Do we really need laminar flow ventilation in the operating room to prevent surgical site infections?

Annals of Surgery

Volumn 248, Issue 5, 2008, Pages 701-703

  Lipsett, Pamela A ^a,b  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b JOHNS HOPKINS HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AIR CONDITIONING; AIRBORNE INFECTION; AIRBORNE PARTICLE; AIRFLOW; APPENDECTOMY; BACTERIAL INFECTION; CHOLECYSTECTOMY; COLON SURGERY; DUST; EDITORIAL; FILTRATION; HEALTH CARE PERSONNEL; HERNIORRHAPHY; HUMAN; IMPLANTATION; INFECTION PREVENTION; INFECTION RISK; KNEE PROSTHESIS; LAMINAR FLOW; OPERATING ROOM; ORTHOPEDIC SURGERY; POSTOPERATIVE INFECTION; PRIORITY JOURNAL; RISK; ROOM VENTILATION; SIMULATION; SKIN INCISION; SKIN INFECTION; SKIN SURFACE; SURGICAL INFECTION; SURGICAL PATIENT; SURGICAL WOUND; TIME; WOUND CLOSURE; ABDOMINAL SURGERY; INSTRUMENTATION; METHODOLOGY; MICROBIOLOGY;

AIR MICROBIOLOGY; DIGESTIVE SYSTEM SURGICAL PROCEDURES; FILTRATION; HUMANS; OPERATING ROOMS; ORTHOPEDIC PROCEDURES; SURGICAL WOUND INFECTION; VENTILATION;

EID: 56149109967     PISSN: 00034932     EISSN: 15281140     Source Type: Journal    
DOI: 10.1097/SLA.0b013e31818bb525     Document Type: Editorial

References (17)

1. Noskin GA, Peterson LR. Engineering infection control through facility design. Emerg Infect Dis. 2003;7:354-357.
2. Maxwell-Lyte HC, ed. The Register of Thomas Bekynton, Bishop of Bath and Wells 1443-1465. Vol 49. Somerset, UK: Somerset Record Society; 1934:289.
3. Semmelweis IF. The etiology, the concept and the prophylaxis of childbed fever. In: Pest CA, ed. Hartleben's Verlag-Expedition, 1861 [Murphy FP, Transl; republished Birmingham: Classics of Medicine Library; 1981].
4. Nightingale F. Notes on hospitals. London: John Willey; 1859:11.
5. Hambraeus A. Aerobiology in the operating room: a review. J Hosp Infect. 1988;11:68-76.
6. Bitkover CY, Marcusson E, Ransjo U. Spread of coagulase-negative staphylococci during cardiac operations in a modern operating room. Ann Thorac Surg. 2000;69:1110-1115.
7. Mangram AJ, Horan TC, Pearson ML, et al. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol. 1999;20:247-280.
8. Ayliffe GA. Role of the environment of the operating suite in surgical wound infection. Rev Infect Dis. 1991;13(suppl 10):S800-S804.
9. Gryska PF, O'Dea AE. Postoperative streptococcal wound infection. The anatomy of an epidemic. JAMA. 1970;213:1189-1191.
10. McIntyre DM. An epidemic of Streptococcus pyogenes puerperal and postoperative sepsis with an unusual carrier site - the anus. Am J Obstet Gynecol. 1968;101:308-314.
11. Sehulster L, Chinn RY, for the CDC, HICPAC. Guidelines for environmental infection control in health-care facilities. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). MMWR Recomm Rep. 2003;52(RR-10):1-42.
12. Pasqualotto AC, Denning DW. Post-operative aspergillosis. Clin Microbiol Infect. 2006;12:1060-1076.
13. Chow TT, Yang XY. Ventilation performance in operating theatres against airborne infection: review of research activities and practical guidance. J Hosp Infect. 2004;56:85-92.
14. Lidwell OM, Lowbury EJ, Whyte 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. Br Med J (Clin Res Ed). 1982;285: 10-14.
15. Lidwell OM, Elson RA, Lowbury EJ, et al. Ultraclean air and antibiotics for prevention of postoperative infection. A multicenter study of 8,052 joint replacement operations. Acta Orthop Scand. 1987;58:4-13.
16. Brandt C, Hott U, Sohr D, et al. Operating room ventilation with laminar air?ow shows no protective effect on the surgical site infection rate in orthopedics and abdominal surgery. Ann Surg. 2008;248:695-700.
17. Dellinger EP, Hausmann SM, Bratzler DW, et al. Hospitals collaborate to decrease surgical site infections. Am J Surg. 2005;190:9-15.