Suzuki Toshiyasu
Department of Anesthesiology, School of Medicine, Tokai University, Isehara 259-1193.
Masui. 2010 May;59(5):556-63.
With regard to recent findings in the cleanliness of the operating room, concerning handwashing and performing operations, the traditional method of excessive scrubbing using a brush is not effective, and handwashing using only an alcohol-containing antiseptic hand rub (rubbing method) has become common practice. Use of a brush has already been abolished in some medical institutions. In addition, sterilized water used for handwashing when performing operations has no scientific basis and use of tap water is considered sufficient. Furthermore, the concept of operating room zoning has also undergone a dramatic change. It was discovered that a layout focusing on work efficiency is more desirable than the one that follows an excessively rigid zoning pattern. One-footwear System not requiring change of shoes also has various advantages in improving the efficiency of the operation room, and this is thought to become commonplace in the future.
关于手术室清洁方面近期的一些发现，涉及洗手和手术操作，传统的用刷子过度刷洗的方法效果不佳，仅使用含酒精的抗菌洗手液进行手部揉搓（揉搓法）已成为常见做法。在一些医疗机构中，使用刷子的做法已被废止。此外，手术时用于洗手的无菌水没有科学依据，使用自来水被认为就足够了。再者，手术室分区的概念也发生了巨大变化。人们发现，注重工作效率的布局比遵循过于严格分区模式的布局更可取。无需更换鞋子的单鞋系统在提高手术室效率方面也有诸多优势，并且预计这在未来会变得普遍。
