Humphreys H, Stacey A R, Taylor E W
Division of Microbiology and Public Health Laboratory, University Hospital, Queen's Medical Centre, Nottingham, UK.
J Hosp Infect. 1995 Aug;30(4):245-52. doi: 10.1016/0195-6701(95)90258-9.
A survey of operating theatres in Great Britain and Ireland by postal questionnaire was undertaken to determine the number of non-ventilated theatres in use, the number of designated theatres for specialist surgery and how and when bacterial sampling is conducted. Replies were received from 147 centres covering 438 operating theatre suites. Eighty-seven (59%) centres contained three or fewer suites and only 32% did not have a designated theatre for any specialist surgery. One hundred and seventy-three (40%) theatre suites were built over 20 years ago and 28 non-ventilated theatres were identified, mainly used for minor surgery (e.g. removal of 'lumps'). Four percent of plenum and 9% of ultraclean theatres are never monitored bacteriologically and settle plates are used in 72 (49%) centres. This survey suggests there is some confusion over the indications for bacteriological monitoring and what constitutes acceptable standards. The use of non-ventilated theatres, except for the most minor of procedures, is of some concern and should be phased out.
通过邮政问卷对大不列颠及爱尔兰的手术室进行了一项调查，以确定正在使用的非通风手术室数量、专科手术指定手术室数量以及细菌采样的方式和时间。收到了来自147个中心的回复，涵盖438个手术室套房。87个（59%）中心的手术室套房数量为三个或更少，只有32%没有任何专科手术的指定手术室。173个（40%）手术室套房建于20多年前，共识别出28个非通风手术室，主要用于小型手术（如切除“肿块”）。4%的全空气系统手术室和9%的超净手术室从未进行过细菌学监测，72个（49%）中心使用沉降平板。这项调查表明，在细菌学监测的指征以及可接受标准的构成方面存在一些混淆。除了最微小的手术外，非通风手术室的使用令人担忧，应该逐步淘汰。
