Hostname: page-component-76fb5796d-r6qrq Total loading time: 0 Render date: 2024-04-28T14:33:46.267Z Has data issue: false hasContentIssue false

Bacterial contamination in a modern operating suite. 1. Effect of ventilation on airborne bacteria and transfer of airborne particles*

Published online by Cambridge University Press:  15 May 2009

Anna Hambraeus
Affiliation:
Institute of Clinical Bacteriology, University of Uppsala, Uppsala, Sweden
Stellan Bengtsson
Affiliation:
Institute of Clinical Bacteriology, University of Uppsala, Uppsala, Sweden
Gunnar Laurell
Affiliation:
Institute of Clinical Bacteriology, University of Uppsala, Uppsala, Sweden
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The effect of ventilation on airborne contamination was studied in a new operating suite containing operating rooms with conventional ventilation (17−20 turnovers/h) and operating rooms with zonal ventilation, where the turnover in the central part of the room was˜80/h. The efficacy of the ventilation was first examined with gas tracer experiments and found satisfactory. Experiments using potassium iodide particles showed the transfer between adjacent rooms in the suite to be less than 10−3% with closed doors and from 1% to 2·5 × 10−2% when the doors were opened once a minute. The transfer between two adjacent operating rooms was calculated to be˜10−4%. There is thus little risk of spread of airborne infection between operating rooms.

Experiments with potassium iodide particles showed that in operating rooms with zonal ventilation the particle concentration in the centre of the room was about one-tenth that in the periphery; in conventionally ventilated operating rooms the concentration was about one-half. With bacteria-carrying particles generated by human activity the concentration in the centre of operating rooms with zonal ventilation was about half that in the periphery both during experimental activity and operations; in conventionally ventilated operating rooms it was about equal in both cases. Bacterial counts at the periphery were found to be lower in rooms with zonal ventilation (˜ 50 c.f.u./m3) than in conventionally ventilated (˜ 70 c.f.u./m3).

Type
Research Article
Copyright
Copyright © Cambridge University Press 1977

References

REFERENCES

Abel, E. & Allander, C. (1966). Undersökning av nytt inblåsnings system för rena rum. VVS No. 8.Google Scholar
Bourdillon, R. B., Libwell, O. M. & Lovelock, J. E. (1948). Studies in air hygiene. Medical Research Council Special Report Series No. 262. London: H.M.S.O.Google Scholar
Charnley, J. (1964). A clean air operating enclosure. British Journal of Surgery 51, 202.CrossRefGoogle ScholarPubMed
Charnley, J. (1972). Postoperative infection after total hip replacement with special reference to air contamination in the operating room. Clinical Orthopaedics 87, 167.CrossRefGoogle ScholarPubMed
Charnley, J. & Eftekhar, N. S. (1969). Postoperative infection in total prosthetic replacement arthroplasty of the hip joint, with special reference to the bacterial content of the air of the operating room. British Journal of Surgery 56, 641.CrossRefGoogle Scholar
Cook, R. & Boyd, N. A. (1971). Reduction of the microbial contamination of surgical wound areas by sterile laminar air-flow. British Journal of Surgery 58, 48.CrossRefGoogle ScholarPubMed
Eftekhar, N. S. (1973). The surgeon and clean air in the operating room. Clinical Orthopaedics 96, 188.CrossRefGoogle Scholar
Foord, N. & Lidwell, O. M. (1972). An airborne particle tracer for crossinfection studies. Journal of Hygiene 70, 279.CrossRefGoogle ScholarPubMed
Foord, N. & Lidwell, O. M. (1975). Airborne infection in a fully air–conditioned hospital. II. Transfer of airborne particles between rooms resulting from the movement of air from one room to another. Journal of Hygiene 75, 31.CrossRefGoogle Scholar
Hambraeus, A. (1973). Transfer of Staphylococcus aureus via nurses' uniforms. Journal of Hygiene 71, 799.Google ScholarPubMed
Hambraeus, A. & Sanderson, H. F. (1972). Studies with an airborne particle tracer in an isolation ward for burned patients. Journal of Hygiene 70, 299.CrossRefGoogle Scholar
Leading Article (1975). Risks and uses of total hip replacement. British Medical Journal i, 296.Google Scholar
Lidwell, O. M. (1960). The evaluation of ventilation. Journal of Hygiene 58, 297.CrossRefGoogle ScholarPubMed
Lidwell, O. M. (1972). Ventilation in subdivided isolation units. Journal of Hygiene 67, 649.Google Scholar
McDade, J. J., Whitcomb, J. G., Whitfield, W. J. & Franklin, C. R. (1968). Microbiological studies conducted in a vertical laminar airflow surgery. Journal of the American Medical Association 203, 125.CrossRefGoogle Scholar
Scott, C. C. (1970). Laminar/linear flow system of ventilation. Lancet i, 989.CrossRefGoogle Scholar
Williams, R. E. O., Blowers, R., Garrod, L. P. & Shooter, R. A. (1966). Hospital Infections, Causes and Prevention. 2nd ed. London: Lloyd-Luke Ltd.Google Scholar