A garment for use in the operating theatre: the effect upon bacterial shedding

In operating theatres the air is mainly contaminated with bacteria shed from the human skin. The emission of bacteria can be prevented by wearing clothing of impervious material, while normal cotton clothing does not decrease the shedding of bacteria. In this study shedding of viable bacteria from 20 test-persons wearing an operating theatre suit, composed of 65% polyester and 35% cotton (Diolen), was investigated in a test-chamber and compared with that when normal clothing was worn. The use of this operating-theatre suit resulted in a significant reduction (50--75%) in the number of bacteria-carrying particles in the air of the test-chamber and in an operating room when everyone present wore this suit. A combination of the suit with knee-high boots showed a further reduction in the dispersal of colony forming units. The dispersion from female subjects wearing an operating-theatre frock was significantly higher than when wearing an operating-theatre suit.

[1]  W. Blakemore,et al.  Infection by air-borne bacteria with cardiopulmonary bypass. , 1971, Surgery.

[2]  F. O'grady,et al.  REDUCTION OF DISSEMINATION OF SKIN BACTERIA BY MODIFICATION OF OPERATING-ROOM CLOTHING AND BY ULTRAVIOLET IRRADIATION. , 1965, Lancet.

[3]  W. Noble,et al.  Microbiology of Human Skin , 1974 .

[4]  J Charnley,et al.  Clean air symposium. I. Clean air in the operating room. , 1973, Cleveland Clinic quarterly.

[5]  J R Puleo,et al.  Comparative levels and types of microbial contamination detected in industrial clean rooms. , 1965, Applied microbiology.

[6]  J. Duguid,et al.  Air infection with dust liberated from clothing. , 1948, Lancet.

[7]  U. Ransjö,et al.  Attempts to control clothes-borne infection in a burn unit: I. Experimental investigations of some clothes for barrier nursing , 1977, Journal of Hygiene.

[8]  W. Wells,et al.  AIR-BORNE INFECTION , 1936 .

[9]  R. Blowers,et al.  Design of operating-room dress for surgeons. , 1965, The Lancet.

[10]  R. van Furth,et al.  Quantitative studies on the dispersal of skin bacteria into the air. , 1976, Journal of medical microbiology.

[11]  W. Noble,et al.  Studies on the dispersal of staphylococci , 1965, Journal of clinical pathology.

[12]  R. Blowers,et al.  Effect of clothing on dispersal of Staphylococcus aureus by males and females. , 1974, Lancet.

[13]  D. R. Gamble,et al.  Clothing design for operating-room personnel. , 1974, Lancet.

[14]  R. Holt Aerobic bacterial counts on human skin after bathing. , 1971, Journal of medical microbiology.

[15]  R. Blowers,et al.  DISPERSAL OF STAPHYLOCOCCUS AUREUS BY PATIENTS AND SURGICAL STAFF. , 1965, Lancet.

[16]  D. Vesley,et al.  Bacterial dispersion in relation to operating room clothing , 1976, Journal of Hygiene.

[17]  J. Charnley,et al.  Postoperative infection in total prosthetic replacement arthroplasty of the hip‐joint with special reference to the bacterial content of the air of the operating room , 1969, The British journal of surgery.

[18]  D. Speller,et al.  Coagulase-negative staphylococci causing endocarditis after cardiac surgery , 1973, Journal of clinical pathology.

[19]  W. Noble,et al.  Microcolony size of microbes on human skin. , 1973, Journal of medical microbiology.