The relative importance of routes and sources of wound contamination during general surgery. I. Non-airborne.
A study was undertaken to determine the relative importance of some sources, routes of transmission, and measures to prevent bacteria entering the wound during biliary tract surgery. When bacteria were growing in the bile they accounted for the majority (greater than 99%) of the bacteria found in the wound. However, when the bile was sterile the skin bacteria at the incision site were found to make a substantial contribution to the wound flora. The difference in the total wound contamination between a patient who had practically no skin bacteria and one who had an average amount was in the region of 17-fold. No transfer of skin bacteria from the surgical team through perforated gloves or by direct contact from the surface of operating gowns was demonstrated. Ten of the patients studied had septic wounds. Five of these were infected by bacteria from the bile.
Whyte
W
W
Building Services Research Unit, University of Glasgow, Scotland.
Hambraeus
A
A
Laurell
G
G
Hoborn
J
J
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000635:transmission*; D001646:Bile / Q000382:microbiology; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000601:surgery; D003020:Clothing; D015169:Colony Count, Microbial; D004866:Equipment Contamination; D005932:Gloves, Surgical; D006801:Humans; D009873:Operating Rooms / Q000706:statistics & numerical data*; D011677:Punctures; D012867:Skin / Q000382:microbiology; D013530:Surgical Wound Infection / Q000382:microbiology* / Q000517:prevention & control; D013548:Sweden
D000900:Anti-Bacterial Agents