Surface contamination in operating rooms: A risk for transmission of pathogens?

Surgical Infections

Volumn 15, Issue 6, 2014, Pages 694-699

  Yezli, Saber ^a   Barbut, Frédéric ^b   Otter, Jonathan A ^a,c  

^a Bioquell UK Ltd   (United Kingdom)

^b HÔPITAL SAINT ANTOINE   (France)

^c KING'S COLLEGE LONDON   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

BACTERIAL FLORA; BACTERIAL TRANSMISSION; CONTAMINATION; DISEASE TRANSMISSION; HUMAN; NONHUMAN; OPERATING ROOM; REVIEW; SURFACE CONTAMINATION; SURFACE PROPERTY; SYSTEMATIC REVIEW; CROSS INFECTION; MICROBIOLOGY; RISK ASSESSMENT; SURGICAL INFECTION; TRANSMISSION;

CROSS INFECTION; DISEASE TRANSMISSION, INFECTIOUS; ENVIRONMENTAL MICROBIOLOGY; HUMANS; OPERATING ROOMS; RISK ASSESSMENT; SURGICAL WOUND INFECTION;

EID: 84918572883     PISSN: 10962964     EISSN: 15578674     Source Type: Journal    
DOI: 10.1089/sur.2014.011     Document Type: Review

References (46)

1. Eisenberg D. Surgical site infections: Time to modify the wound classification system? J Surg Res 2012;175:54-55.
2. Umscheid CA, Mitchell MD, Doshi JA, et al. Estimating the proportion of healthcare-Associated infections that are reasonably preventable and the related mortality and costs. Infect Control Hosp Epidemiol 2011;32:101-114.
3. Thompson KM, Oldenburg WA, Deschamps C, et al. Chasing zero: The drive to eliminate surgical site infections. Ann Surg 2011;254:430-436.
4. Otter JA, Yezli S, French GL. The role played by contaminated surfaces in the transmission of nosocomial pathogens. Infect Control Hosp Epidemiol 2011;32:687-699.
5. Thomas ME, Piper E, Maurer IM. Contamination of an operating theatre by gram-negative bacteria: Examination of water supplies, cleaning methods and wound infections. J Hyg (Lond) 1972;70:63-73.
6. Loftus RW, Muffly MK, Brown JR, et al. Hand contamination of anesthesia providers is an important risk factor for intraoperative bacterial transmission. Anesth Analg 2011;112: 98-105.
7. Krediet AC, Kalkman CJ, Bonten MJ, et al. Hand-hygiene practices in the operating theatre: An observational study. Br J Anaesth 2011;107:553-558.
8. Munoz-Price LS, Birnbach DJ, Lubarsky DA, et al. Decreasing operating room environmental pathogen contamination through improved cleaning practice. Infect Control Hosp Epidemiol 2012;33:897-904.
9. Munoz-Price LS, Lubarsky DA, Arheart KL, et al. Interactions between anesthesiologists and the environment while providing anesthesia care in the operating room. Am J Infect Control 2013;41:922-924.
10. Jefferson J, Whelan R, Dick B, et al. A novel technique for identifying opportunities to improve environmental hygiene in the operating room. AORN J 2011;93:358-364.
11. Lister J. On the antiseptic principle in the practice of surgery. Br Med J 1867;2:246-248.
12. Okubo T. Infection control and prevention in the operating theater. Masui 2010;59:17-24.
13. Ayliffe GA. Role of the environment of the operating suite in surgical wound infection. Rev Infect Dis 1991;13(Suppl 10):S800-S804.
14. Dharan S, Pittet D. Environmental controls in operating theatres. J Hosp Infect 2002;51:79-84.
15. Whyte W, Hambraeus A, Laurell G, et al. The relative importance of routes and sources of wound contamination during general surgery. Non-Airborne. J Hosp Infect 1991; 18:93-107.
16. Bitkover CY, Marcusson E, Ransjo U. Spread of coagulasenegative staphylococci during cardiac operations in a modern operating room. Ann Thorac Surg 2000;69:1110-1115.
17. Whyte W, Hodgson R, Tinkler J. The importance of airborne bacterial contamination of wounds. J Hosp Infect 1982;3:123-135.
18. 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 1992;22:41-54.
19. Pinna A, Usai D, Sechi LA, et al. An outbreak of postcataract surgery endophthalmitis caused by Pseudomonas aeruginosa. Ophthalmology 2009;116:2321-2326.
20. Lutz BD, Jin J, Rinaldi MG, et al. Outbreak of invasive Aspergillus infection in surgical patients, associated with a contaminated air-handling system. Clin Infect Dis 2003;37: 786-793.
21. Hooper GJ, Rothwell AG, Frampton C, et al. 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 2011;93:85-90.
22. Duhaime AC, Bonner K, McGowan KL, et al. Distribution of bacteria in the operating room environment and its relation to ventricular shunt infections: A prospective study. Childs Nerv Syst 1991;7:211-214.
23. Heinemann S, Symoens F, Gordts B, et al. Environmental investigations and molecular typing of Aspergillus flavus during an outbreak of postoperative infections. J Hosp Infect 2004;57:149-155.
24. Dalstrom DJ, Venkatarayappa I, Manternach AL, et al. Time-dependent contamination of opened sterile operatingroom trays. J Bone Joint Surg Am 2008;90:1022-1025.
25. 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 (Lond) 1978;80:169-174.
26. Association of periOperative Registered Nurses (AORN). Recommended practices for environmental cleaning in the surgical practice setting. AORN J 2002;76:1071-1076.
27. Loftus RW, Koff MD, Burchman CC, et al. Transmission of pathogenic bacterial organisms in the anesthesia work area. Anesthesiology 2008;109:399-407.
28. Alexander JW, Van SH, Vanoss K, et al. Surveillance of bacterial colonization in operating rooms. Surg Infect 2013; 14:345-351.
29. Fukada T, Iwakiri H, Ozaki M. Anaesthetists role in computer keyboard contamination in an operating room. J Hosp Infect 2008;70:148-153.
30. Suzuki A, Namba Y, Matsuura M, et al. Bacterial contamination of floors and other surfaces in operating rooms: A five-year survey. J Hyg (Lond) 1984;93:559-566.
31. Nelson J, Bivens A, Shinn A, et al. Microbial flora on operating room telephones. AORN J 2006;83:607-620.
32. Frabetti A, Vandini A, Balboni P, et al. Experimental evaluation of the efficacy of sanitation procedures in operating rooms. Am J Infect Control 2009;37:658-664.
33. Loftus RW, Brown JR, Koff MD, et al. Multiple reservoirs contribute to intraoperative bacterial transmission. Anesth Analg 2012;114:1236-1248.
34. Wenger PN, Brown JM, McNeil MM, et al. Nocardia farcinica sternotomy site infections in patients following open heart surgery. J Infect Dis 1998;178:1539-1543.
35. vant Veen A, van der Zee A, Nelson J, et al. Outbreak of infection with a multiresistant Klebsiella pneumoniae strain associated with contaminated roll boards in operating rooms. J Clin Microbiol 2005;43:4961-4967.
36. Neil JA, Nye PE,Toven LA. Environmental surveillance in the operating room. AORN J 2005;82:43-49.
37. National Health Service Estates. National Standards of Cleanliness for the NHS. London. 2001.
38. Datta R, Platt R, Yokoe DS, et al. Environmental cleaning intervention and risk of acquiring multidrug-resistant organisms from prior room occupants. Arch Intern Med 2011;171:491-494.
39. Rutala WA, Weber DJ. Are room decontamination units needed to prevent transmission of environmental pathogens? Infect Control Hosp Epidemiol 2011;32:743-747.
40. Dancer SJ. How do we assess hospital cleaning? A proposal for microbiological standards for surface hygiene in hospitals. J Hosp Infect 2004;56:10-15.
41. Carling PC, Parry MM, Rupp ME, et al. Improving cleaning of the environment surrounding patients in 36 acute care hospitals. Infect Control Hosp Epidemiol 2008;29:1035-1041.
42. Boyce JM, Havill NL, Dumigan DG, et al. Monitoring the effectiveness of hospital cleaning practices by use of an adenosine triphosphate bioluminescence assay. Infect Control Hosp Epidemiol 2009;30:678-684.
43. Karpanen TJ, Casey AL, Lambert PA, et al. The antimicrobial efficacy of copper alloy furnishing in the clinical environment: A crossover study. Infect Control Hosp Epidemiol 2012;33:3-9.
44. Otter JA, Yezli S, Perl TM, et al. The role of no-Touch automated room disinfection systems in infection prevention and control. J Hosp Infect 2013;83:1-13.
45. Scheithauer S, Rosarius A, Rex S, et al. Improving hand hygiene compliance in the anesthesia working room work area: More than just more hand rubs. Am J Infect Control 2013;41:1001-1006.
46. Umit UM, Sina M, Ferhat Y, et al. Surgeon behavior and knowledge on hand scrub and skin antisepsis in the operating room. J Surg Educ 2014;71:241-245.