Surveillance of wound infections and a new theatre: unexpected lack of improvement

Griethuysen, A. J. A. van; Rooijen, N. H. Spies-Van; Hoogenboom-Verdegaal, A. M. M.

doi:10.1016/s0195-6701(96)90134-6

Cited by 29 publications

(11 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…LAF in combination with behavioral changes in the OR discipline code, 42 closed OR doors (vs. open doors in the control group), 43 and wearing of body exhaust gowns 44,45 in THA/TKA, cardiac surgery with sternotomy, and spine surgery, respectively. As these studies had additional interventions and were compared with conventional ventilation without the same additional measures, they were excluded from further assessment.…”

Section: Resultsmentioning

confidence: 99%

Effect of laminar airflow ventilation on surgical site infections: a systematic review and meta-analysis

Bischoff

Kubilay

Allegranzi

et al. 2017

The Lancet Infectious Diseases

158

View full text Add to dashboard Cite

Background: The role of the operating room's (OR) ventilation system in the prevention of surgical site infection (SSI) is widely discussed and the existing guidelines do not reflect the current evidence. In this context, laminar airflow (LAF) ventilation was compared with conventional ventilation to assess their effectiveness in reducing the risk of SSI.Methods: Medline, EMBASE, Cochrane Central Register of Controlled Trials and WHO regional medical databases were searched from 1990 to 31 January 2014. The search was updated for Medline for the time period between 1 February 2014 and 27 May 2016. GRADE methodology was used to assess the quality of the retrieved evidence. Meta-analyses of available comparisons were performed using RevMan 5.3. Findings: The search identified 1947 records of which 12 observational studies were identified comparing LAF ventilation with conventional turbulent ventilation in orthopedic, abdominal, and vascular surgery. The meta-analysis of eight cohort studies showed no difference in risk for deep SSIs following total hip arthroplasty (THA, 330 146 procedures; odds ratio (OR) 1·29, 95% CI 0·98-1·71, p=0·07; I²=83%). For total knee arthroplasty (TKA, 134 368 procedures) the meta-analysis of six cohort studies showed no difference in risk for deep SSIs (OR 1·08, 95% CI 0·77-1·52, p=0·65; I²=71%). For abdominal and open vascular surgery the metaanalysis of three cohort studies found no difference in risk for overall SSI (OR 0·75, 95% CI 0·43-1·33, p=0·33; I²=95%) Interpretation: The available evidence shows no benefit for LAF compared with conventional turbulent OR ventilation in reducing the risk of SSI in THA, TKA and abdominal surgery. Decision makers, medical and administrative, should not choose to install and use LAF equipped ORs as a preventive measure to reduce the risk of SSI. AbstractBackground: The role of the operating room's (OR) ventilation system in the prevention of surgical site infection (SSI) is widely discussed and the existing guidelines do not reflect the current evidence. In this context, laminar airflow (LAF) ventilation was compared with conventional ventilation to assess their effectiveness in reducing the risk of SSI.

show abstract

Section: Resultsmentioning

confidence: 99%

Effect of laminar airflow ventilation on surgical site infections: a systematic review and meta-analysis

Bischoff

Kubilay

Allegranzi

et al. 2017

The Lancet Infectious Diseases

158

View full text Add to dashboard Cite

show abstract

“…On the other hand, some studies have shown that laminar airflow systems reduce bacterial burden in operating room air [37], especially when comparing old and new operating rooms [38]. However, there has been no correlation established between airborne bacteria counts and SSI rates.…”

Section: Discussionmentioning

confidence: 99%

Incidence and Risk Factors for Surgical Site Infection after Gastric Surgery: A Multicenter Prospective Cohort Study

et al. 2013

View full text Add to dashboard Cite

BackgroundSurgical site infection (SSI) is a potentially morbid and costly complication of surgery. While gastrointestinal surgery is relatively common in Korea, few studies have evaluated SSI in the context of gastric surgery. Thus, we performed a prospective cohort study to determine the incidence and risk factors of SSI in Korean patients undergoing gastric surgery.Materials and MethodsA prospective cohort study of 2,091 patients who underwent gastric surgery was performed in 10 hospitals with more than 500 beds (nine tertiary hospitals and one secondary hospital). Patients were recruited from an SSI surveillance program between June 1, 2010, and August 31, 2011 and followed up for 1 month after the operation. The criteria used to define SSI and a patient's risk index category were established according to the Centers for Disease Control and Prevention and the National Nosocomial Infection Surveillance System. We collected demographic data and potential perioperative risk factors including type and duration of the operation and physical status score in patients who developed SSIs based on a previous study protocol.ResultsA total of 71 SSIs (3.3%) were identified, with hospital rates varying from 0.0 - 15.7%. The results of multivariate analyses indicated that prolonged operation time (P = 0.002), use of a razor for preoperative hair removal (P = 0.010), and absence of laminar flow in the operating room (P = 0.024) were independent risk factors for SSI after gastric surgery.ConclusionsLonger operation times, razor use, and absence of laminar flow in operating rooms were independently associated with significant increased SSI risk after gastric surgery.

show abstract

“…In our study SSI were most frequent for dirty-infected operations (13.3%), which is consistent with literature data according to which the rate of SSI for dirty-infected operations is 10-40.7% (5, 8, 12, 13). However, van Griethuysen et al and Horwitz et al reported that infection rate was lower for dirty operations than for contaminated operations (10,14). These studies did not find any reason for this, but Bhattacharyya et al explained the higher infection rate for contaminated operations with the fact that they did not close one-third of surgical wounds primarily in the case of dirty-infected operations (1).…”

Section: Discussionmentioning

confidence: 99%

Incidence and Risk Factors of Surgical Wound Infection in Children: A Prospective Study

et al. 2010

View full text Add to dashboard Cite

Results: there were 7 ssI cases, overall rate being 1.2%. superficial wound infection occurred in 5 cases and deep wound infection occurred in 2 cases. there was no organ/ space infection. ssI was significantly more frequent in the case of contaminated and dirty-infected compared with clean or clean-contaminated operations, 7.8% and 0.6%, respectively (p = 0.0008). wound infection endangered more children who had operation related complications compared with non-complicated cases, 11.1% and 0.4%, respectively (p < 0.0001).

show abstract

Surveillance of wound infections and a new theatre: unexpected lack of improvement

Cited by 29 publications

References 12 publications

Effect of laminar airflow ventilation on surgical site infections: a systematic review and meta-analysis

Effect of laminar airflow ventilation on surgical site infections: a systematic review and meta-analysis

Incidence and Risk Factors for Surgical Site Infection after Gastric Surgery: A Multicenter Prospective Cohort Study

Incidence and Risk Factors of Surgical Wound Infection in Children: A Prospective Study

Contact Info

Product

Resources

About