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Evaluation of Air Contamination in Orthopaedic Operating Theatres in Hospitals in Southern Italy: The IMPACT Project

Author

Listed:
  • Maria Teresa Montagna

    (Department of Biomedical Science and Human Oncology, University of Bari “Aldo Moro”, Piazza G. Cesare 11, 70124 Bari, Italy)

  • Serafina Rutigliano

    (Department of Biomedical Science and Human Oncology, University of Bari “Aldo Moro”, Piazza G. Cesare 11, 70124 Bari, Italy)

  • Paolo Trerotoli

    (Department of Biomedical Science and Human Oncology, University of Bari “Aldo Moro”, Piazza G. Cesare 11, 70124 Bari, Italy)

  • Christian Napoli

    (Department of Medical and Surgical Sciences and Translational Medicine, “Sapienza” University of Rome, 0189 Rome, Italy)

  • Francesca Apollonio

    (Department of Biomedical Science and Human Oncology, University of Bari “Aldo Moro”, Piazza G. Cesare 11, 70124 Bari, Italy)

  • Alessandro D’Amico

    (Department of Biomedical Science and Human Oncology, University of Bari “Aldo Moro”, Piazza G. Cesare 11, 70124 Bari, Italy
    Department of Civil, Building and Environmental Engineering, “Sapienza” University of Rome, 00184 Rome, Italy)

  • Osvalda De Giglio

    (Department of Biomedical Science and Human Oncology, University of Bari “Aldo Moro”, Piazza G. Cesare 11, 70124 Bari, Italy)

  • Giusy Diella

    (Department of Biomedical Science and Human Oncology, University of Bari “Aldo Moro”, Piazza G. Cesare 11, 70124 Bari, Italy)

  • Marco Lopuzzo

    (Department of Biomedical Science and Human Oncology, University of Bari “Aldo Moro”, Piazza G. Cesare 11, 70124 Bari, Italy)

  • Angelo Marzella

    (Department of Biomedical Science and Human Oncology, University of Bari “Aldo Moro”, Piazza G. Cesare 11, 70124 Bari, Italy)

  • Simona Mascipinto

    (Department of Biomedical Science and Human Oncology, University of Bari “Aldo Moro”, Piazza G. Cesare 11, 70124 Bari, Italy)

  • Chrysovalentinos Pousis

    (Department of Biomedical Science and Human Oncology, University of Bari “Aldo Moro”, Piazza G. Cesare 11, 70124 Bari, Italy)

  • Roberto Albertini

    (Department of Medicine and Surgery, University of Parma, 43125 Parma, Italy)

  • Cesira Pasquarella

    (Department of Medicine and Surgery, University of Parma, 43125 Parma, Italy)

  • Daniela D’Alessandro

    (Department of Civil, Building and Environmental Engineering, “Sapienza” University of Rome, 00184 Rome, Italy)

  • Gabriella Serio

    (Department of Biomedical Science and Human Oncology, University of Bari “Aldo Moro”, Piazza G. Cesare 11, 70124 Bari, Italy)

  • Giuseppina Caggiano

    (Department of Biomedical Science and Human Oncology, University of Bari “Aldo Moro”, Piazza G. Cesare 11, 70124 Bari, Italy)

Abstract

Postoperative infections are a concern, especially in total knee and total hip arthroplasty. We evaluated the air quality in orthopaedic operating theatres in southeastern Italy to determine the level of bacterial contamination as a risk factor for postoperative infection. Thirty-five hospitals with operating theatres focused on total knee and total hip arthroplasty participated. We sampled the air passively and actively before surgeries began for the day (at rest) and 15 min after the surgical incision ( in operation ). We evaluated bacterial counts, particle size, mixed vs turbulent airflow systems, the number of doors, number of door openings during procedures and number of people in the operating theatre. We found no bacterial contamination at rest for all sampling methods, and significantly different contamination levels at rest vs in operation . We found no association between the number of people in the surgical team and bacteria counts for both mixed and turbulent airflow systems, and low bacterial loads, even when doors were always open. Overall, the air quality sampling method and type of ventilation system did not affect air quality.

Suggested Citation

  • Maria Teresa Montagna & Serafina Rutigliano & Paolo Trerotoli & Christian Napoli & Francesca Apollonio & Alessandro D’Amico & Osvalda De Giglio & Giusy Diella & Marco Lopuzzo & Angelo Marzella & Simon, 2019. "Evaluation of Air Contamination in Orthopaedic Operating Theatres in Hospitals in Southern Italy: The IMPACT Project," IJERPH, MDPI, vol. 16(19), pages 1-11, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3581-:d:270425
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    Citations

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    Cited by:

    1. Francesco Romano & Samanta Milani & Roberto Ricci & Cesare Maria Joppolo, 2020. "Operating Theatre Ventilation Systems and Their Performance in Contamination Control: “At Rest” and “In Operation” Particle and Microbial Measurements Made in an Italian Large and Multi-Year Inspectio," IJERPH, MDPI, vol. 17(19), pages 1-16, October.
    2. Francesco Romano & Samanta Milani & Jan Gustén & Cesare Maria Joppolo, 2020. "Surgical Smoke and Airborne Microbial Contamination in Operating Theatres: Influence of Ventilation and Surgical Phases," IJERPH, MDPI, vol. 17(15), pages 1-13, July.

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