Influence of laminar airflow on prosthetic joint infections: A systematic review

Journal of Hospital Infection

Volumn 81, Issue 2, 2012, Pages 73-78

  Gastmeier, P ^a   Breier, A C ^a   Brandt, C ^b  

^a CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

^b GOETHE UNIVERSITY   (Germany)

Author keywords

Hip prosthesis; Knee prosthesis; Laminar airflow; Surgical site infection; Ultraclean ventilation

Indexed keywords

AIR CONDITIONING; COHORT ANALYSIS; DISEASE SEVERITY; HIP ARTHROPLASTY; HIP PROSTHESIS; HUMAN; INFECTION RISK; KNEE ARTHROPLASTY; KNEE PROSTHESIS; LAMINAR AIRFLOW; OPERATING ROOM; OUTCOME ASSESSMENT; PROSTHESIS INFECTION; REVIEW; RISK ASSESSMENT; RISK FACTOR; RISK REDUCTION; SURGICAL INFECTION; SYSTEMATIC REVIEW; ULTRACLEAN VENTILATION;

ENVIRONMENT, CONTROLLED; HEALTH SERVICES RESEARCH; HUMANS; INFECTION CONTROL; JOINT PROSTHESIS; PROSTHESIS-RELATED INFECTIONS; SURGICAL WOUND INFECTION; VENTILATION;

EID: 84861678532     PISSN: 01956701     EISSN: 15322939     Source Type: Journal    
DOI: 10.1016/j.jhin.2012.04.008     Document Type: Review

References (20)

1. Humphreys H., Stacey A., Taylor E. Survey of operating theatres in Great Britain and Ireland. J Hosp Infect 1995, 30:245-252.
2. Hooper G., Rothwell A., Frampton C., Wyatt M. Does the use of laminar airflow and space suits reduce early deep infection after total hip and knee replacement?. J Bone Joint Surg 2011, 93-B:85-90.
3. Breier A.-C., Brandt C., Sohr D., Geffers C., Gastmeier P. Laminar airflow ceiling size: no impact on infection rates following hip and knee prosthesis. Infect Control Hosp Epidemiol 2011, 32:1097-1102.
4. CDC/HICPAC Guidelines for environmental infection control in health care facilities. Morb Mortal Wkly Rep 2003, 52.
5. Charnley J. Postoperative infection after total hip replacement with special reference to air contamination in the operating room. Clin Orthop 1972, 87:167-187.
6. Nelson J. Five years experience with operating room clean rooms and personnel-isolator systems. Med Instrum 1976, 10:277-281.
7. Salvati E., Robinson R., Zeno S., Koslin B., Brause B., Wilson P.J. Infection rates after total hip and total knee replacements performed with and without a horizontal unidirectional filtered air-flow system. J Bone Joint Surg Am 1982, 64:525-535.
8. Lidwell O., Lowbury E., Whyte W., Blowers R., Lowe D. 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 1982, 285:10-14.
9. Marotte J., Lord G., Blanchard J., et al. Infection rate in total hip arthroplasty as a function of air cleanliness and antibiotic prophylaxis. 10-year experience with 2,384 cementless Lord madreporic prostheses. J Arthroplasty 1987, 2:77-82.
10. Cacciari P., Giannoni R., Marcelli E., Cercenelli L. Cost evaluation of a ventilation system for operating theatre: an ultraclean design versus a conventional one. Ann Ig 2004, 16:803-809.
11. Engesaeter L., Lie S., Espehaug B., Furnes O., Vollset S., Havelin L. Antibiotic prophylaxis in total hip arthroplasty. Acta Orthop Scand 2003, 74:644-651.
12. Miner A., Losina E., Katz J., Fossel A., Platt R. Deep infection after total knee replacement: impact of laminar airflow systems and body exhaust suits in the modern operating room. Infect Control Hosp Epidemiol 2007, 28:222-226.
13. Brandt C., Hott U., Sohr D., Daschner F., Gastmeier P., Rüden H. Operating room ventilation with laminar airflow shows no protective effect on the surgical site infection rate in orthopedic and abdominal surgery. Ann Surg 2008, 248:695-700.
14. Sterne J., Egger M. Funnel plots for detecting bias in meta-analysis: guidelines on choice of axis. J Clin Epidemiol 2001, 54:1046-1055.
15. Kakwani R., Yohannan D., Wahab K. The effect of laminar air-flow on the results of Austin-Moore hemiarthroplasty. Injury 2007, 38:820-823.
16. Lipsett P. Do we really need laminar flow ventilation in the operating room to prevent surgical site infections?. Ann Surg 2008, 248:701-703.
17. Kurz A., Sessler D.I., Lenhardt R. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. N Engl J Med 1996, 334:1209-1215.
18. Melling A., Ali B., Scott E., Leaper D. Effects of preoperative warming on the incidence of wound infection after clean surgery: a randomised controlled trial. Lancet 2001, 358:876-880.
19. Forbes S., Eskicioglu C., Nathens A., et al. Evidence-based guidelines for prevention of perioperative hypothermia. J Am Coll Surg 2009, 209:492-503.
20. Sessler D., Olmsted R., Kuelpmann R. Forced-air warming does not worsen air quality in laminar flow operating rooms. Anesth Analg 2011, 113:1416-1421.