By G. K. Richards, J. J. Prentis, I. Wink (auth.), Hans K. Uhthoff MD, FRCS(C), Elvira Stahl BA, FAAAS, FAMWA (eds.)
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Extra info for Current Concepts of Infections in Orthopedic Surgery
Sample text
3. Clean air system. 4. Wound irrigation. S. Surgical procedure: a) length of operation, b) wound irrigation, c) patient barrier systems, and d) temperature of the operating theatre. a) mask, b) hood, c) gown, and d) Operating Room Architecture It has been shown that the design of the operating room will have a direct effect on the efficiency of the surgical team as well as those providing diagnostic and supportive services (Laufman, 1973). Design primarily aims to prevent outside contamination and provide sufficient space for material handling and equipment.
Hexachlorophene Hexachlorophene, a bisphenol, is a slow-acting disinfectant, relatively ineffective against gram-negative microbes, especially Pseudomonas aeruginosa, but has the great advantages that it is bland, is not inactivated by soap or detergents, and has a marked cumulative action which is useful to reduce the load of microbial skin flora to a low level by repeated use for about one week. The original microbial load will be restored in about three days after it is discontinued. The slow antimicrobial action of hexachlorophene greatly reduces its value as a surgical degerming agent, even in combination with an efficient detergent, and makes it unsuitable for preoperative preparation of patients' skin.
5. : Bacteria isolated from deep joint sepsis after operation for total hip or knee replacements and the sources of infection with Staph. aureus. J. HOSp. Infect. i, 19, 1983a. 37 6. : Airborne contamination of wounds in joint replacement operations: the relationship to sepsis rates. J. Hosp. Infect. i, 111, 1983b. 7. : Infection after total hip replacement. J. Bone Joint Surg. 65B, 412, 1983. Specific Measures to Reduce Operating Room Infections R. M. LETTS Surgical Wound contamination The primary sources of surgical wound contamination are a) contact, b) endogenous, and c) airborne.