Surgical Attire – A Matter of Preference or Evidence?
Keywords:
surgical attire, surgical site infection, patient safety, evidence-based practiceAbstract
Surgical attire can be an emotional and controversial topic among health care providers. The reality, however, is that exposing perioperative patients to the skin and hair of the perioperative team members may be putting patients at risk for a surgical site infection.
References
Centers for Disease Control and
Prevention. Surgical Site Infection
Event. [Internet]. 2012 [cited 30
March 2015]. Available from:
http://www.cdc.gov/nhsn/PDFs/psc
Manual/9pscSSIcurrent.
Noble W, Habbema J, Van Furth R,
Smith I, De Raay C. Quantitative
studies on the dispersal of skin
bacteria into the air. Journal of
Medical Microbiology. 1976;9(1):53-61.
Spruce L, Van Wicklin S, Conner R.
Guideline for surgical attire. Guidelines
for perioperative practice. Denver,
CO: Association of perioperative
Registered Nurses; 2015.
Tammelin A, Domicel P, Hambraus A, Stayhle E.
Dispersal of methicillin-resistant Staphylococcus
epidermidis by staff in an operating suite for thoracic and
cardiovascular surgery: relation to skin carriage and
clothing. Journal of Hospital Infection. 2000;44(2):119-
Mariscal A, Lopez-Gigosos R, Carnero-Varo M,
Fernandez-Crehuet J. Antimicrobial effect of medical
textiles containing bioactive fibres. Eur J Clin Microbiol
Infect Dis. 2010;30(2):227-232.
Noble W. Dispersal of skin microorganisms*. Br J
Dermatol. 1975;93(4):477-485.
Ibrahimi O, Sharon V, Eisen D. Surgical-Site Infections
and Routes of Bacterial Transfer: Which Ones Are Most
Plausible?. Dermatologic Surgery. 2011;37(12):1709-
Bearman G, Bryant K, Leekha S, Mayer J, Munoz-Price L,
Murthy R et al. Healthcare Personnel Attire in Non-
Operating-Room Settings. Infection Control and
Hospital Epidemiology. 2014;35(2):107-121.
Neeley A, Maley M. Survival of enterococci and
staphylococci on hospital fabrics and plastic. J Clin
Microbiol. 2000;38(2):724-726.
Neely A, Orloff M. Survival of Some Medically
Important Fungi on Hospital Fabrics and Plastics.
Journal of Clinical Microbiology. 2001;39(9):3360-
White M, Lynch P. Blood contact and exposures among
operating room personnel: A multicenter study. American
Journal of Infection Control. 1993;21(5):243-248.
Datta P, Rani H, Chander J, Gupta V. Bacterial
contamination of mobile phones of health care workers.
Indian J Med Microbiol. 2009;27(3):279.
Mastro T, Farley T, Elliott J, Facklam R, Perks J, Hadler
J et al. An Outbreak of Surgical-Wound Infections Due
to Group A Streptococcus Carried on the Scalp. New
England Journal of Medicine. 1990;323(14):968-972.
Owers K, James E, Bannister G. Source of bacterial
shedding in laminar flow theatres. Journal of Hospital
Infection. 2004;58(3):230-232.
Wright S, Gerry J, Busowski M, Klochko A, McNulty S,
Brown S et al. Gordonia bronchialis Sternal Wound
Infection in 3 Patients following Open Heart Surgery:
Intraoperative Transmission from a Healthcare Worker.
Infection Control and Hospital Epidemiology.
;33(12):1238-1241.
