Surveillance of Environmental and Procedural Measures of Infection Control in the Operating Theatre Setting
| Autor: | Laura Dallolio, Angela Zanni, Patrizia Farruggia, Tiziana Sanna, Magda Mazzetti, Alessandra Orsi, Alessandra Raggi, Erica Leoni |
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| Přispěvatelé: | Dallolio, Laura, Raggi, Alessandra, Sanna, Tiziana, Mazzetti, Magda, Orsi, Alessandra, Zanni, Angela, Farruggia, Patrizia, Leoni, Erica |
| Rok vydání: | 2017 |
| Předmět: |
Operating Rooms
Operating theatres Health Toxicology and Mutagenesis media_common.quotation_subject Best practice Air Microbiology lcsh:Medicine Surgery cleaning procedure 030501 epidemiology Evidence-based surgical good practice Article 03 medical and health sciences 0302 clinical medicine Microbiological contamination Hygiene Surgical site Operating theatre Medicine Infection control Humans Surgical Wound Infection Hand Hygiene 030212 general & internal medicine Reference standards surgical site infections operating theatres surgery cleaning procedures microbiological contamination evidence-based surgical good practices media_common Infection Control business.industry lcsh:R Public Health Environmental and Occupational Health Microbiological quality Reference Standards medicine.disease Crowding Medical emergency 0305 other medical science business Surgical site infection |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health; Volume 15; Issue 1; Pages: 46 International Journal of Environmental Research and Public Health, Vol 15, Iss 1, p 46 (2017) |
| ISSN: | 1660-4601 |
| Popis: | The microbiological contamination of operating theatres and the lack of adherence to best practices by surgical staff represent some of the factors affecting Surgical Site Infections (SSIs). The aim of the present study was to assess the microbiological quality of operating settings and the staff compliance to the SSI evidence-based control measures. Ten operating rooms were examined for microbiological contamination of air and surfaces, after cleaning procedures, in âat restâ conditions. Furthermore, 10 surgical operations were monitored to assess staff compliance to the recommended practices. None of the air samples exceeded microbiological reference standards and only six of the 200 surface samples (3.0%) were slightly above recommended levels. Potentially pathogenic bacteria and moulds were never detected. Staff compliance to best practices varied depending on the type of behaviour investigated and the role of the operator. The major not compliant behaviours were: pre-operative skin antisepsis, crowding of the operating room and hand hygiene of the anaesthetist. The good environmental microbiological quality observed is indicative of the efficacy of the cleaning-sanitization procedures adopted. The major critical point was staff compliance to recommended practices. Awareness campaigns are therefore necessary, aimed at improving the organisation of work so as to facilitate compliance to operative protocols. |
| Databáze: | OpenAIRE |
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