The Airborne Component of Wound Contamination and Infection

Walter, Carl W.

doi:10.1001/archsurg.1973.01350220066014

Cited by 24 publications

(3 citation statements)

References 17 publications

(1 reference statement)

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“…1,2,5 Proper surgical attire may be a key factor in providing a hygienic and commensurately sterile surgical environment. [1][2][3][5][6][7][8] Several studies and reviews have investigated the dos and don'ts of surgical attire in the operating room (OR), [1][2][3]6 including the use of a head cover by OR personnel. [9][10][11][12] Nevertheless, numerous questions remain regarding the most effective way to cover the surgeon's head.…”

mentioning

confidence: 99%

Mandatory Change From Surgical Skull Caps to Bouffant Caps Among Operating Room Personnel Does Not Reduce Surgical Site Infections in Class I Surgical Cases: A Single-Center Experience With More Than 15 000 Patients

et al. 2017

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mentioning

confidence: 99%

Mandatory Change From Surgical Skull Caps to Bouffant Caps Among Operating Room Personnel Does Not Reduce Surgical Site Infections in Class I Surgical Cases: A Single-Center Experience With More Than 15 000 Patients

et al. 2017

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“…At this veterinary hospital, oromaxillofacial oncologic surgeries are performed in the dental operatory exclusively by AVDC faculty and residentin-training clinicians while the surgical operatory rooms are used by both AVDC and ACVS practitioners. It is well-documented that the majority of surgical site infections, not just confined to the oral cavity, are related to the patient's own microflora, followed by transmission of bacteria from hospital staff to the patient; the sterility of the room in which the procedure is performed is considered to be the least likely cause of SSI (22)(23)(24). Furthermore, procedures using high speed ostectomy units and water lavage within the oral cavity result in aerosolization of oral bacteria and some degree of contamination of the surgical site regardless of the sterility of the room in which the procedure is performed.…”

Section: Discussionmentioning

confidence: 99%

Impact of the Surgical Environment on the Incidence, Timing, and Severity of Complications Associated With Oromaxillofacial Oncologic Surgery in Dogs

et al. 2021

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Numerous reports describe complication rates associated with oromaxillofacial oncologic surgery in dogs, however, investigation regarding the impact of the surgical environment on the incidence of complications is under reported. The objective of this retrospective cohort study, including 226 dogs surgically treated for oromaxillofacial tumors between January 1, 1997 and December 31, 2018, is to evaluate the impact of the surgical environment on the incidence of complications in oromaxillofacial oncologic surgery in dogs. A secondary objective is to report the incidence of local complications in oromaxillofacial oncologic surgery and characterize the type, timing, and severity of complications encountered. Incidence of complications was identified to be 69.9%. No significant association was identified between the incidence, timing, or severity of complications and the training background of the clinician, physical location of the procedure, or the ostectomy instrument used. These results suggest that the surgical environment has little impact on the incidence, timing, and severity of complications in dogs undergoing oromaxillofacial oncologic surgery. The results also emphasize the importance of preparing the surgical team and the client for a high incidence of complications associated with oromaxillofacial oncologic surgery in dogs and indicate that both short-term and long-term follow up is important in these cases. Oromaxillofacial surgery performed by residents-in-training within a veterinary teaching environment with adequate supervision appears to be safe.

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“…Airborne transmission of bacteria is well recognised as a major contributor to SSIs. 3 , 4 Exogenous bacteria originate from the shedding of exposed skin and hair of operating theatre personnel and contribute to infection by either direct contamination or by settling on inanimate objects before being introduced to the surgical wound. 5 , 6 , 7 This has driven the implementation of numerous measures to prevent airborne bacterial load such as the use of laminar air-flow, hooded exhaust equipment, ultraviolet light cleaning and regular glove changing.…”

Section: Introductionmentioning

confidence: 99%

Thyroid radiation shields: A potential source of intraoperative infection

McAleese

Broderick

Stanley

et al. 2020

Journal of Orthopaedics

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Introduction Thyroid radiation shields are often uncovered by the surgical gown and may represent a preventable source of wound contamination. The aims of this study are to define the common pathogens found on thyroid radiation shields and evaluate the effectiveness of a simple cleaning method. Methods Samples were obtained from 29 community thyroid shields collected from the operating theatres of 3 teaching hospitals. Each shield was swabbed under strict sterile technique using a separate swab for each of 4 designated zones. After sampling, shields were cleaned with a readily available disinfectant and sampling was repeated after 5 min. All swabs were cultured in ambient air at 37 °C on 5% sheeps blood agar for 48 hrs and subsequent growth was identified by a MALDI-TOF Walkaway mass spectrometer. Results Before cleaning, 100% of thyroid shields (29/29) and 68% of shield zones (79/116) grew at least 1 type of bacteria. Coagulase negative staphylococci, including S. epidermidis, S. capitis, S. cohnii, S. haemolyticus and S. hominis , were most commonly isolated. Enterobacteriaceae and S. aureus were also cultured. After cleaning, culturable contamination was reduced by 86.3% and 64.5%, respectively (p < 0.001). Conclusion The most common pathogens associated with SSIs can be isolated on thyroid radiation shields. Appropriate cleaning of thyroid shields with readily available disinfectant can significantly reduce the bacterial burden as detectable by culture. Hospitals should facilitate staff education and reinforce their policies on cleaning these shields which may often be overlooked.

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The Airborne Component of Wound Contamination and Infection

Cited by 24 publications

References 17 publications

Mandatory Change From Surgical Skull Caps to Bouffant Caps Among Operating Room Personnel Does Not Reduce Surgical Site Infections in Class I Surgical Cases: A Single-Center Experience With More Than 15 000 Patients

Mandatory Change From Surgical Skull Caps to Bouffant Caps Among Operating Room Personnel Does Not Reduce Surgical Site Infections in Class I Surgical Cases: A Single-Center Experience With More Than 15 000 Patients

Impact of the Surgical Environment on the Incidence, Timing, and Severity of Complications Associated With Oromaxillofacial Oncologic Surgery in Dogs

Thyroid radiation shields: A potential source of intraoperative infection

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