Centre for Hip Surgery, Wrightington Hospital; 1972.
6. SKI-Richtlinien für Bau, Betrieb und Überwachung von raumlufttechnischen Anlagen in Spitälern. Schweizerisches Institut für Gesundheits- und Krankenhauswesen, Aarau. Band 35, 1987.
7. Pasquarella C. Pitzurra O. Savino A. The index of microbial air contamination J Hosp Infect 46 2000 241-256
8. Pitzurra M. Savino A. Pasquarella C. Poletti L. A new method to test the microbial contamination of surfaces Hyg Med 22 1997 77-92
9. Pitzurra M. Savino A. Pasquarella C. Il Monitoraggio ambientale microbiologico (MAM) Ann Ig 9 1997 439-454
10. Friberg B. Friberg S. Burman L.G. Inconsistent correlation between aerobic bacterial surface and air counts in operating rooms with ultraclean laminar air flows: proposal of a new bacteriological standard for surface contamination J Hosp Infect 42 1999 287-293
11. Williams B. Biostatistics 1993 Chapman & Hall London
12. Whyte W. Hodggson R. Tinkler J. The importance of airborne bacterial contamination of wounds J Hosp Infect 3 1982 123-135
13. Taylor G.J.S. Bannister G.C. Leeming J.P. Wound disinfection with ultraviolet radiation J Hosp Infect 30 1995 85-93
14. Ahl T. Dalen N. Jorbrck H. Hoburn J. Air contamination during hip and knee arthroplasties. Horizontal laminar flow randomized vs conventional ventilation Acta Orthop Scand 66 1987 17-20
15. Humphreys H. Infection control and the design of a new operating theatre suite J Hosp Infect 23 1993 61-70
16. NHS Estates. National Health Service Health Technical Memorandum 2025 Ventilation in Healthcare Premises Management Policy 1994
17. Whyte W. Lidwell O.M. Lowbury E.J.L. Blowers Y.R. Suggested bacteriological standards for air in ultraclean operating rooms J Hosp Infect 4 1983 133-139
18. Whyte W. Shaw B.H. A bacteriological evaluation of laminar-flow systems for orthopaedic surgery J Hyg Camb 71 1973 559-564
19. EU Good Manufacturing Practices. Annex 1. Manufacture of Sterile Medicinal Products, 1997.
20. Bohn W.W. McKinsey D.S. Dykstra M. Koppe S. The effect of a portable HEPA-filtered body exhaust system on airborne microbial contamination in a conventional operating room Infect Control Hosp Epidemiol 17 1996 419-422
21. Lidwell O.M. Lowbury E.J.L. Whyte W. Blowers R. Stanley S.I. Lowe D. Airborne contamination of wounds in joint replacement operations. The relationship to sepsis rates J Hosp Infect 4 1983 11-131
22. Madeo M. The role of air ventilation and air sampling in reducing the incidence of surgical wound infection rates Br J Theatre Nursing 6 1996 29-32
23. Hambraeus A. Laurell G. Protection of the patients in the operating suite J Hosp Infect 1 1980 15-30
24. Noble W.C. Dispersal of skin microorganisms Br J Dermatol 93 1975 477-485
25. Friberg B. Friberg S. Ostensson R. Burman L.G. Surgical area contamination-comparable bacterial counts using disposable head and mask and helmet aspirator system, but dramatic increase upon omission of head-gear: an experimental study in horizontal laminar airflow J Hosp Infect 47 2001 110-115
26. Hubble M.J. Weale A.E. Perez J.V. Bowker K.E. MacGowan A.P. Bannister G.C. Clothing in laminar-flow operating theatres J Hosp Infect 32 1996 1-7
27. Shaw J.A. Bordner M.A. Hamory B.H. Efficacy of the Steri-Shield filtered exhaust helmet in limiting bacterial counts in the operating room during total joint arthroplasty J Arthroplasty 11 1996 469-473
28. Scheibel J.H. Jensen I. Pedersen S. Bacterial contamination of air and surgical wounds during joint replacement operations. Comparison of two different types of staff clothing J Hosp Infect 19 1991 167-174
29. Whyte W. Vesley D. Hodgson R. Bacterial dispersion in relation to operating room clothing J Hyg Lond 76 1976 367-378
30. Ritter M.A. Eitzen H.E. Morris L.V.F. Hart J.B. French M.L.V. The surgeon's garb Clin Orthop 153 1980 204-208
31. Fisher G. Fordrè S. Nehez M. Neuere Beiträge zur Standardisierung mit mikrobiologischen Sedimentations Luftuntersuchungen Z Ges Hug 18 1972 267-273
32. French M.L.V. Eitzen H.E. Ritter M.A. Leland D.S. Environmental control of microbial contamination in the operating room In: Thomas H. (Ed.), Wound Healing and Would Infection 1980 254-261 Century Crofts New York
33. Kundsin R.B. The microbiologist's role in evaluating the hygienic environment In: Kundsin R.B. (Ed.), Architectural Design and Indoor Microbial Pollution 1988 103-122 Oxford University Press New York
34. Whyte W. In support of settle plates PDA J Pharm Scien Technol 50 1996 201-204
35. NHS Estates Health Technical Memorandum 2025: Ventilation and Healthcare Premises 1994 HMSO London
36. Hoffman P. Humphreys H. Air sampling: settle plates or slit samplers? J Hosp Infect 2001 299-300