Compliance with clothing regulations and traffic flow in the operating room: a multi-centre study of staff discipline during surgical procedures

被引:14
作者
Loison, G. [1 ]
Troughton, R. [2 ]
Raymond, F. [3 ]
Lepelletier, D. [4 ]
Lucet, J-C. [5 ,6 ,7 ]
Avril, C. [3 ]
Birgand, G. [2 ,3 ]
机构
[1] Ctr Hosp Mans, Infect Control Unit, Le Mans, France
[2] Imperial Coll London, Hlth Protect Res Unit Healthcare Associated Infec, London, England
[3] Antenne Reg Lutte Infect Nosocomiales Pays Loire, Nantes, France
[4] CHU Nantes, Infect Control Unit, Nantes, France
[5] INSERM, IAME, UMR 1137, Paris, France
[6] Univ Paris Diderot, Sorbonne Paris Cite, IAME, UMR 1137, Paris, France
[7] Grp Hosp Bichat Claude Bernard, Infect Control Unit, Paris, France
关键词
Operating room; Behaviours; Surgery; Traffic flow; Surgical site infection; Discipline; Surgical attire; WOUND CONTAMINATION; PRESSURE; SURGERY; JOINT; AIR;
D O I
10.1016/j.jhin.2017.03.026
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This multi-centre study assessed operating room (OR) staff compliance with clothing regulations and traffic flow during surgical procedures. Of 1615 surgical attires audited, 56% respected the eight clothing measures. Lack of compliance was mainly due to inappropriate wearing of jewellery (26%) and head coverage (25%). In 212 procedures observed, a median of five people [interquartile range (IQR) 4-6] were present at the time of incision. The median frequency of entries to/exits from the OR was 10.6/h (IQR 6-29) (range 0-93). Reasons for entries to/exits from the OR were mainly to obtain materials required in the OR (N = 364, 44.5%). ORs with low compliance with clothing regulations tended to have higher traffic flows, although the difference was not significant (P = 0.12). (C) 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:281 / 285
页数:5
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