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Contamination of an operating theatre by Gram-negative bacteria. Examination of water supplies, cleaning methods and wound infections

Published online by Cambridge University Press:  15 May 2009

Mair E. M. Thomas ,
Elizabeth Piper  and
Isobel M. Maurer
Mair E. M. Thomas
Affiliation:
Central Public Health Laboratory, Colindale Avenue, London NW9 5HT
Elizabeth Piper
Affiliation:
Central Public Health Laboratory, Colindale Avenue, London NW9 5HT
Isobel M. Maurer
Affiliation:
Central Public Health Laboratory, Colindale Avenue, London NW9 5HT
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Summary

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This paper describes a search for Gram-negative bacteria in an operating theatre and the steps taken to reduce the level of environmental contamination.

A high rate of infection in clean wounds prompted a bacteriological survey. Potential sources of infection found, and the measures employed are described in the hope that others may be encouraged to examine familiar equipment critically and to improve hygiene even in old premises.

The choice, design, use and care of cleaning and sterilizing equipment were open to criticism. In particular, a currently popular floor-scrubbing machine provided a breeding ground for Pseudomonas aeruginosa and was distributing it in the theatre environment.

Type
Research Article
Information
Journal of Hygiene , Volume 70 , Issue 1 , March 1972 , pp. 63 - 73
Copyright
Copyright © Cambridge University Press 1972

References

REFERENCES

Ayliffe, G. A. J., Brightwell, K. M., Collins, B. J. & Lowbury, E. J. L. (1969). Varieties of aseptic practice in hospital wards. Lancet ii, 1117.CrossRefGoogle Scholar
Collins, B. J. & Deverill, C. E. A. (1971). Survival of bacteria in antiseptic skin preparations. Pharmaceutical Journal 206, 369.Google Scholar
Department of Health (1969). Hospital Equipment Information, No. 28. 24/69. Boiling water sterilisers.Google Scholar
Jellard, C. H. & Churcher, G. M. (1967). An outbreak of Pseudomonas aeruginosa infection in a Premature Baby Unit, with observations on the intestinal carriage of Pseudomonas aeruginosa in the newborn. Journal of Hygiene 65, 219.CrossRefGoogle Scholar
Johnstone, F. R. C. (1970). Infection on a surgical service. American Journal of Surgery 120, 192.CrossRefGoogle ScholarPubMed
Kelsey, J. C. & Beeby, Melanie M. (1964). Sterile water for operating theatres. Lancet ii, 82.CrossRefGoogle Scholar
Kohn, J. (1966). In Research on Burns. Transactions of the 2nd International Congress, p. 486. Ed. Wallace, A. B. & Wilkinson, A. W.. Edinburgh and London.Google Scholar
Kohn, J. (1967). Pseudomonas infection in hospital. British Medical Journal iv, 548.CrossRefGoogle Scholar
Lowbury, E. J. L., Thom, B. T., Lilly, H. A., Babb, J. R. & Whittall, K. (1970). Sources of infection with Pseudomonas aeruginosa in patients with tracheostomy. Journal of Medical Microbiology 3, 39.CrossRefGoogle ScholarPubMed
Maurer, Isobel M. (1969). A test for stability and long term effectiveness in disinfectants. Pharmaceutical Journal 203, 529.Google Scholar
McEwin, R. (1970). The relations between pro-operative stay in hospital and post-operative infection. Australian and New Zealand Journal of Surgery 40, 191.CrossRefGoogle Scholar
Medical Research Council Working Party (1959). Sterilisation by steam under increased pressure. Lancet i, 425.Google Scholar
Ministry of Health, 1968, HMSO. London. Hospital Technical Memorandum. Pressure Steam Sterilisers, No. 10.Google Scholar
Peterborough Public Health Laboratory (1971). Outbreak of Pseudomonas aeruginosa infection in a genitourinary ward. Public Health Laboratory Service. Communicable Disease Report 23, 5.Google Scholar
Powell, D. E. B. & Rogers, W. N. (1971). An outbreak due to Salmonella panama in a premature baby unit. Public Health Laboratory Service. Communicable Disease Report 6, 2.Google Scholar
Public Health Laboratory Service Report (1960). Incidence of surgical wound infection in England and Wales. Lancet ii, 659.Google Scholar
Wormald, P. J. (1970). The effect of a changed environment on bacterial colonization rates in an established burns centre. Journal of Hygiene 68, 633.Google Scholar