Fuji Kumiko, Mizuno Ju
Department of Operating Room, Kawasaki Saiwai Hospital, Kawasaki 212-0021.
Masui. 2011 Nov;60(11):1347-50.
In order to maintain air cleanliness in the operating room (OR) permanently, air exchange rate in the OR should be more than 15 times x hr(-1), the laminar air flow should be kept, and the numbers of the persons in the OR and the numbers of opening and closing OR door should be limited. High efficiency particulate air (HEPA) filter is effective in collection and removal of airborne microbes, and is used in the biological clean room. We need to design, equip, and manage the OR environment according to Guideline for Design and Operation of Hospital HVAC Systems HEAS-02-2004 established by Healthcare Engineering Association of Japan and Guideline for Prevention of Surgical Site Infection (SSI) established by the Center for Disease Control and Prevention (CDC) in the USA.
为了永久保持手术室的空气清洁，手术室的换气次数应大于15次/小时，应保持层流气流，并限制手术室中的人员数量以及手术室门的开关次数。高效空气过滤器（HEPA）对收集和去除空气中的微生物有效，用于生物洁净室。我们需要根据日本医疗工程协会制定的《医院暖通空调系统设计与运行指南HEAS-02-2004》和美国疾病控制与预防中心（CDC）制定的《手术部位感染预防指南》来设计、配备和管理手术室环境。
