Sacred rituals in the operating theatre: Summarising the science

Current Orthopaedics

Volumn 18, Issue 2, 2004, Pages 135-146

  Thurston, Alan ^a  

^a UNIVERSITY OF OTAGO   (New Zealand)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT;

AIR CONDITIONING; ANTIBIOTIC SENSITIVITY; BACTERIAL TRANSMISSION; CLOTHING; DISINFECTION; HUMAN; INFECTION CONTROL; INFECTION PREVENTION; INFECTION RATE; INFECTION RISK; JOINT PROSTHESIS; POSTOPERATIVE INFECTION; PREOPERATIVE CARE; PRIORITY JOURNAL; REVIEW; RISK REDUCTION; SURGICAL GLOVE; SURGICAL INFECTION; SURGICAL MASK; SURGICAL TECHNIQUE; SWEATING; TREATMENT FAILURE; TREATMENT OUTCOME; WOUND INFECTION;

EID: 3042729709     PISSN: 02680890     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.cuor.2004.02.006     Document Type: Article

References (110)

1. Lowell J., Kundsin R. The operating room and the ultraviolet environment. Med Instrum. 12:1978;161-164
2. Madeo M. The role of air ventilation and air sampling in reducing the incidence of surgical wound infection rates. Br J Theatre Nurs. 6:1996;29-32. (Review, 28 refs)
3. Skinner M., Sutton B. Do anaesthetists need to wear surgical masks in the operating theatre? A literature review with evidence-based recommendations. Anaesth Intens Care. 29:2001;331-338
4. Joffe A., Lafferty S. Do anaesthetists need to wear surgical face masks in the operating theatre? Anaesth Intens Care. 30:2002;530-533
5. Ayliffe G., Buckles A., Casewell M., et al. Revised guidelines for control of MRSA: applying appropriately-based recommendations. J Hosp Infect. 43:1999;315-316
6. Emmerson A., Enstone J., Griffin M., et al. The second national prevalence survey of infection in hospitals-overview of the results. J Hosp Infect. 32(3):1996;175-198
7. Plowman R., Graves N., Griffin M. The socio-economic burden of hospital acquired infection. 2000;Public Health Laboratory Service, London
8. Wilson J. Infection control: surveying the risks (continuing education credit). Nurs Stand 1995;9(15 Suppl No.):3-8
9. Dreghorn C., Hamblin D. Revision arthroplasty: a high price to pay. BMJ. 298:1989;648-649
10. Charnley J. A clean-air operating enclosure. Br J Surg. 51:1964;202-205
11. Charnley J. The future of total hip replacement. Hip 1982;198-210.
12. Lidgren L. Joint prosthetic infections: a success story. Acta Orthop Scand. 72:2001;553-556
13. Ritter M. Operating room environment. Clin Orthop. 369:1999;103-109
14. Yin S., Xu S., Bo Y. Study of surgical instruments contamination by bacteria from air during the operation. Chung-Hua Hu Li Tsa Chih Chinese J Nurs. 31:1996;690-691
15. Whyte W., Hambraeus A., Laurell G., et al. The relative importance of the routes and sources of wound contamination during general surgery. II. Airborne. J Hosp Infect. 22:1992;41-54
16. Duhaime A., Bonner K., McGowan K., et al. Distribution of bacteria in the operating room environment and its relation to ventricular shunt infections: a prospective study. Child Nerv Syst. 7:1991;211-214
17. Lidwell O., Lowbury E., Whyte W., et al. Airborne contamination of wounds in joint replacement operations: the relationship to sepsis rates. J Hosp Infect. 4:1983;111-131
18. Lidwell O., Lowbury E., Whyte W., et al. Bacteria isolated from deep joint sepsis after operation for total hip or knee replacement and the sources of the infections with Staphylococcus aureus. J Hosp Infect. 4:1983;19-29
19. Bannister G. Prevention of infection in joint replacement. Current Orthop. 16:2002;426-433
20. Lidwell O. Clean air at operation and subsequent sepsis in the joint. Clin Orthop. 211:1986;91-102
21. Dharan S., Pittet D. Environmental controls in operating theatres. J Hosp Infect. 51:2002;79-84
22. Pawinska A., Dzierzanowska D. Bezpieczenstwo pacjentow i personelu na bloku operacyjnym. Polski Merkuriusz Lekarski. 12:2002;7306
23. Lidwell O., Lowbury E., White W., et al. Effect of ultraclean air in operating rooms on deep sepsis in the joint after total hip or knee replacement: a randomised study. BMJ. 285:1982;10-14
24. Sheretz R., Reagan D., Hampton K., et al. A cloud adult: the Staphylococcus aureus-virus interaction revisited. Ann Intern Med. 124:1996;539-547
25. Hall G., Mackintosh C., Hoffman P. The dispersal of bacteria and skin scales from the body after showering and after application of a skin lotion. J Hyg. 97:1986;289-298
26. Schonholtz G. Maintenance of aseptic barriers in the conventional operating room: general principles. J Bone Joint Surg Am. 58A:1976;439-445
27. Duvlis Z., Drescher J. Untersuchungen uber den Luftkeimgehalt in konventionell klimatisierten Operationssalen. Zentralblatt Bakteriologie-I-Abt- Originale-B: Hygiene, Krankenhaushygiene, Betriebshygiene, Praventive Medizin. 170:1980;185-198
28. Rudolph H. OP-Kleidung und Patientenabdeckung. Stand: 3. 7. 1992. Unfallchirurgie. 19:1993;186-189
29. Whyte W., Bailey P.V. Reduction of microbial dispersion by clothing. J Parent Sci Technol. 39:1985;51-60
30. Scheibel J., 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
31. Sanzen L., Carlsson A., Walder M. Occlusive clothing and ultraviolet radiation in hip surgery. Acta Orthop Scand. 60:1989;664-667
32. Lidwell O. Air, antibiotics and sepsis in replacement joints. J Hosp Infect 1998;11 (Suppl C):18-40.
33. Bergman B., Hoborn J., Nachemson A. Patient draping and staff clothing in the operating theatre: a microbiological study. Scand J Infect Dis. 17:1985;421-426
34. Moylan J.A., Fitzpatrick K.T., Davenport K.C. Reducing wound infections. Improved gown and drape barrier performance. Arch Surg. 122(2):1987;152-157
35. Andersen B., Solheim N. Occlusive scrub suits in operating theaters during cataract surgery: effect on airborne contamination. Infect Control & Hosp Epidemiology. 23:2002;218-220
36. Tammelin A., Hambraeus A., Stahle E. Routes and sources of Staphylococcus aureus transmitted to the surgical wound during cardiothoracic surgery: possibility of preventing wound contamination by use of special scrub suits. Infect Control & Hosp Epidemiology. 22:2001;338-346
37. Friberg B., Friberg S., Burman L. Inconsistent correlation between aerobic bacterial surface and air counts in operating rooms with ultra clean laminar air flows: proposal of a new bacteriological standard for surface contamination. J Hosp Infect. 42:1999;287-293
38. Mitchell N., Evans D., Kerr A. Reduction of skin bacteria in theatre air with comfortable, non-woven disposable clothing for operating-theatre staff. BMJ. 1(6114):1978;696-698
39. Association of Operating Rooms Nurses Recommended Practices Committee. Recommended practices for surgical attire. AORN J 1998;68:1048-52
40. Mailhot C., Slezak L., Copp G., et al. Cover gowns. Researching their effectiveness. AORN J. 46:1987;482-490
41. Brown A., Taylo G., Gregg P. Air contamination during skin preparation and draping in joint replacement surgery. J Bone Joint Surg Br. 78B:1996;92-94
42. Copp G., Mailhot C., Zalar M., et al. Covergowns and the control of operating room contamination. Nurs Res. 35:1986;263-268
43. Hambraeus A., Bengtsson S., Laurell G. Bacterial contamination in a modern operating suite. 3. Importance of floor contamination as a source of airborne bacteria. J Hyg. 80:1978;169-174
44. Humphreys H., Marshall R.J., Ricketts U.E., et al. Theatre overshoes do not reduce operating theatre floor bacterial counts. J Hosp Infect. 17:1991;117-123
45. Hambraeus A., Malmborg A. The influence of different footwear on floor contamination. Scand J Infect Dis. 11:1979;243-246
46. Copp G., Slezak L., Dudley N., et al. Footwear practices and operating room contamination. Nurs Res. 36:1987;366-369
47. Nagai I., Kadota M., Takechi M., et al. Studies on the mode of bacterial contamination of an operating theatre corridor floor. J Hosp Infect. 5:1984;50-55
48. Agarwal M., Hamilton-Stewart P., Dixon R. Contaminated operating room boots: the potential for infection. Am J Infect Control. 30:2002;179-183
49. Garner B. Infection control. In: Meeker M, Rothrock J, editors. Alexander's care of the patient in surgery, 10th ed. St Louis: Mosby-Year Book Inc; 1995. p.48.
50. Friberg B., Friberg S., Ostensson R., et al. 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 air-flow. J Hosp Infect. 47:2001;110-115
51. Mikulicz J. Das Operieren in sterilisierten Zwirnhandschuhen und mit Mundbinde. Centralblatt Chirurgie. 26:1897;714
52. Orr N. Is a mask necessary in the operating theatre? Ann R Coll Surg Engl. 63:1981;390-392
53. Lipp A., Edwards P. Disposable surgical face masks for preventing surgical wound infection in clean surgery. Cochrane Database System Rev. 4(1):2002;CD002929
54. Tunevall T. Postoperative wound infections and surgical face masks: a controlled study. World J Surg. 15:1991;383-387
55. Chamberlain G., Houang E. Trial of the use of masks in the gynaecological operating theatre. Ann R Coll Surg Engl. 66:1984;432-433
56. Rogers K. An investigation into the efficiency of disposable face masks. J Clin Pathol. 33:1980;1086-1091
57. Graf W., Kersch D. Bakteriologische Bewertung chirurgischer Gesichtsmasken. Zentralblatt Bakteriologie, Mikrobiologie und Hygiene-1-Abt-Originale B, Hygiene. 171:1980;142-157
58. Dineen P. Microbial filtration by surgical masks. Surg Gynecol Obstet. 133:1971;812-814
59. Berger S., Kramer M., Nagar H., et al. Effect of surgical mask position on bacterial contamination of the operative field. J Hosp Infect. 23:1993;51-54
60. Letts R., Doermer E. Conversation in the operating theater as a cause of airborne bacterial contamination. J Bone Joint Surg Am. 65A:1983;357-362
61. Alwitry A., Jackson E., Chen H., et al. The use of surgical facemasks during cataract surgery: is it necessary? Br J Ophthalmol. 86:2002;975-977
62. Operating Room Nurses Association of Canada. Recommended preactices for preoperative nursing practice. 4th ed. ORNAC; 1998.
63. Weber A., Willeke K., Marchioni R., et al. Aerosol penetration and leakage characteristics of masks used in the health care industry. Am J Infect Control. 21:1993;167-173
64. Romney M. Surgical face masks in the operating theatre: re-examining the evidence. J Hosp Infect. 47:2001;251-256
65. White M., Lynch P. Blood contact and exposures among operating room personnel: a multicenter study. Am J Infect Control & Hosp Epidemiology. 21:1993;243-248
66. Mangram A., Horan T., Pearson M., et al. Guideline for prevention of surgical site infection. Infect Control & Hosp Epidemiol. 20:1999;247-278
67. Woodhead K, Taylor E, Bannister G, et al. Behaviours and rituals in the operating theatre: a report from the Hospital Infection Society Working Group in Infection Control in the Operating Room 2001. Hospital Infection Society; 2001.
68. Pereira L., Lee G., Wade K. The effect of surgical handwashing routines on the microbial counts of operating room nurses. Am J Infect Control. 18:1990;354-364
69. O'Shaugnessy M., O'Malley V.P., Corbett G., et al. Optimum duration of surgical scrub time Br J Surg. 78(6):1991;685-686
70. Wynd C, Samstag D, Lapp A. Bacterial carriage on the fingernails of OR nurses. AORN J 1994;60:7969-805.
71. Bartlett G.E., Pollard T.C.B., Bowker K.E., et al. Effects of jewellery on surface bacterial counts of operating theatres. J Hosp Infect. 52:2002;68-70
72. Doyle P.M., Alvi S., Johanson R. The effectiveness of double gloving in obstetrics and gynaecology. British J Obstet Gynaecol. 992:1992;83-84
73. Sebold E., Jordan L. Intraoperative glove perforation: a comparative analysis. Clin Orthop. 297:1993;242-244
74. Arrowsmith V., Maunder J., Sargent R., et al. Removal of nail polish and finger rings to prevent surgical infection. Cochrane Database System Rev. 4:2002;CD003325
75. Lankester B.J.A., Bartlett G.E., Garneti N., et al. Direct measurement of bacterial penetration through surgical gowns: a new method. J Hosp Infect. 50:2002;281-285
76. Nicola P., Adam C.M., Alien P.W. Increased awareness of glove perforation in major joint replacements. J Bone Joint Surg Br. 79B:1997;371-373
77. Tanner J., Parkinson H. Double gloving to reduce surgical cross-infection. Cochrane Database System Rev. 3:2002;CD003087
78. Avery C., Gallacher P., Birnbaum W. Double gloving and a glove perforation indication system during the dental treatment of HIV positive patients: are they really necessary? Br Den J. 186:1999;27-29
79. Berridge D., Starkey G., Jones N., et al. A randomised controlled trial of double versus single gloving in vascular surgery. J R Coll Surg Edinburgh. 43:1998;9-10
80. Jensen S., Kristensen B., Fabrin K. Double gloving as self protection in abdominal surgery. Eur J Surg. 163:1997;163-167
81. Kovavisarach E., Jaravechson S. Comparison of perforation between single and double gloving in perineorrhaphy after vaginal delivery: a randomised controlled trial. Aust NZ J of Obstet Gynaeco. 38:1998;58-60
82. Kovavasich E., Vanitchanon P. Perforation in single and double gloving methods for cesarian section. Int J Gynaec and Obstet. 67:1999;157-161
83. Marin Bertolin M., Gonzale Martinez R., Gimenez C., et al. Does double gloving protect surgical staff from skin contamination during plastic surgery? Plast Reconstr Surg. 99:1997;956-960
84. Naver L, Gottrup F. Incidence of glove perforations in gastrointestinal surgery and the protective effect of double gloves: a prospective randomised controlled study. Eur J Surg 2000;166(4):293-5.
85. Thomas S., Agarwal Mehta G. Intraoperative glove perforation - single versus double gloving in protection against skin contamination. Postgrad Med. 77(909):2001;458-460
86. Turnquest M., How H., Allen S., et al. Perforation rate using a single pair of orthopaedic gloves vs. a double pair of glove in obstetric cases. J Fetal Med. 5:1996;362-365
87. Avery C, Taylor J, Johnson P. Double gloving and a system for identifying glove perforations in maxillofacial trauma surgery. Br J Oral Max Surg 1999a;4:316-319
88. Duron J., Keilani K., Elian N. Efficacy of double gloving with a coloured inner pair for immediate detection of operative glove perforations. Eur J Surg. 162(12):1996;941-944
89. Nicolai P, Aldam C, Allen P. Increased awareness of glove perforation in major joint replacement. J Bone Joint Surg Br 1997;79B:371-3.
90. Sutton P, Greene T, Howell F. The protective effect of a cut-resistant glove liner. J Bone Joint Surg Br 1998;80B:411-3
91. Sanders R, Fortin P, Ross E, et al. Outer gloves in orthopaedic procedures. J Bone Joint Surg Am 1990;72.
92. Underwood M., Weerasena N., Graham T., et al. Prevalence and prevention of glove perforation during cardiac operations. J Thor Cardiovascular Surg. 1066:1993;375-377
93. Louis S., Steinberg E., Gruen O., et al. Outer gloves in orthopaedic procedures: a polyester stainless steel wire weave glove liner compared with latex. J Orthop Trauma. 12:1998;101-105
94. Blom A., Estela C., Bowker K., et al. The passage of bacteria through surgical drapes. Ann R Coll Surg Engl. 82:2000;405-407
95. Verkkala K., Eklund A., Ojajarvi J., et al. The conventionally ventilated operating theatre and air contamination control during cardiac surgery - bacteriological and particulate matter control garment options for low level contamination. Eur J Cardio-Thorac. 14:1998;206-210
96. Mills S., Holland D., Hardy A. Operative field contamination by the sweating surgeon. Aust NZ J Surg. 70:2000;837-839
97. Garibaldi R. Prevention of intraoperative wound contamination with chlorhexidine shower and scrub. J Hosp Infect 1988;11(Suppl B):5-9.
98. Garibaldi R., Skolnick D., Lerer T., et al. The impact of preoperative skin disinfection on preventing intraoperative wound contamination. Infect Control & Hosp Epidemiology. 9:1988;109-113
99. Millar J., Webster P., Patel S., et al. Intracranial surgery: to shave or not to shave. Otol and Neurol. 22:2001;908-911
100. Hallstrom R., Beck S. Implementation of the AORN skin shaving standard. AORN J. 58:1993;498-506
101. Kumar K, Thomas J, Chan C. Cosmesis in neurosurgery: is the bald head necessary to avoid postoperative infection. Ann Acad Med Singapore 2002;31(2):150-4.
102. Alexander J., Fischer J., Boyajian M., et al. The influence of hair removal methods on wound infections. Arch Surg. 11:1983;347-352
103. Court-Brown C. Pre-operative skin depilation and its effect on postoperative wound infections. J R Coll Surg Edinburgh. 26:1981;238-241
104. Horgan M., Piatt J. Shaving of the scalp may increase the rate of infection in CSF shunt surgery. Paed Neurosurg. 26:1997;180-184
105. Cruse P.J., Foord R. A five year prospective study of 23, 649 surgical wounds. Arch Surg. 107:1973;206-216
106. Serodian R., Reynolds B.M. Wound infections after preoperative depilatory versus razor preparation. Am J Surg. 121:1971;251-254
107. Rojanapirom S, Danchaivijitr S. Pre-operative shaving and wound infection in appendectomy. J Med Assoc Thai 1992;75 (Suppl 2):20-3.
108. Mews P. Patient care during operative and invasive procedures. 2000;WB Saunders Co, Philadelphia
109. Gilliam D., Nelson C. Comparison of one-step idorphor skin preparation versus traditional preparation in total joint surgery. Clin Orthop. 250:1990;258-260
110. Geelhoed G., Sharpe K., Simon G. A comparative study of surgical skin preparation methods. Surg Gynecol Obstet. 157:1983;265-268