Influence of surgical scrubs outside the operation theatre on post-operative infections – A systematic review
Background and Aims: Healthcare workers (HCWs), which include surgeons, anaesthesiologists, nurses, technicians, and other non-medical staff working in the operation theatre (OT), change to surgical scrubs for providing designated services. This study was intended to investigate the association of m...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-01-01
|
| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2024;volume=68;issue=3;spage=223;epage=230;aulast=Mohammed |
| _version_ | 1797246437426200576 |
|---|---|
| author | Hamed H Mohammed Al-Aamri Abhijit S Nair Khalid M Al Sawafi Issa Al Sharji Ahmed Al Jabri |
| author_facet | Hamed H Mohammed Al-Aamri Abhijit S Nair Khalid M Al Sawafi Issa Al Sharji Ahmed Al Jabri |
| author_sort | Hamed H Mohammed Al-Aamri |
| collection | DOAJ |
| description | Background and Aims: Healthcare workers (HCWs), which include surgeons, anaesthesiologists, nurses, technicians, and other non-medical staff working in the operation theatre (OT), change to surgical scrubs for providing designated services. This study was intended to investigate the association of moving in and out of OT to other hospital areas without changing scrubs and its impact on bacterial infection. Methods: After PROSPERO registration, we performed a systematic review to compare the occurrence of surgical site infections (SSIs) with or without the movement of HCWs outside OT. We searched PubMed, Scopus, and Cochrane Library using relevant keywords. RoB-2 and ROBINS-E tools were used to assess the risk of bias in randomised controlled trials (RCTs) and observational studies, respectively. Results: We identified six articles that fulfilled the inclusion criteria: three RCTs and three observational studies. A risk of bias assessment revealed an overall low bias in the RCTs and an overall high bias in the observational studies. The analysis revealed a comparable incidence of bacterial infection in terms of colony-forming units when scrubs when HCWs moved in and out of OT with the same scrubs. A meta-analysis was not performed due to heterogeneity in participants and the OT set-up, as well as fewer studies and sample size. Conclusion: The evidence is insufficient to suggest that wearing scrubs outside the OT could increase the incidence of SSI in surgical patients or transmit the organisms to patients, causing infection. The present review neither supports nor is against wearing surgical scrubs outside OT premises. |
| first_indexed | 2024-04-24T19:42:47Z |
| format | Article |
| id | doaj.art-2d4c90491d594670a84405fb612ac3e8 |
| institution | Directory Open Access Journal |
| issn | 0019-5049 0976-2817 |
| language | English |
| last_indexed | 2024-04-24T19:42:47Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-2d4c90491d594670a84405fb612ac3e82024-03-25T10:27:48ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172024-01-0168322323010.4103/ija.ija_949_23Influence of surgical scrubs outside the operation theatre on post-operative infections – A systematic reviewHamed H Mohammed Al-AamriAbhijit S NairKhalid M Al SawafiIssa Al SharjiAhmed Al JabriBackground and Aims: Healthcare workers (HCWs), which include surgeons, anaesthesiologists, nurses, technicians, and other non-medical staff working in the operation theatre (OT), change to surgical scrubs for providing designated services. This study was intended to investigate the association of moving in and out of OT to other hospital areas without changing scrubs and its impact on bacterial infection. Methods: After PROSPERO registration, we performed a systematic review to compare the occurrence of surgical site infections (SSIs) with or without the movement of HCWs outside OT. We searched PubMed, Scopus, and Cochrane Library using relevant keywords. RoB-2 and ROBINS-E tools were used to assess the risk of bias in randomised controlled trials (RCTs) and observational studies, respectively. Results: We identified six articles that fulfilled the inclusion criteria: three RCTs and three observational studies. A risk of bias assessment revealed an overall low bias in the RCTs and an overall high bias in the observational studies. The analysis revealed a comparable incidence of bacterial infection in terms of colony-forming units when scrubs when HCWs moved in and out of OT with the same scrubs. A meta-analysis was not performed due to heterogeneity in participants and the OT set-up, as well as fewer studies and sample size. Conclusion: The evidence is insufficient to suggest that wearing scrubs outside the OT could increase the incidence of SSI in surgical patients or transmit the organisms to patients, causing infection. The present review neither supports nor is against wearing surgical scrubs outside OT premises.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2024;volume=68;issue=3;spage=223;epage=230;aulast=Mohammedbacterial infectionsclothinginfection controloperating roomssurgical attiresurgical scrubsurgical site infectionssurgical wound infection |
| spellingShingle | Hamed H Mohammed Al-Aamri Abhijit S Nair Khalid M Al Sawafi Issa Al Sharji Ahmed Al Jabri Influence of surgical scrubs outside the operation theatre on post-operative infections – A systematic review Indian Journal of Anaesthesia bacterial infections clothing infection control operating rooms surgical attire surgical scrub surgical site infections surgical wound infection |
| title | Influence of surgical scrubs outside the operation theatre on post-operative infections – A systematic review |
| title_full | Influence of surgical scrubs outside the operation theatre on post-operative infections – A systematic review |
| title_fullStr | Influence of surgical scrubs outside the operation theatre on post-operative infections – A systematic review |
| title_full_unstemmed | Influence of surgical scrubs outside the operation theatre on post-operative infections – A systematic review |
| title_short | Influence of surgical scrubs outside the operation theatre on post-operative infections – A systematic review |
| title_sort | influence of surgical scrubs outside the operation theatre on post operative infections a systematic review |
| topic | bacterial infections clothing infection control operating rooms surgical attire surgical scrub surgical site infections surgical wound infection |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2024;volume=68;issue=3;spage=223;epage=230;aulast=Mohammed |
| work_keys_str_mv | AT hamedhmohammedalaamri influenceofsurgicalscrubsoutsidetheoperationtheatreonpostoperativeinfectionsasystematicreview AT abhijitsnair influenceofsurgicalscrubsoutsidetheoperationtheatreonpostoperativeinfectionsasystematicreview AT khalidmalsawafi influenceofsurgicalscrubsoutsidetheoperationtheatreonpostoperativeinfectionsasystematicreview AT issaalsharji influenceofsurgicalscrubsoutsidetheoperationtheatreonpostoperativeinfectionsasystematicreview AT ahmedaljabri influenceofsurgicalscrubsoutsidetheoperationtheatreonpostoperativeinfectionsasystematicreview |