Fitzgerald R H, Washington J A
Orthop Clin North Am. 1975 Oct;6(4):1105-14.
A study of the bacteriologic environment of the conventional operating rooms in the hospitals used by the Mayo Clinic orthopedic surgical section revealed several areas of potential contamination of the surgical wound. Such areas included the back table and the unsterile suction receptacle. Use of an impermeable hood with a large mask diminished contamination of the instruments and the wound originating in direct fallout from members of the surgical team. Irrigation of the operative wound with 0.1 per cent neomycin solution for brief periods was not as effective as previously thought. The level of airborne bacterial contamination in the operating room can be reduced by limiting the traffic and controlling the activity and the number of operating room personnel. Although none of these factors could be directly related to operative wound sepsis in any of our studies, their potential was obvious. They can be controlled by the methods we have described.
对梅奥诊所骨科手术科室所使用医院的传统手术室细菌学环境进行的一项研究显示，手术伤口存在几个潜在污染区域。这些区域包括后手术台和未消毒的吸引容器。使用带有大面罩的不透水罩可减少手术团队成员直接掉落物对器械和伤口造成的污染。用0.1%新霉素溶液对手术伤口进行短时间冲洗，效果不如之前认为的那样好。通过限制人员流动以及控制手术室人员的活动和数量，可以降低手术室空气中细菌污染水平。尽管在我们的任何研究中，这些因素都不能直接与手术伤口败血症相关，但它们的潜在影响是显而易见的。可以通过我们所描述的方法对其进行控制。
