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Archives of Orthopaedic and Trauma Surgery

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Open Access 01-06-2017 | Orthopaedic Surgery

The extent of environmental and body contamination through aerosols by hydro-surgical debridement in the lumbar spine

Authors: David Putzer, Ricarda Lechner, Debora Coraca-Huber, Astrid Mayr, Michael Nogler, Martin Thaler

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 6/2017

Abstract

Introduction

Surgical site infections occur in 1–6% of spinal surgeries. Effective treatment includes early diagnosis, parenteral antibiotics and early surgical debridement of the wound surface.

Materials and methods

On a human cadaver, we executed a complete hydro-surgery debridement including a full surgical setup such as draping. The irrigation fluid was artificially contaminated with Staphylococcus aureus (ATCC 6538). Surveillance cultures were used to detect environmental and body contamination of the surgical team.

Results

For both test setups, environmental contamination was observed in an area of 6 × 8 m. Both test setups caused contamination of all personnel present during the procedure and of the whole operating theatre. However, the concentration of contamination for the surgical staff and the environment was lower when an additional disposable draping device was used.

Conclusions

The study showed that during hydro-surgery debridement, contaminated aerosols spread over the whole surgical room and contaminate the theatre and all personnel.

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Title: The extent of environmental and body contamination through aerosols by hydro-surgical debridement in the lumbar spine
Authors: David Putzer
Ricarda Lechner
Debora Coraca-Huber
Astrid Mayr
Michael Nogler
Martin Thaler
Publication date: 01-06-2017
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 6/2017
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-017-2668-0

At a glance: The STEP trials

Springer Medicine

The extent of environmental and body contamination through aerosols by hydro-surgical debridement in the lumbar spine

Abstract

Introduction

Materials and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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