Intraoperative contamination and space suits: A potential mechanism

European Journal of Orthopaedic Surgery and Traumatology

Volumn 24, Issue 3, 2014, Pages 409-413

  Young, Simon W ^a   Chisholm, Carl ^a   Zhu, Mark ^a  

^a NORTH SHORE HOSPITAL   (New Zealand)

Author keywords

Arthroplasty; Clothing; Infection; Operating theatre; Spacesuits

Indexed keywords

SEALANT;

AIR PARTICLE CONTROL; ARTICLE; CONTROLLED STUDY; CUFF; HELMET; HUMAN; INFECTION RATE; INTRAOPERATIVE CONTAMINATION; KNEE ARTHROPLASTY; PARTICLE SIZE; PEROPERATIVE COMPLICATION; PILOT STUDY; POSITIVE PRESSURE; POWDER; PRESSURE GRADIENT; PRIORITY JOURNAL; PROCESS MODEL; PROTECTIVE CLOTHING; SCORING SYSTEM; SURGEON; SURGICAL GLOVE; SURGICAL GOWN; ULTRAVIOLET RADIATION;

AIR POLLUTANTS; ARTHROPLASTY, REPLACEMENT, KNEE; CROSS INFECTION; EQUIPMENT DESIGN; HUMANS; INFECTIOUS DISEASE TRANSMISSION, PATIENT-TO-PROFESSIONAL; INFECTIOUS DISEASE TRANSMISSION, PROFESSIONAL-TO-PATIENT; INTRAOPERATIVE COMPLICATIONS; OPERATING ROOMS; PARTICULATE MATTER; PROTECTIVE CLOTHING; SURGICAL WOUND INFECTION;

EID: 84897386856     PISSN: 16338065     EISSN: 14321068     Source Type: Journal    
DOI: 10.1007/s00590-013-1178-1     Document Type: Article

References (19)

1. Charnley J (1964) A clean-air operating enclosure. Br J Surg 51(3):195-202
2. Charnley J (1979) Low friction arthroplasty of the hip. Springer, Berlin
3. Lidwell O, Lowbury E, Whyte W (1982) 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 285:10-14 (Pubitemid 12080387)
4. Lidwell OM (1988) Air, antibiotics and sepsis in replacement joints. J hosp infect 11 Suppl C:18-40
5. Owers KL, James E, Bannister GC (2004) Source of bacterial shedding in laminar flow theatres. J hosp infect 58(3):230-232. doi:10.1016/j.jhin.2004.06. 028 (Pubitemid 39462592)
6. WhyteW, Hodgson R, Tinkler J (1982) The importance of airborne bacterial contamination of wounds. J Hosp Infect 3(2):123-135 (Pubitemid 12060150)
7. Hooper GJ, Rothwell AG, Frampton C, Wyatt MC (2011) Does the use of laminar flow and space suits reduce early deep infection after total hip and knee replacement?: the ten-year results of the New Zealand Joint Registry. J Bone Joint Surg Br 93(1):85-90. doi:10.1302/0301-620X.93B1.24862
8. Oberyszyn AS, Robertson FM (2001) Novel rapid method for visualization of extent and location of aerosol contamination during high-speed sorting of potentially biohazardous samples. Cytometry 43(3):217-222
9. Boekel P, Blackshaw R, Van Bavel D, Riazi A, Hau§ R (2012) Sterile stockinette in orthopaedic surgery: a possible pathway for infection. ANZ J Surg 82:838-843
10. Der Tavitian J, OngS M, Taub NA, Taylor GJS (2003) Body-exhaust suit versus occlusive clothing. A randomised, prospective trial using air and wound bacterial counts. J Bone Joint Surg Br 85(4):490-494
11. Taylor GJ, Bannister GC (1993) Infection and interposition between ultraclean air source and wound. J Bone Joint Surg Br 75(3):503-504 (Pubitemid 23163321)
12. Kearns K, Witmer D, Makda J, Parvizi J et al SpringerLink- Clinical Orthopaedics and Related Research®. Online FirstTM. Clinical Orthopaedics and ...
13. Singh VK, Hussain S, Javed S, Singh I, Mulla R, Kalairajah Y (2011) Sterile surgical helmet system in elective total hip and knee arthroplasty. J Orthop Surg (Hong Kong) 19(2):234-237
14. Blomgren G, Hambraeus A, Malmborg AS (1983) The influence of the total body exhaust suit on air and wound contamination in elective hip-operations. J Hosp Infect 4(3):257-268 (Pubitemid 14228463)
15. Bohn WW, McKinsey DS, Dykstra M, Koppe S (1996) The effect of a portable HEPA-filtered body exhaust system on airborne microbial contamination in a conventional operating room. Infect Control Hosp Epidemiol 17(7):419-422 (Pubitemid 126498990)
16. Shaw JA, Bordner MA, Hamory BH (1996) Efficacy of the sterishield filtered exhaust helmet in limiting bacterial counts in the operating room during total joint arthroplasty. J Arthroplasty 11(4):469-473 (Pubitemid 26193534)
17. Pasquarella C, Pitzurra O, Herren T, Poletti L, Savino A (2003) Lack of influence of body exhaust gowns on aerobic bacterial surface counts in a mixed-ventilation operating theatre. A study of 62 hip arthroplasties. J Hosp Infect 54(1):2-9. doi:10.1016/S0195-6701(03)00077-X (Pubitemid 38002019)
18. Friberg B, Friberg S, Ostensson R, Burman LG (2001) 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(2):110-115. doi:10.1053/jhin.2000.0909 (Pubitemid 32181724)
19. Singh VK, Kalairajah Y (2009) Splash in elective primary knee and hip replacement: are we adequately protected? J Bone Joint Surg Br 91(8):1074-1077. doi:10.1302/0301-620X.91B8.22079