Operating room hygiene: Clinical practice recommendations

D Moszkowicz; C Hobeika; M Collard; M Bruzzi; N Beghdadi; J Catry; E Duchalais; G Manceau; T Voron; Z Lakkis; M-A Allard; F Cauchy; L Maggiori; Société Française de Chirurgie Digestive, Association de Chirurgie Hépato-Bilio-Pancréatique et Transplantation

doi:10.1016/j.jviscsurg.2019.07.010

Operating room hygiene: Clinical practice recommendations

J Visc Surg. 2019 Oct;156(5):413-422. doi: 10.1016/j.jviscsurg.2019.07.010. Epub 2019 Aug 23.

Affiliations

¹ Service de chirurgie digestive, oncologique et métabolique, université Versailles Saint-Quentin en Yvelines, hôpital Ambroise-Paré, Assistance publique-hôpitaux de Paris (AP-HP), 92100 Boulogne-Billancourt, France.
² Service de chirurgie digestive, hépato-bilio-pancréatique et transplantation, université Paris 6, hôpital Pitié-Salpétrière, Assistance publique-hôpitaux de Paris (AP-HP), 75013 Paris, France.
³ Service de chirurgie hépato-bilio-pancréatique et transplantation hépatique, université Paris 7, hôpital Beaujon, Assistance publique-hôpitaux de Paris (AP-HP), 92110 Clichy, France.
⁴ Service de chirurgie digestive, université Paris 5, hôpital européen Georges Pompidou, Assistance publique-hôpitaux de Paris (AP-HP), 75015 Paris, France.
⁵ Centre hépatobiliaire, université Paris 11, hôpital Paul Brousse, Assistance publique-hôpitaux de Paris (AP-HP), 94800 Villejuif, France.
⁶ Service de chirurgie générale, digestive et endocrinienne, université Paris 7, hôpital Saint-Louis, Assistance publique-hôpitaux de Paris (AP-HP), 75010 Paris, France.
⁷ Service de chirurgie digestive et endocrinienne, université de Nantes, CHU de Nantes, 44093 Nantes, France.
⁸ Service de chirurgie générale et digestive, université Paris 6, hôpital Saint-Antoine, Assistance publique-hôpitaux de Paris (AP-HP), 75012 Paris, France.
⁹ Service de chirurgie viscérale, digestive et cancérologique, université de Franche-Comté, CHRU de Besançon, 25000 Besançon, France.
¹⁰ Service de chirurgie colorectale, pôle des maladies de l'appareil digestif, université Paris VII (Denis Diderot), hôpital Beaujon, Assistance publique-hôpitaux de Paris (AP-HP), 100, boulevard du Général Leclerc, 92110 Clichy, France. Electronic address: leon.maggiori@aphp.fr.

PMID: 31451412
DOI: 10.1016/j.jviscsurg.2019.07.010

Abstract

Introduction: The French Society of Gastro-Intestinal Surgery (SociétéFrançaisedeChirurgieDigestive) and the Association of hepato-bilio-pancreatic and transplantation surgery (AssociationdeChirurgieHépato-Bilio-PancréatiqueetTransplantation) requested that clinical practice recommendations be established with regard to operating room hygiene.

Methods: The literature was analyzed according to the High Authority of Health (HauteAutoritédesanté [HAS]) methodology and after consultation of the Cochrane and Medline databases. Pertinent references were selected, and supplementary references were hand-picked from the reference lists. Only English or French language papers were retained. The recommendations of learned societies and the World Health Organization were also considered.

Results: Recommendations were proposed with regard to pre-operative patient preparation, skin preparation, draping, wound edge protectors, surgeon hygiene, wound closure, and operating room environment.

Conclusion: These clinical practice recommendations should guide and improve the daily practice of gastro-intestinal surgeons.

Keywords: Associationdechirurgiehépato-bilio-pancréatiqueettransplantation; Clinical practice recommendations; Operating room hygiene; Sociétéfrançaisedechirurgiedigestive.

Publication types

Practice Guideline

MeSH terms

Humans
Hygiene / standards*
Infection Control / methods
Infection Control / standards*
Operating Rooms / standards*
Perioperative Care / methods
Perioperative Care / standards*