Clinical validation and efficacy of a temperature-controlled ventilation system (TcAF) in the OR to reduce surgical site infections

Microbiological burden of room-air in operating theatres is a known risk factor for surgical site infections. However, it is unclear how to best evaluate efficacy and efficiency under routine clinical conditions. Moreover, there still is a lack of data to assess the impact on infection rates. The ai...

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Autores principales:	Bulitta Clemens, Vasiuk Sergeii, Vasylchyshyn Yaroslav, Vasyuk Volodymyr, Guttenberger Regina, Buhl Sebastian
Formato:	article
Lenguaje:	EN
Publicado:	De Gruyter 2020
Materias:	temperature controlled airflow surgical site infection (ssi) ultraclean air operating room Medicine R
Acceso en línea:	https://doaj.org/article/48e72057b83d4a839a51d317ec984095
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spelling	oai:doaj.org-article:48e72057b83d4a839a51d317ec9840952021-12-05T14:10:42ZClinical validation and efficacy of a temperature-controlled ventilation system (TcAF) in the OR to reduce surgical site infections2364-550410.1515/cdbme-2020-3077https://doaj.org/article/48e72057b83d4a839a51d317ec9840952020-09-01T00:00:00Zhttps://doi.org/10.1515/cdbme-2020-3077https://doaj.org/toc/2364-5504Microbiological burden of room-air in operating theatres is a known risk factor for surgical site infections. However, it is unclear how to best evaluate efficacy and efficiency under routine clinical conditions. Moreover, there still is a lack of data to assess the impact on infection rates. The aim of this study was to evaluate a temperature-controlled ventilation system (TcAF) under routine clinical conditions and assess its impact on infection rates. 10 clinical installations of the TcAF system Opragon (Avidicare AB, Sweden) were assessed during live surgeries according to the Swedish SIS TS 39: 2015 standard. Furthermore, a retrospective analysis of 1,000 consecutive cases of primary total joint arthroplasty (hip, knee) before and 1000 after installation of the TcAF system was performed. Endpoints for clinical outcome were length of stay and infection rates. Our results show that requirements of the Swedish standard were met or significantly exceeded by the TcAF system reliably and robustly ensuring "ultra-clean" air in the entire operating theatre and demonstrating the capability to reduce the risk of airborne microbial transmission under routine clinical conditions. The study shows positive impact on key clinical outcome parameters in line with previous research by Charnley and Lidwell.Bulitta ClemensVasiuk SergeiiVasylchyshyn YaroslavVasyuk VolodymyrGuttenberger ReginaBuhl SebastianDe Gruyterarticletemperature controlled airflowsurgical site infection (ssi)ultraclean airoperating roomMedicineRENCurrent Directions in Biomedical Engineering, Vol 6, Iss 3, Pp 301-303 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	temperature controlled airflow surgical site infection (ssi) ultraclean air operating room Medicine R
spellingShingle	temperature controlled airflow surgical site infection (ssi) ultraclean air operating room Medicine R Bulitta Clemens Vasiuk Sergeii Vasylchyshyn Yaroslav Vasyuk Volodymyr Guttenberger Regina Buhl Sebastian Clinical validation and efficacy of a temperature-controlled ventilation system (TcAF) in the OR to reduce surgical site infections
description	Microbiological burden of room-air in operating theatres is a known risk factor for surgical site infections. However, it is unclear how to best evaluate efficacy and efficiency under routine clinical conditions. Moreover, there still is a lack of data to assess the impact on infection rates. The aim of this study was to evaluate a temperature-controlled ventilation system (TcAF) under routine clinical conditions and assess its impact on infection rates. 10 clinical installations of the TcAF system Opragon (Avidicare AB, Sweden) were assessed during live surgeries according to the Swedish SIS TS 39: 2015 standard. Furthermore, a retrospective analysis of 1,000 consecutive cases of primary total joint arthroplasty (hip, knee) before and 1000 after installation of the TcAF system was performed. Endpoints for clinical outcome were length of stay and infection rates. Our results show that requirements of the Swedish standard were met or significantly exceeded by the TcAF system reliably and robustly ensuring "ultra-clean" air in the entire operating theatre and demonstrating the capability to reduce the risk of airborne microbial transmission under routine clinical conditions. The study shows positive impact on key clinical outcome parameters in line with previous research by Charnley and Lidwell.
format	article
author	Bulitta Clemens Vasiuk Sergeii Vasylchyshyn Yaroslav Vasyuk Volodymyr Guttenberger Regina Buhl Sebastian
author_facet	Bulitta Clemens Vasiuk Sergeii Vasylchyshyn Yaroslav Vasyuk Volodymyr Guttenberger Regina Buhl Sebastian
author_sort	Bulitta Clemens
title	Clinical validation and efficacy of a temperature-controlled ventilation system (TcAF) in the OR to reduce surgical site infections
title_short	Clinical validation and efficacy of a temperature-controlled ventilation system (TcAF) in the OR to reduce surgical site infections
title_full	Clinical validation and efficacy of a temperature-controlled ventilation system (TcAF) in the OR to reduce surgical site infections
title_fullStr	Clinical validation and efficacy of a temperature-controlled ventilation system (TcAF) in the OR to reduce surgical site infections
title_full_unstemmed	Clinical validation and efficacy of a temperature-controlled ventilation system (TcAF) in the OR to reduce surgical site infections
title_sort	clinical validation and efficacy of a temperature-controlled ventilation system (tcaf) in the or to reduce surgical site infections
publisher	De Gruyter
publishDate	2020
url	https://doaj.org/article/48e72057b83d4a839a51d317ec984095
work_keys_str_mv	AT bulittaclemens clinicalvalidationandefficacyofatemperaturecontrolledventilationsystemtcafintheortoreducesurgicalsiteinfections AT vasiuksergeii clinicalvalidationandefficacyofatemperaturecontrolledventilationsystemtcafintheortoreducesurgicalsiteinfections AT vasylchyshynyaroslav clinicalvalidationandefficacyofatemperaturecontrolledventilationsystemtcafintheortoreducesurgicalsiteinfections AT vasyukvolodymyr clinicalvalidationandefficacyofatemperaturecontrolledventilationsystemtcafintheortoreducesurgicalsiteinfections AT guttenbergerregina clinicalvalidationandefficacyofatemperaturecontrolledventilationsystemtcafintheortoreducesurgicalsiteinfections AT buhlsebastian clinicalvalidationandefficacyofatemperaturecontrolledventilationsystemtcafintheortoreducesurgicalsiteinfections
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Clinical validation and efficacy of a temperature-controlled ventilation system (TcAF) in the OR to reduce surgical site infections

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