Surgical clothing systems in laminar airflow operating room: a numerical assessment

Summary: This study compared two different laminar airflow distribution strategies – horizontal and vertical – and investigated the effectiveness of both ventilation systems in terms of reducing the sedimentation and distribution of bacteria-carrying particles. Three different staff clothing systems...

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Main Authors: Sasan Sadrizadeh, Sture Holmberg
Format: Article
Language:English
Published: Elsevier 2014-11-01
Series:Journal of Infection and Public Health
Online Access:http://www.sciencedirect.com/science/article/pii/S1876034114001117
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author Sasan Sadrizadeh
Sture Holmberg
author_facet Sasan Sadrizadeh
Sture Holmberg
author_sort Sasan Sadrizadeh
collection DOAJ
description Summary: This study compared two different laminar airflow distribution strategies – horizontal and vertical – and investigated the effectiveness of both ventilation systems in terms of reducing the sedimentation and distribution of bacteria-carrying particles. Three different staff clothing systems, which resulted in source strengths of 1.5, 4 and 5 CFU/s per person, were considered. The exploration was conducted numerically using a computational fluid dynamics technique. Active and passive air sampling methods were simulated in addition to recovery tests, and the results were compared. Model validation was performed through comparisons with measurement data from the published literature. The recovery test yielded a value of 8.1 min for the horizontal ventilation scenario and 11.9 min for the vertical ventilation system. Fewer particles were captured by the slit sampler and in sedimentation areas with the horizontal ventilation system. The simulated results revealed that under identical conditions in the examined operating room, the horizontal laminar ventilation system performed better than the vertical option. The internal constellation of lamps, the surgical team and objects could have a serious effect on the movement of infectious particles and therefore on postoperative surgical site infections. Keywords: Surgical site infection, Colony-forming unit, Bacteria-carrying particle, Operating room, Active–passive air sampling, Computational fluid dynamics
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spelling doaj.art-346976c4fae541dfaa8ecf7053f387d72022-12-22T00:15:13ZengElsevierJournal of Infection and Public Health1876-03412014-11-0176508516Surgical clothing systems in laminar airflow operating room: a numerical assessmentSasan Sadrizadeh0Sture Holmberg1Corresponding author. Tel.: +46 8 790 8751; fax: +46 8 790 48 00.; Division of Fluid and Climate Technology, School of Architecture and the Built Environment, KTH Royal Institute of Technology, Stockholm, SwedenDivision of Fluid and Climate Technology, School of Architecture and the Built Environment, KTH Royal Institute of Technology, Stockholm, SwedenSummary: This study compared two different laminar airflow distribution strategies – horizontal and vertical – and investigated the effectiveness of both ventilation systems in terms of reducing the sedimentation and distribution of bacteria-carrying particles. Three different staff clothing systems, which resulted in source strengths of 1.5, 4 and 5 CFU/s per person, were considered. The exploration was conducted numerically using a computational fluid dynamics technique. Active and passive air sampling methods were simulated in addition to recovery tests, and the results were compared. Model validation was performed through comparisons with measurement data from the published literature. The recovery test yielded a value of 8.1 min for the horizontal ventilation scenario and 11.9 min for the vertical ventilation system. Fewer particles were captured by the slit sampler and in sedimentation areas with the horizontal ventilation system. The simulated results revealed that under identical conditions in the examined operating room, the horizontal laminar ventilation system performed better than the vertical option. The internal constellation of lamps, the surgical team and objects could have a serious effect on the movement of infectious particles and therefore on postoperative surgical site infections. Keywords: Surgical site infection, Colony-forming unit, Bacteria-carrying particle, Operating room, Active–passive air sampling, Computational fluid dynamicshttp://www.sciencedirect.com/science/article/pii/S1876034114001117
spellingShingle Sasan Sadrizadeh
Sture Holmberg
Surgical clothing systems in laminar airflow operating room: a numerical assessment
Journal of Infection and Public Health
title Surgical clothing systems in laminar airflow operating room: a numerical assessment
title_full Surgical clothing systems in laminar airflow operating room: a numerical assessment
title_fullStr Surgical clothing systems in laminar airflow operating room: a numerical assessment
title_full_unstemmed Surgical clothing systems in laminar airflow operating room: a numerical assessment
title_short Surgical clothing systems in laminar airflow operating room: a numerical assessment
title_sort surgical clothing systems in laminar airflow operating room a numerical assessment
url http://www.sciencedirect.com/science/article/pii/S1876034114001117
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AT stureholmberg surgicalclothingsystemsinlaminarairflowoperatingroomanumericalassessment