Hats Off: A Study of Different Operating Room Headgear Assessed by Environmental Quality Indicators

Journal of the American College of Surgeons

Volumn 225, Issue 5, 2017, Pages 573-581

  Markel, Troy A ^a   Gormley, Thomas ^c   Greeley, Damon ^d   Ostojic, John ^b   Wise, Angie ^e   Rajala, Jonathan ^e   Bharadwaj, Rahul ^e   Wagner, Jennifer ^f  

^a INDIANA UNIVERSITY HEALTH   (United States)

^b ARTEC Environmental Monitoring   (United States)

^c Middle Tennessee University   (United States)

^d Global Health Systems Inc   (United States)

^e AAF Flanders   (United States)

^f Prism Environmental Health and Safety   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AIRBORNE BACTERIUM; AIRBORNE INFECTION; AIRBORNE PARTICLE; BACTERIAL TRANSMISSION; CLINICAL ASSESSMENT; CLINICAL EFFECTIVENESS; CLINICAL INDICATOR; CONFERENCE PAPER; CONTROLLED STUDY; ENVIRONMENTAL QUALITY INDICATOR; ENVIRONMENTAL SANITATION; HEALTH CARE QUALITY; HUMAN; MICROBIAL CONTAMINATION; PARTICULATE MATTER; POROSITY; PRIORITY JOURNAL; SURGICAL TECHNIQUE; DISPOSABLE EQUIPMENT; MICROCLIMATE; OPERATING ROOM; STANDARDS; SUPPLY AND DISTRIBUTION; TEXTILE;

DISPOSABLE EQUIPMENT; ENVIRONMENT, CONTROLLED; HUMANS; OPERATING ROOMS; TEXTILES;

EID: 85032256936     PISSN: 10727515     EISSN: 18791190     Source Type: Journal    
DOI: 10.1016/j.jamcollsurg.2017.08.014     Document Type: Conference Paper

References (15)

1. Zimlichman, E., Henderson, D., Tamir, O., et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med 173 (2013), 2039–2046.
2. Salassa, T.E., Swiontkowski, M.F., Surgical attire and the operating room: role in infection prevention. J Bone Joint Surg 96 (2014), 1485–1492.
3. Ritter, M.A., Eitzen, H.E., Hart, J.B., French, M.L., The surgeon's garb. Clin Orthop Relat Res, 1980, 204–209.
4. Humphreys, H., Russell, A.J., Marshall, R.J., et al. The effect of surgical theatre head-gear on air bacterial counts. J Hosp Infect 19 (1991), 175–180.
5. Eisen, D.B., Surgeon's garb and infection control: what's the evidence?. J Am Acad Dermatol 64 (2011), 960.e1–960.e20.
6. Hubble, M.J., Weale, A.E., Perez, J.V., et al. Clothing in laminar-flow operating theatres. J Hosp Infect 32 (1996), 1–7.
7. Friberg, B., Friberg, S., Ostensson, R., Burman, L.G., 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.
8. Guideline for Surgical Attire. Guidelines for Perioperative Practice. Denver, CO: AORN; 2016:95–117.
9. Tridico, S.R., Murray, D.C., Addison, J., et al. Metagenomic analyses of bacteria on human hairs: a qualitative assessment for applications in forensic science. Investig Genet, 5, 2014, 16.
10. Owers, K.L., James, E., Bannister, G.C., Source of bacterial shedding in laminar flow theatres. J Hosp Infect 58 (2004), 230–232.
11. Kowalczyk L. Hat Wars flaring in the OR. The Boston Globe. August 21, 2016:1.
12. Gormley, T., Markel, T.A., Jones, H.W. 3rd, et al. Methodology for analyzing environmental quality indicators in a dynamic operating room environment. Am J Infect Control 45 (2017), 354–359.
13. Institute of Environmental Sciences and Technology. Testing HEPA and ULPA Filter Media. IEST-RP-CC021. 4th Ed, April 1, 2016.
14. Bernard, D.D., Microbiology. 6th ed., 1970, Hoeber Medical Division, Harper&Row, New York, Evanston and London.
15. Yang, F.C., Zhang, Y., Rheinstadter, M.C., The structure of people's hair. Peer J, 2, 2014, e619.