High Number of Door Openings Increases the Bacterial Load of the Operating Room.

Abstract:

: Background: Operating room (OR) traffic and door openings have emerged as potential modifiable risk factors for the development of surgical site infections. Methods: This study compared the microbial load of a Control OR without traffic versus a Simulated OR with the traffic in a typical orthopedic surgery case. Air particle counts and colony forming units (CFUs) were measured. A novel iOS app was developed to provide real-time door counts. Results: There were 1,862 particles >5.0 mcm in the Simulated OR compared with 56 in the Control OR. The CFUs from plates in the Simulated OR ranged from 4-22 (on brain heart infusion [BHI] agar), 2-266 (on mannitol salt agar [MSA]), and 1-19 (on Pseudomonas isolation agar [PIA]), while all plates in the Control OR grew 0-1 CFUs. Conclusions: High number of door openings leads to more airborne bacteria in the OR and viable bacterial on OR surfaces. The increased bacterial load throughout the OR was independent of distance from the door.

journal_name

Surg Infect (Larchmt)

journal_title

Surgical infections

authors

Lansing SS,Moley JP,McGrath MS,Stoodley P,Chaudhari AMW,Quatman CE

doi

10.1089/sur.2020.361

subject

Has Abstract

pub_date

2020-12-23 00:00:00

eissn

1096-2964

issn

1557-8674

pub_type

杂志文章
  • Infective complications in laparoscopic surgery.

    abstract:BACKGROUND AND PURPOSE:One of the main benefits of minimally invasive surgery compared with open surgery is the significant reduction in the incidence of postoperative infections. Possible explanations include the smaller incision, minimal use of central venous catheters for parenteral nutrition, faster mobilization, r...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2006.7.s2-109

    authors: Boni L,Benevento A,Rovera F,Dionigi G,Di Giuseppe M,Bertoglio C,Dionigi R

    更新日期:2006-01-01 00:00:00

  • Decreased neutrophil response in a model of chronic intraperitoneal Klebsiella infection.

    abstract:BACKGROUND:Previously, we developed an infection model by intraperitoneal (IP) injection of Klebsiella pneumoniae. The high early mortality rate prompted a study of the effect of gentamicin on the disease course. METHODS:Infection was induced in Balb/c mice by IP inoculation of 10(3) colony-forming units (cfu) of K. p...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2006.060

    authors: Woods DR,Peyton JC,Franklin GA,Turina M,Cheadle WG

    更新日期:2007-06-01 00:00:00

  • Nasal carriage of Staphylococcus aureus among surgeons and surgical residents: a nationwide prevalence study.

    abstract:BACKGROUND:Staphylococcus aureus nasal carriage is an independent risk factor for developing nosocomial infections and for developing surgical site infection (SSI) in particular. The number of post-operative nosocomial S. aureus infections can be reduced by screening patients and decolonizing nasal carriers. In additio...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2014.022

    authors: van Vugt JL,Coelen RJ,van Dam DW,Winkens B,Derikx JP,Heddema ER,Stoot JH

    更新日期:2015-04-01 00:00:00

  • Infectious Complications after Cytoreductive Surgery and Hyperthermic Intra-Peritoneal Chemotherapy.

    abstract:BACKGROUND:The aim of this study was to review the post-operative and infectious complications and determine the risk factors associated with infections in cytoreductive surgery (CRS) and hyperthermic intra-peritoneal chemotherapy (HIPEC). PATIENTS AND METHODS:Between October 2007 and December 2013, patients who under...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2016.102

    authors: Arslan NC,Sokmen S,Avkan-Oguz V,Obuz F,Canda AE,Terzi C,Fuzun M

    更新日期:2017-02-01 00:00:00

  • Clinical and Microbiological Characterization of Late Breast Implant Infections after Reconstructive Breast Cancer Surgery.

    abstract:BACKGROUND:Implant infections represent a relevant problem after immediate breast cancer reconstruction. In addition to difficulties in distinguishing early infections from other post-surgical complications (such as hematoma, seroma, and liponecrosis) late breast implant infections still represent a grey area of our kn...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2014.146

    authors: Franchelli S,Pesce M,Savaia S,Marchese A,Barbieri R,Baldelli I,De Maria A

    更新日期:2015-10-01 00:00:00

  • Pediatric Sepsis Update: How Are Children Different?

    abstract:BACKGROUND:Although there are some commonalities between pediatric and adult sepsis, there are important differences in pathophysiology, clinical presentation, and therapeutic approaches. The recognition and diagnosis of sepsis is a significant challenge in pediatric patients as vital sign aberrations and examination f...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2017.316

    authors: Emr BM,Alcamo AM,Carcillo JA,Aneja RK,Mollen KP

    更新日期:2018-02-01 00:00:00

  • Surgery for appendicitis: is it necessary?

    abstract:BACKGROUND:Appendectomy for acute appendicitis is an effective, universally accepted procedure performed more than 300,000 times annually in the United States. It is generally believed that appendicitis progresses invariably from early inflammation to later gangrene and perforation, and that appendectomy is required fo...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2007.079

    authors: Mason RJ

    更新日期:2008-08-01 00:00:00

  • Use of negative-pressure wound therapy in breast tissues: evaluation of the literature.

    abstract:BACKGROUND:Negative-pressure wound therapy (NPWT) has been suggetsed to have a positive impact on the healing of sternal or extremity wounds. However, few data deriving from breast surgery have been published. We evaluated the available literature regarding the effectiveness of NPWT systems in the healing of breast tis...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2013.165

    authors: Kostaras EK,Tansarli GS,Falagas ME

    更新日期:2014-12-01 00:00:00

  • New strategies to improve outcomes in the surgical intensive care unit.

    abstract:BACKGROUND:Over the last half-decade, substantial breakthroughs have taken place in terms of routine therapy of critically ill patients. The combination of these strategies has the potential to result in improvement in the overall outcomes for patients in intensive care units. METHODS:A focused review was undertaken o...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2004.5.289

    authors: Beilman GJ

    更新日期:2004-10-01 00:00:00

  • Patients at High-Risk for Surgical Site Infection.

    abstract:BACKGROUND:Surgical site infections (SSIs) are a significant healthcare quality issue, resulting in increased morbidity, disability, length of stay, resource utilization, and costs. Identification of high-risk patients may improve pre-operative counseling, inform resource utilization, and allow modifications in peri-op...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2017.058

    authors: Mueck KM,Kao LS

    更新日期:2017-05-01 00:00:00

  • Mediator responses in surgical infections.

    abstract:BACKGROUND:Surgical infections, and sepsis in particular, are characterized by extensive release of mediators. Our laboratories have been interested in understanding how these substances contribute to morbidity and mortality during various stages of surgical infections in order to develop new and more effective therape...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2006.7.s2-3

    authors: Aasen AO,Wang JE

    更新日期:2006-01-01 00:00:00

  • Resolution of clinical and laboratory abnormalities after diagnosis of ventilator-associated pneumonia in trauma patients.

    abstract:BACKGROUND:Guidelines advise that patients with ventilator-associated pneumonia (VAP) should respond clinically by Day 3 of antibiotics. White blood cell (WBC) count, maximum temperature (Tmax), and PaO2:FIO2 ratio are all said to respond significantly by Day 6. Resolution of abnormalities has not been evaluated in tra...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2011.128

    authors: Swanson JM,Connor KA,Magnotti LJ,Croce MA,Johnson J,Wood GC,Fabian TC

    更新日期:2013-02-01 00:00:00

  • Percutaneous versus open tracheostomy: comparison of procedures and surgical site infections.

    abstract:BACKGROUND:Tracheostomy is one of the most common procedures performed in trauma patients in the intensive care unit (ICU). Few studies have evaluated the incidence of surgical site infections (SSIs) specifically in a trauma population. Our objective was to compare the incidence of SSI after open versus percutaneous tr...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2011.059

    authors: Park H,Kent J,Joshi M,Zhu S,Bochicchio GV,Henry S,Scalea T

    更新日期:2013-02-01 00:00:00

  • Analysis of plasma citrulline and intestinal morphometry in mice with hepatosplenic schistosomiasis.

    abstract:BACKGROUND:Portal hypertension in the mucosa of the intestine and the presence of granulomas in the wall of this organ can alter digestive function in patients with schistosomiasis. Citrulline is a potential marker of intestinal function in some diseases that affect the morphometry of the mucosa because of its close as...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2009.066

    authors: Siqueira LT,Ferraz AA,Campos JM,De Lima Filho JL,Albuquerque MC,de Lima Aires A,Ribeiro MH,Cavalcanti MT,De Lima B Cavalcanti C,Ferraz EM

    更新日期:2010-10-01 00:00:00

  • Detection and initial management of complicated skin and soft tissue infections caused by methicillin-resistant Staphylococcus aureus.

    abstract:BACKGROUND:Accurate diagnosis and initial management of skin and soft tissue infections (SSTIs) are essential to providing adequate care to patients. Methicillin-resistant Staphylococcus aureus (MRSA) is one of the leading causes of SSTIs, and surgeons and other healthcare providers should assess these infections caref...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2008.064.supp

    authors: Sawyer RG

    更新日期:2008-01-01 00:00:00

  • Use of Gentamicin as Empiric Coverage for Ventilator-Associated Pneumonia: The "Con" Perspective.

    abstract:BACKGROUND:Gentamicin is used commonly as an empiric antibiotic prior to culture evidence in the treatment of ventilator-associated pneumonia (VAP) in surgical patients. METHODS:The published literature on the use of gentamicin for empiric therapy in VAP was reviewed and in combination with the author's personal exper...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2015.278

    authors: Byrnes M,Dorman R

    更新日期:2016-06-01 00:00:00

  • Intravenous immunoglobulin-induced neutrophil apoptosis in the lung during murine endotoxemia.

    abstract:BACKGROUND:The pathophysiologic features of acute respiratory distress syndrome (ARDS) are attributed to neutrophil accumulation and over-activation. Low blood immunoglobulin G concentrations in septic shock patients are associated with higher risk of developing ARDS. This study showed the effects of intravenous immuno...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2012.227

    authors: Aoyama-Ishikawa M,Seishu A,Kawakami S,Maeshige N,Miyoshi M,Ueda T,Usami M,Nakao A,Kotani J

    更新日期:2014-02-01 00:00:00

  • Evaluation of Tigecycline Efficacy and Post-Discharge Outcomes in a Clinical Practice Population with Complicated Intra-Abdominal Infection: A Propensity Score-Matched Analysis.

    abstract:BACKGROUND:The utility of tigecycline as compared with other antibiotic therapies in the treatment of patients with complicated intra-abdominal infection (cIAI) and the short- and long-term outcomes of a large cohort of severely ill patients were examined. We provide the first published data on post-discharge events fo...

    journal_title:Surgical infections

    pub_type: 杂志文章,多中心研究

    doi:10.1089/sur.2015.075

    authors: Solomkin J,Mullins CD,Quintana A,Eckmann C,Shelbaya A,Ernst FR,Krukas MR,Reisman A

    更新日期:2016-08-01 00:00:00

  • Neonatal osteomyelitis and complex nephro-ureteral duplication.

    abstract:OBJECTIVE:This report presents a case of femoral osteomyelitis secondary to urinary tract infection in a female neonate with bilateral urinary duplication and right ectopic ureterocele. METHODS:A female neonate with a history of late perinatal sepsis presented to the emergency department and was found to have left dis...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2009.075

    authors: de Jesus LE,Fernandes A,Sias SM,de Mello CM,de Carvalho AM,Junior NC

    更新日期:2011-02-01 00:00:00

  • Nosocomial infections adversely affect the outcomes of patients with serious intraabdominal infections.

    abstract:BACKGROUND:Patients with serious intraabdominal infections (IAI) who subsequently acquire nosocomial infections (NI) have been shown to have adverse outcomes. We evaluated factors that put patients at risk for developing NI and examined the effect of the NI on outcomes. METHODS:This study was a retrospective review of...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/109629604773860273

    authors: Merlino JI,Yowler CJ,Malangoni MA

    更新日期:2004-04-01 00:00:00

  • Validation and Performance Comparison of Two Scoring Systems Created Specifically to Predict the Risk of Deep Sternal Wound Infection after Bilateral Internal Thoracic Artery Grafting.

    abstract:: Background: The Gatti and the bilateral internal mammary artery (BIMA) scores were created to predict the risk of deep sternal wound infection (DSWI) after bilateral internal thoracic artery (BITA) grafting. Methods: Both score...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2019.252

    authors: Gatti G,Pappalardo A,Chocron S,Biondi F,Porcari A,Ceschia A,Luzzati R,Ecarnot F,Perrotti A

    更新日期:2020-06-01 00:00:00

  • Disseminated Nocardia farcinica: literature review and fatal outcome in an immunocompetent patient.

    abstract:BACKGROUND:Nocardia farcinica is a gram-positive, partially acid-fast, methenamine silver-positive aerobic actinomycete. Nocardia spp. are opportunistic pathogens, and N. farcinica is the least common species of clinical importance. METHODS:Review of the recent literature and description of a immunocompetent patient w...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2011.012

    authors: Budzik JM,Hosseini M,Mackinnon AC Jr,Taxy JB

    更新日期:2012-06-01 00:00:00

  • Efficacy of (99m)Tc-Labeled Ceftizoxime in the Diagnosis of Subclinical Infections Associated with Titanium Implants in Rats.

    abstract:BACKGROUND:Metal implants are used frequently in orthopedic procedures and the occurrence of subclinical low-virulence infection is difficult to diagnose. The objective of this study was to examine the hypothesis that peri-prosthetic subclinical infections may be diagnosed effectively in a murine model system using sci...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2014.186

    authors: Teixeira LE,Soares GG,Teixeira HC,Takenaka IK,Diniz SO,de Andrade MA,Cardoso VN,de Araújo ID

    更新日期:2015-06-01 00:00:00

  • Influence of bronchoscopy on the diagnosis of and outcomes from ventilator-associated pneumonia.

    abstract:BACKGROUND:Ventilator-associated pneumonia (VAP) is a common healthcare-associated infection affecting as many as 27% of mechanically ventilated patients. Ventilator-associated pneumonia is an important source of morbidity and mortality in the surgical intensive care unit (SICU). The optimal diagnostic method for VAP h...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2013.142

    authors: Guidry CA,Mallicote MU,Petroze RT,Hranjec T,Rosenberger LH,Davies SW,Sawyer RG

    更新日期:2014-10-01 00:00:00

  • Awareness of Practice and Comparison with Best Evidence in Surgical Site Infection Prevention in Colorectal Surgery.

    abstract:: Background: The use of mechanical bowel preparation and prophylaxis with oral antimicrobial agents can prevent surgical site infection (SSI) in colorectal surgical procedures, but routine adoption of these and other practices by surgeons has been limited. The aim of this s...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2019.203

    authors: Badia JM,Casey AL,Rubio-Pérez I,Arroyo-García N,Espin E,Biondo S,Balibrea JM

    更新日期:2020-04-01 00:00:00

  • Rapid adaptation of antibiotic therapy for community-acquired peritonitis using direct cultures on antibiotic agar plates: pilot study.

    abstract:BACKGROUND:Treatment of peritonitis requires prompt surgery and antibiotic therapy. It usually takes two or three days to obtain definitive results of peritoneal cultures and to adapt empirical antibiotic therapy. We assessed the potential time gain associated with direct culture of peritoneal samples on antibiotic aga...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2008.095

    authors: Lasocki S,Skurnik D,Muller-Serieys C,Bronchard R,Marcel C,Marmuse JP,Montravers P,Andremont A

    更新日期:2009-08-01 00:00:00

  • Direct demonstration of bacterial biofilms on prosthetic mesh after ventral herniorrhaphy.

    abstract:BACKGROUND:Prosthetic mesh is employed routinely in the treatment of ventral and parastomal hernias, but its use can lead to major complications, including infection, extrusion, and fistula. Bacterial biofilms have been posited to play a role in mesh-related infection, but although bacteria have been noted to form biof...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2014.026

    authors: Kathju S,Nistico L,Melton-Kreft R,Lasko LA,Stoodley P

    更新日期:2015-02-01 00:00:00

  • Treatment of severe sepsis secondary to mycobacterium avium-intracellulare with recombinant human activated protein C.

    abstract:BACKGROUND:Mycobacterium avium-intracellulare (MAI) is a well-described pathogen in patients with acquired immune deficiency syndrome (AIDS). However, peritonitis and severe sepsis as a complication of disseminated MAI is rare. We report a case that represents the first successful use of recombinant human activated pro...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2007.050

    authors: Ullery B,Pieracci FM,Hydo LJ,Eachempati SR,Barie PS

    更新日期:2008-06-01 00:00:00

  • Evaluation of a Short Course of Antimicrobial Therapy for Complicated Intra-Abdominal Infections in Critically Ill Surgical Patients.

    abstract:BACKGROUND:The optimal duration of antimicrobial therapy for treatment of complicated intra-abdominal infections (cIAI) in critically ill surgical patients is unknown. Recent evidence suggests that a short (four-day) course of therapy may be effective, however data in severely critically ill patients are limited. PATI...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2017.011

    authors: Smith SE,Rumbaugh KA,May AK

    更新日期:2017-08-01 00:00:00

  • The role of beta-lactam antimicrobials as single agents in treatment of intra-abdominal infection.

    abstract::Broad-spectrum beta-lactam antibiotics have several advantages in the treatment of intra-abdominal infections. These agents are effective against gram-negative rods and anaerobes, reach therapeutic levels rapidly after parenteral administration, and, in the absence of penicillin allergy, generally exhibit low toxicity...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/109629600321308

    authors: Powell LL,Wilson SE

    更新日期:2000-01-01 00:00:00