The Most Important Risk Factor of SSI in a Bioclean Room
Surgical site infection (SSI) is the most common postoperative complication. We used one bioclean room 3 times daily, and perfoming joint replacement over 300 times per year. However, we have never experienced a case of deep SSI. The present study was conducted in order to investigate the air cleanl...
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| Published in | Orthopedics & Traumatology Vol. 53; no. 2; pp. 421 - 425 |
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| Main Authors | , |
| Format | Journal Article |
| Language | Japanese English |
| Published |
West-Japanese Society of Orthopedics & Traumatology
2004
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| Abstract | Surgical site infection (SSI) is the most common postoperative complication. We used one bioclean room 3 times daily, and perfoming joint replacement over 300 times per year. However, we have never experienced a case of deep SSI. The present study was conducted in order to investigate the air cleanliness of a bioclean room in our institution, and the risk factor of SSI during an operation. Airborne particle and microorganism measurement were performed in order to assess the degree of air cleanliness. Air samples were collected during 16 elective hip and knee arthroplasties which were performed at our institution. Our result, clearly revealed that there were no problems regarding the air cleanliness of a bioclean room at our institution. However, a marked increase in the number of airborne microoganisms was observed in proportion to staff movement. Therefore, the risk factor for SSI was the movement of the staff. We concluded that the proper education of all staff was the most important factor in the prevention of SSI. |
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| AbstractList | Surgical site infection (SSI) is the most common postoperative complication. We used one bioclean room 3 times daily, and perfoming joint replacement over 300 times per year. However, we have never experienced a case of deep SSI. The present study was conducted in order to investigate the air cleanliness of a bioclean room in our institution, and the risk factor of SSI during an operation. Airborne particle and microorganism measurement were performed in order to assess the degree of air cleanliness. Air samples were collected during 16 elective hip and knee arthroplasties which were performed at our institution. Our result, clearly revealed that there were no problems regarding the air cleanliness of a bioclean room at our institution. However, a marked increase in the number of airborne microoganisms was observed in proportion to staff movement. Therefore, the risk factor for SSI was the movement of the staff. We concluded that the proper education of all staff was the most important factor in the prevention of SSI. |
| Author | Shigematsu, Masamori Hotokebuchi, Takao |
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| References | 15) Sumiyama, Y., Arima, Y.: Surgical site infection: SSI. Nippon Rinsho Nov., 60 (11) : 2204-2209, 2002. 3) Duguid, J. P., Wallace, A. T.: Air infection with dust liberated from clothing. Lancet, 2 : 845-849, 1948. 11) Nelson, J. P.: Five year experience with operating room clean rooms and personnel-isolator systems. Med. Instrum. Nov-Dec., 10(6) : 277-281, 1976. 12) Noy, D., Creedy, D.: Postdischarge surveillance of surgical site infections: a multi-method approach to data collection. Am. J. Infect. Cont. Nov., 30(7) : 417-424, 2002. 16) Yousuf, M., Hussain, M.: Need and duration of antibiotic therapy in clean and clean contaminated operations. J. Pak. Med. Assoc. Jul., 52 (7) : 284-287, 2002. 13) Shinjo, K. et al.: Efficacy of the Shinki bioclean room for preventing infection in neutropenic patients. J. Adv. Nurs. Feb., 37(3) : 227-233, 2002. 1) Abudu, A. et al.: The outcome of perioperative wound infection after total hip and knee arthroplasty. Int. Orthop., 26 : 40-43, 2002. 17) Wilkins, M. A., Worsley, P. R., Kay : Intraoperative bacterial contamination in operations for joint replacement. J. Bone Surg. [Br] , 81-B : 886-889, 1999. 2) de Boer, A. S. et al.: Risk assessment for surgical site infections following total hip and total knee prostheses. J. Chemother Nov., 13 Spec., 1 (1) : 42-47, 2001. 7) Lauwers, D., de Smet, F.: Surgical site infections. Acta. Clin. Belg. Oct., 53 (5) : 303-310, 1998. 14) Hughes, S. P. F., Anderson, F. M.: Infection in the operating room. J. Bone Surg. [Br] , 81-B : 754-755, 1999. 5) Kalmeijer, M. D. et al.: Surgical site infections in orthopedic surgery: the effect of mupirocin nasal ointment in a double-blind, randomized, placebo-controlled study. Clin. Infect Dis., 15, 35 (4) : 353-358, 2002. 6) Kirkland, K. B. et al.: The impact of surgical-site infections in the 1990s: attribute mortality, excess length of hospitalization, and extra costs. Infect Control Hosp. Epidemiol Nov., 20 (11) : 725-730, 1999. 10) Davis, N. et al.: Intraoperative bacterial contamination in operations for joint replacement. J. Bone Joint Surg. [Br] , 81-B : 886-889, 1999. 4) Fitzgerald, R. H. Jr., Wshington, J. A. 2nd: Contamination of the operating wound. Orthop Clin North Am Oct, 6 (4) : 1105-1114, 1975. 8) Malone, D. L. et al.: Surgical site infection: reanalysis of risk factors. J. Surg. Res. Mar., 103 (1) : 89-95, 2002. 9) Pons, M. et al.: Infected total hip arthroplasty-the value of intraoperative histology. Int. Orthop., 23 : 34-36, 1999. 11 12 13 14 SUMIYAMA YOSHINOBU (15) 2002; 60 16 17 1 2 3 4 5 6 7 8 9 10 |
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| Title | The Most Important Risk Factor of SSI in a Bioclean Room |
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