期刊
JOURNAL OF ARTHROPLASTY
卷 28, 期 9, 页码 1482-1485出版社
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2013.06.012
关键词
arthroplasty; contamination; laminar airflow; RODAC; OR traffic
类别
资金
- Sharpe-Strumia Foundation - a non-profit, local Trust
We evaluate the association of laminar airflow (LAF) and OR traffic with intraoperative contamination rates. Two sterile basins were placed in each room during 81 cases, one inside and one outside the LAF. One Replicate Organism Detection and Counting (RODAC) plate from each basin was sent for culture at successive 30-minute intervals from incision time until wound closure. At successive 30-minute intervals more plates were contaminated outside than inside the LAF. A negative binomial model showed that the bacteria colony forming units (CFU) depended on whether there were any door openings (P = 0.02) and the presence of LAF (P = 0.003). LAP decreases CPU by 36.6%. LAP independently reduces the risk of contamination and microbial counts for surgeries lasting 90 minutes or less. (C) 2013 Elsevier Inc. All rights reserved.
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