Hygiene and room climate in the operating room

Minimally Invasive Therapy and Allied Technologies

Volumn 12, Issue 6, 2003, Pages 293-299

  Scherrer, M ^a  

^a UNIVERSITY OF FREIBURG   (Germany)

Author keywords

Laminar air flow; Room conditions; Surgical site infections; Ventilation system

Indexed keywords

ANTIBIOTIC AGENT;

AIR CONDITIONING; AIR QUALITY; ANTIBIOTIC PROPHYLAXIS; BODY TEMPERATURE; CLEANING; CLIMATE; FILTER; HIGH RISK PATIENT; HOSPITAL DESIGN; HUMAN; HYGIENE; INFECTION RISK; INTRAOPERATIVE PERIOD; LAMINAR AIRFLOW; MEDICAL INSTRUMENTATION; MEDICAL STAFF; OPERATING ROOM; OPERATION DURATION; ORTHOPEDIC SURGERY; PRIORITY JOURNAL; REVIEW; RISK ASSESSMENT; ROOM TEMPERATURE; SKIN INFECTION; SURGICAL INFECTION; VENTILATOR; WARMING;

EID: 0345865417     PISSN: 13645706     EISSN: None     Source Type: Journal    
DOI: 10.1080/13645700310018371     Document Type: Review

References (19)

1. Mangram AJ, Horan TC, Pearson ML, et al. Guideline for prevention of surgical site infection, 1999. Infect Control Hosp Epidemiol 1999;20:247-78.
2. Deutsches Institut für Normung. DIN 1946-4 Raumluft-technische Anlagen in Krankenhäusern (German Standards Institute. DIN 1946-4 Ventilation Systems in Hospitals), Berlin: Beuth-Verlag. 1999.
3. Ausschuß für Gefahrstoffe. Technische Regel für Gefahrstoffe TRGS 900 - Grenzwerte in der Luft am Arbeitsplatz - Luftgrenzwerte (Committee for Hazardous Substances. Technical Guideline for Hazardous Substances TRGS 900 - Limiting Values in the Air at the Workplace - Air Limiting Values) Ausgabe Oktober 2000(BarbBl). 10/2000 S.: 34-63.
4. Lidwell OM, Elson RA, Lowbury EJL, et al. Ultraclean air and antibiotics for prevention of postoperative infection. Acta Orthop Scand 1987;58:4-13.
5. Deutsche Gesellschaft für Krankenhaushygiene, Schweizerische Gesellschaft für Spitalhygiene, Österreichische Gesellschaft für Hygiene, Mikrobiologie und Präventivmedizin. Leitlinienentwurf: Ausführung und Betrieb von raumlufttechnischen Anlagen (RLT-Anlagen) in Krankenhäusern. (German Society for Hospital-Epidemiology, Swiss Society for Hospital-Epidemiology, Austrian Society for Hygiene, Microbiology and Preventive Medicine. Draft Guideline: Design and operation of ventilation systems in hospitals). Hyg Med 2002;27:106-13.
6. Kommission für Krankenhaushygiene und Infektions-prävention beim Robert-Koch-Institut. Anforderungen der Hygiene bei Operationen und anderen invasiven Eingriffen. (Commission for Hospital Epidemiology and prevention of infections at the Robert-Koch-Institute. Hygiene Requirements during surgery and other invasive procedures). Bundesgesundhbl 2000;43:644-8.
7. Sodec F. Technischer Bericht: Laminarauslaß für niedrige Konzentrationen in OP-Räumen (Technical Report: Laminarintake for Low Germ Concentrations in Operating Rooms), Bergisch-Gladbach: Krantz-TKT GmbH. 2000.
8. Tumia N, Ashcroft GP. Convection warmers - A possible source of contamination in laminar airflow operating theatre? J Hosp Infection 2002;52:171-4.
9. Lüderitz P, Timmermann U, Liebestruth J. Large Air-Cooled Equipment in Operating Theatres - Bearings on Protective Performance of Germ-reduced Ventilation Systems. Hyg Med 1992;17:545-51.
10. Kruppa B, Rüden H. The influence of Various Air Exchange Rates on Airborne Particles and Micro-organisms in Conventionally Ventilated Operating Rooms. Indoor Air 1996;6:93-100.
11. Lattmann E. Klimaphysiologische Anforderungen an RLT-Anlagen im Krankenhaus, insbesondere in Operationsräumen (Climate physiologic demands on ventilation systems in hospitals, especially in operating rooms). Dissertation Freiburg 1998.
12. International Organization for Standardization. ISO 7730: Moderate Thermal Environments. Determination of the PMV and PPD Indices and Specification of the Conditions for Thermal Comfort, Geneva: International Organization for Standardization (ISO). 1994.
13. Meierhans R. Wieviel Klimatechnik braucht eine OP-Abteilung? Krh.-Hyg. + Inf. Verh 1998;20:7-12.
14. Bischoff WE, Sander U, Sander J. Operating room ventilation in daily routine - A practical study. Zbl Hyg 1994;195:306-18.
15. Salvati E, Robinson RP, Zeno SM, et al. Infection rates after 3175 total hip and total knee replacements performed with and without a horizontal unidirectional filtered air-flow system. J Bone and Joint Surg 1982;64-A:525-35.
16. Ayliffe GAJ. Role of the environment of the operating suite in surgical wound infection. RID 1991;13 (Suppl. 10):S800-S804.
17. Österreichisches Normungsinstitut. ÖNORM H 6020-1 Lüftungstechnische Anlagen in Krankenanstalten: Projektierung, Errichtung und Kontrolle (Austrian Standards Institute. OENORM H 6020-1 Ventilation and Air Conditioning Plants in Hospitals - Design, Construction, and Inspection), Wien: Österreichisches Normungsinstitut. 1999.
18. Dettenkofer M, Scherrer M, Hoch V, et al. Shutting down operating theatre ventilation when the theatre is not in use. Infection Control and Environmental Aspects. Infect Control Hosp Epidemiol 2003;24:596-600.
19. Lidwell OM. Joseph Lister and infection from the air. Epidem Inf 1987;99:569-78.