A microbiological assessment of sterile surgical helmet systems using particle counts and culture plates: recommendations for safe use whilst scrubbing

Moores, Thomas; Khan, Shahid; Chatterton, Benjamin D.; Harvey, G.; Lewthwaite, Simon

doi:10.1016/j.jhin.2018.06.005

Cited by 9 publications

(4 citation statements)

References 15 publications

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“…Some studies have examined the role of body exhaust suits in comparison to traditional surgical gowns, caps, and masks, and the outcomes did not favor modern-type body exhaust suits over standard surgical clothing [129,130]. A sterile surgical helmet system also is not absolutely reliable in terms of preventing contamination [131,132]. In fact, sterile surgical gloves and gowns can be contaminated during longer procedures [133][134][135], and double gloving is recommended in TJA surgery to eliminate contamination of the operating site [136].…”

Section: Team Personnelmentioning

confidence: 99%

Prevention of Prosthetic Joint Infection: From Traditional Approaches towards Quality Improvement and Data Mining

Gallo

Nieslanikova

2020

JCM

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A projected increased use of total joint arthroplasties will naturally result in a related increase in the number of prosthetic joint infections (PJIs). Suppression of the local peri-implant immune response counters efforts to eradicate bacteria, allowing the formation of biofilms and compromising preventive measures taken in the operating room. For these reasons, the prevention of PJI should focus concurrently on the following targets: (i) identifying at-risk patients; (ii) reducing “bacterial load” perioperatively; (iii) creating an antibacterial/antibiofilm environment at the site of surgery; and (iv) stimulating the local immune response. Despite considerable recent progress made in experimental and clinical research, a large discrepancy persists between proposed and clinically implemented preventative strategies. The ultimate anti-infective strategy lies in an optimal combination of all preventative approaches into a single “clinical pack”, applied rigorously in all settings involving prosthetic joint implantation. In addition, “anti-infective” implants might be a choice in patients who have an increased risk for PJI. However, further progress in the prevention of PJI is not imaginable without a close commitment to using quality improvement tools in combination with continual data mining, reflecting the efficacy of the preventative strategy in a particular clinical setting.

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Section: Team Personnelmentioning

confidence: 99%

Prevention of Prosthetic Joint Infection: From Traditional Approaches towards Quality Improvement and Data Mining

Gallo

Nieslanikova

2020

JCM

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“…McDonald and Bott ( 2020 ) reported that the routine use of sterile drapes and surgical gowns for all procedures in the OR could eliminate bacterial contamination from the surrounding environment. The utilisation of body exhaust suits and sterile surgical helmets systems (SSHSs) effectively reduces the airborne contamination on a patient (Moores et al 2019 ; Wendlandt et al 2016 ; Young et al 2016 ). Furthermore, the supply of clean air to the surgical site through a portable ultra-clean airflow unit could reduce the airborne contamination surrounding the patient (Casagrande and Piller 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Systematic study on the relationship between particulate matter and microbial counts in hospital operating rooms

Tan

Wong

Nyakuma

et al. 2021

Environ Sci Pollut Res

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Graphical abstract In this study, a systematic procedure for establishing the relationship between particulate matter (PM) and microbial counts in four operating rooms (ORs) was developed. The ORs are located in a private hospital on the western coast of Peninsular Malaysia. The objective of developing the systematic procedure is to ensure that the correlation between the PMs and microbial counts are valid. Each of the procedures is conducted based on the ISO, IEST, and NEBB standards. The procedures involved verifying the operating parameters are air change rate, room differential pressure, relative humidity, and air temperature. Upon verifying that the OR parameters are in the recommended operating range, the measurements of the PMs and sampling of the microbes were conducted. The TSI 9510-02 particle counter was used to measure three different sizes of PMs: PM 0.5, PM 5, and PM 10. The MAS-100ECO air sampler was used to quantify the microbial counts. The present study confirms that PM 0.5 does not have an apparent positive correlation with the microbial count. However, the evident correlation of 7% and 15% were identified for both PM 5 and PM 10, respectively. Therefore, it is suggested that frequent monitoring of both PM 5 and PM 10 should be practised in an OR before each surgical procedure. This correlation approach could provide an instantaneous estimation of the microbial counts present in the OR.

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“…Periprosthetic joint infection is a rare but very serious complication after elective total joint arthroplasty (TJA). 1 This devastating complication has a high impact on the patient, who will require challenging, complex and multiple revision surgeries with compromised functional outcome. In addition, the financial impact on the healthcare system is significant caused by infections after elective arthroplasty surgery.…”

Section: Introductionmentioning

confidence: 99%

“…Still, most of the studies have investigated contamination of surgical helmets and surgical gloves in experimental setups. 1,4,5 Glove changes are recommended after draping, before handling implants and if visible perforation is seen to reduce contamination. 10 Therefore, most arthroplasty surgeons wear 2 pairs of gloves.…”

Section: Introductionmentioning

confidence: 99%

An intraoperative assessment of bacterial contamination on surgical helmets and gloves during arthroplasty surgeries

et al. 2020

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Introduction: Infection is a devasting complication after primary and revision arthroplasty. Therefore, identifying potential sources of infection can help to reduce infection rates. The aim of this study was to identify the impact and potential risk of contamination for glows and surgical helmets during arthroplasty procedures. Methods: Surveillance cultures were used to detect contamination of the glow interface during the surgery and the surgical helmets immediately at the end of the surgery. The cultures were taken from 49 arthroplasty procedures from the surgeon as well as the assisting surgeon. Results: In total, 196 cultures were taken. 31 (15.8%) of them showed a contamination. 12 (13.5%) of 98 cultures taken from the surgical helmets were positive, while 18 (18.3%) of 96 cultures taken from the gloves showed a contamination. Discussion: The study showed that during arthroplasty procedures, surgical helmets and gloves were frequently contaminated with bacteria. In 20 of 49 (40.8%) arthroplasty surgeries, either the surgical helmet or the gloves showed a contamination. Surgeons should be aware that they might be a source for infection during arthroplasty surgeries.

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A microbiological assessment of sterile surgical helmet systems using particle counts and culture plates: recommendations for safe use whilst scrubbing

Cited by 9 publications

References 15 publications

Prevention of Prosthetic Joint Infection: From Traditional Approaches towards Quality Improvement and Data Mining

Prevention of Prosthetic Joint Infection: From Traditional Approaches towards Quality Improvement and Data Mining

Systematic study on the relationship between particulate matter and microbial counts in hospital operating rooms

An intraoperative assessment of bacterial contamination on surgical helmets and gloves during arthroplasty surgeries

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