1. Operating Room Air May Harbor Pathogens: The Role of an Ultraviolet Air Filtration Unit.
- Author
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Fernández-Rodríguez D, Tarabichi S, Golankiewicz K, Zappley N, and Parvizi J
- Subjects
- Humans, Prospective Studies, Air Filters microbiology, Sterilization methods, Ventilation, Operating Rooms, Air Microbiology, Ultraviolet Rays, Surgical Wound Infection microbiology, Surgical Wound Infection prevention & control
- Abstract
Background: One important factor for the prevention of surgical site infections is ultraclean air in the operating room (OR). Still, the direct sterilization potential of most technologies, especially in a dynamic clinical setting, is not well understood. We aimed to determine and compare the microbial presence from the inlet and outlet flow of a filtration unit with crystalline ultraviolet-C (C-UVC) light., Methods: A prospective study was conducted at a single institution, where primary total joint arthroplasty and spine surgeries were performed. The OR was fitted with a positive ventilation system. In addition, a filtration unit with a C-UVC sterilizing light was placed in the OR. The inlet and outlet air flows were swabbed simultaneously and compared. Swabs were processed for culture and next-generation sequencing., Results: The mean length of the surgical procedures sampled was 68 ± 13 minutes. Overall, 19 out of 200 (9.5%) swabs isolated microorganisms. Inlet air swabs were positive at a higher rate (16 versus 3%; P < .01) compared to the outlet air swabs. A wide variety of Gram-positive, Gram-negative, and anaerobic bacteria were isolated, but fungi were only recovered from inlet air swabs. The detection of microorganisms was also higher when more door openings were performed (32.5 ± 7.1 versus 27.9 ± 5.6; P < .01)., Conclusions: Air swabs mainly isolated microorganisms from the inlet flow to the filtration unit with a C-UVC light. The sterilizing unit counteracted factors affecting the air quality in the OR, namely door openings, surgical personnel, and tissue combustion., (Copyright © 2024 Elsevier Inc. All rights reserved.)
- Published
- 2024
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