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Influence of staff number and internal constellation on surgical site infection in an operating room

查看全文 作  者:Sasan [1]Sadrizadeh;Ann [2]Tammelin;Peter [3]Ekolind;Sture [1]Holmberg 高影响力作者 机构地区:[1]Division of Fluid and Climate Technology,School of Architecture ang the Built Environment,KTH Royal Institute of Technology,Stockholm,Sweden;[2]Department of Medicine,Solna(MedS),Unit of Infectious Diseases,Karolinska Institutet,Stockholm,Sweden;[3]CEO,Avidicare AB,Lund,Sweden高影响力机构 出  处:《Particuology》索引2014年第12卷第2期,共10页高影响力期刊 摘  要:Prediction of bacteria-carrying particle(BCP) dispersion and particle distribution released from staff members in an operating room(OR) is very important for creating and sustaining a safe indoor environment.Postoperative wound infections cause significant morbidity and mortality, and contribute to increased hospitalization time. Increasing the number of personnel within the OR disrupts the ventilation airflow pattern and causes enhanced contamination risk in the area of an open wound. Whether the amount of staff within the OR influences the BCP distribution in the surgical zone has rarely been investigated. This study was conducted to explore the influence of the number of personnel in the OR on the airflow field and the BCP distribution. This was performed by applying a numerical calculation to map the airflow field and Lagrangian particle tracking(LPT) for the BCP phase. The results are reported both for active sampling and passive monitoring approaches. Not surprisingly, a growing trend in the BCP concentration(cfu/m3) was observed as the amount of staff in the OR increased. Passive sampling shows unpredictable results due to the sedimentation rate, especially for small particles(5-10(Jim). Risk factors for surgical site infections(SSIs) must be well understood to develop more effective prevention programs. 关 键 词:伤口感染 手术部位 手术室 星座 员工 粒子追踪 被动采样 BCP
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