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Comparison of three distinct clean air suits to decrease the bacterial load in the operating room: An observational study

P. Kasina ; A. Tammelin ; A.M. Blomfeldt ; Bengt Ljungqvist (Institutionen för bygg- och miljöteknik, Installationsteknik ) ; Berit Reinmüller (Institutionen för bygg- och miljöteknik, Installationsteknik ) ; C. Ottosson
Patient Safety in Surgery Vol. 10 (2016), 1,
[Artikel, refereegranskad vetenskaplig]

© 2016 Kasina et al. Background: Lowering air-borne bacteria counts in the operating room is essential in prevention of surgical site infections in orthopaedic joint replacement surgery. This is mainly achieved by decreasing bacteria counts through dilution, with appropriate ventilation and by limiting the bacteria carrying skin particles, predominantly shed by the personnel. The aim of this study was to investigate if a single use polypropylene clothing system or a reusable polyester clothing system could offer similar air quality in the operating room as a mobile laminar airflow device-assisted reusable cotton/polyester clothing system. Methods: Prospective observational study design, comparing the performance of three Clean Air Suits by measuring Colony Forming Units (CFU)/m3 of air during elective hip and knee arthroplasties, performed at a large university-affiliated hospital. The amount of CFU/m3 of air was measured during 37 operations of which 13 were performed with staff dressed in scrub suits made of a reusable mixed material (69 % cotton, 30 % polyester, 1 % carbon fibre) accompanied by two mobile laminar airflow units. During 24 procedures no mobile laminar airflow units were used, 13 with staff using a reusable olefin fabric clothing (woven polypropylene) and 11 with staff dressed in single-use suits (non-woven spunbonded polypropylene). Air from the operating field was sampled through a filter, by a Sartorius MD8, and bacterial colonies were counted after incubation. There were 6-8 measurements from each procedure, in total 244 measurements. Statistical analysis was performed by Mann-Whitney U-test. Results: The single-use polypropylene suit reduced the amount of CFU/m3 to a significantly lower level than both other clothing systems. Conclusion: Single-use polypropylene clothing systems can replace mobile laminar airflow unit-assisted reusable mixed material-clothing systems. Measurements in standardized laboratory settings can only serve as guidelines as environments in real operation settings present a much more difficult challenge.

Nyckelord: Air-borne bacteria , Operating room , Orthopaedic surgery , Surgical clothing , Ventilation



Denna post skapades 2016-05-10. Senast ändrad 2016-10-31.
CPL Pubid: 236172

 

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Institutioner (Chalmers)

Institutionen för bygg- och miljöteknik, Installationsteknik

Ämnesområden

Medicinteknik

Chalmers infrastruktur