Infection Control in Operating Rooms: Sterilization and Disinfection Practices
Operating rooms are critical patient-care areas where absolute care must be taken to prevent transmission of infections. Most cases of surgical site infections are due to peri-operative exposure to pathogens. Since skin integrity is breached due to surgeries, it is imperative that the air, surfaces, and devices are pathogen-free. It is also crucial to main best practices in ORs so as to minimize the pathogen load in the air circulating in the air. This chapter describes the procedures for cleaning and decontamination in the ORs. The chapter also details the processes of sterilization for devices and instruments to be used in ORs.
KeywordsOperating room sterilization Disinfection Surgical site infections Pathogens
- 3.Ayeliff GAJ, Fraise AP, Geddes AM, Mitchell K. Control of hospital infection. 4th ed. New York: Arnold; 2000.Google Scholar
- 6.Theatre infection control policy. https://www.scribd.com/document/43981101/Theatre-Infection-Control-Policy-2005. Accessed 11 June 2018.
- 7.Association of Operating Room Nurses. Standards, recommended practices, guidelines. Denver: Association of Operating Room Nurses; 1999.Google Scholar
- 9.Spaulding EH. Chemical disinfection of medical and surgical materials. In: Lawrence C, Block SS, editors. Disinfection, sterilization, and preservation. Philadelphia: Lea & Febiger; 1968. p. 517–31.Google Scholar
- 10.Favero MS, Bond WW. Chemical disinfection of medical and surgical materials. In: Block SS, editor. Disinfection, sterilization, and preservation. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2001. p. 881–917.Google Scholar
- 11.Rutala WA, Weber DJ, The Healthcare Infection Control Practices Advisory Committee (HICPAC). Guideline for disinfection and sterilization in healthcare facilities. Atlanta: Centers for Disease Control and Prevention; 2008.Google Scholar
- 12.Guidelines for Environmental Infection Control in Health-Care Facilities. Recommendations of CDC and the healthcare infection control practices advisory committee (HICPAC). Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2003.Google Scholar
- 13.Occupational Safety and Health Administration. Occupational exposure to bloodborne pathogens; final rule. Fed Regist. 1991;56:64003–182.Google Scholar
- 14.Infection control guidelines. Communicable disease report. Canada: Laboratory Centre for Disease Control Bureau of Infectious Diseases; 1998.Google Scholar
- 15.Infection control guidelines for the prevention of transmission of infectious diseases in the health care setting. Communicable Diseases Network Australia, The National Public Health Partnership and the Australian Health, Ministers’ Advisory Council; 2004Google Scholar
- 16.Widmer AF, Frei R. Decontamination, disinfection and sterilization. In: Pealler MA, editor. The clinical microbiology laboratory in infection detection, prevention and control. Washington, DC: ASM Press; 2001.Google Scholar
- 17.Favero MS, Bond WW. Sterilization, disinfection, and antisepsis in the hospital. In: Balows A, Hausler Jr WJ, Herrmann KL, Isenberg HD, Shadomy HJ, editors. Manual of clinical microbiology. 5th ed. Washington, DC: American Society for Microbiology; 1991. p. 183–200.Google Scholar
- 18.WHO. Guidelines on prevention and control of hospital associated infections. South East Asian Region: World Health Organization; 2002.Google Scholar
- 19.FDA-cleared sterilants and high level disinfectants with general claims for processing reusable medical and dental devices. https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/ReprocessingofReusableMedicalDevices/ucm437347.htm. Accessed 11 June 2018.
- 22.Barrett T. Flash sterilization: what are the risks? In: Rutala WA, editor. Disinfection, sterilization and antisepsis: principles and practices in healthcare facilities. Washington, DC: Association for Professional in Infection Control and Epidemiology; 2001. p. 70–6.Google Scholar
- 25.STERRAD® 100 NX. Technical Information. Advanced sterilization Products, USA.Google Scholar