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Current Status and Factors Associated with Clean Operating Rooms: A Survey of Hospitals in China
BACKGROUND: Indoor air quality is controlled in the clean operating room (OR) to reduce the risk of surgical-site infections (SSIs). The aim of this study is to assess the usage and management of clean ORs in China and to identify factors associated with the risk of SSIs. METHODS: An online survey w...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391144/ https://www.ncbi.nlm.nih.gov/pubmed/35991295 http://dx.doi.org/10.1155/2022/8749785 |
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author | Lu, Ye Cai, Ran Xie, Zhongyi Gao, Xiaodong Huang, Xiaoqiang Xu, Ji Li, Ye Hu, Guoqing |
author_facet | Lu, Ye Cai, Ran Xie, Zhongyi Gao, Xiaodong Huang, Xiaoqiang Xu, Ji Li, Ye Hu, Guoqing |
author_sort | Lu, Ye |
collection | PubMed |
description | BACKGROUND: Indoor air quality is controlled in the clean operating room (OR) to reduce the risk of surgical-site infections (SSIs). The aim of this study is to assess the usage and management of clean ORs in China and to identify factors associated with the risk of SSIs. METHODS: An online survey was distributed to hospitals in China from August 5 to September 5, 2018 via the WeChat account of the Shanghai International Forum for Infection Control and Prevention. The questionnaire consisted of two parts: basic information (hospital type, level, and number of beds) and usage and management (number of ORs, usage time, maintenance mode, test frequency, compliance with current standards, and comfort of healthcare workers). The significance of factors associated with the cleanliness and maintenance of clean ORs was assessed by univariate and multivariate logistic regression analyses. RESULTS: Among 1,308 responding hospitals, 25.7% failed to comply with current standards. “Maintenance mode” had a significant effect on compliance with current standards for clean ORs (p < 0.0001) and “professional” maintenance was superior to “outsource or no” maintenance (odds ratio = 0.511, 95% confidence interval = 0.367–0.711). There was a significant difference in the comfort of healthcare workers in clean ORs that complied with current standards vs. those that did not (39.92% [388/972] vs. 64.28% [216/336], respectively, p < 0.0001). Humidity was the chief complaint among healthcare workers. CONCLUSION: Maintenance of clean ORs was significantly associated with the compliance of current standards. Noncompliance with current standards was associated with greater risks of SSIs. Maintenance of ORs for prevention of SSIs should consider the costs and benefits. |
format | Online Article Text |
id | pubmed-9391144 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-93911442022-08-20 Current Status and Factors Associated with Clean Operating Rooms: A Survey of Hospitals in China Lu, Ye Cai, Ran Xie, Zhongyi Gao, Xiaodong Huang, Xiaoqiang Xu, Ji Li, Ye Hu, Guoqing J Healthc Eng Research Article BACKGROUND: Indoor air quality is controlled in the clean operating room (OR) to reduce the risk of surgical-site infections (SSIs). The aim of this study is to assess the usage and management of clean ORs in China and to identify factors associated with the risk of SSIs. METHODS: An online survey was distributed to hospitals in China from August 5 to September 5, 2018 via the WeChat account of the Shanghai International Forum for Infection Control and Prevention. The questionnaire consisted of two parts: basic information (hospital type, level, and number of beds) and usage and management (number of ORs, usage time, maintenance mode, test frequency, compliance with current standards, and comfort of healthcare workers). The significance of factors associated with the cleanliness and maintenance of clean ORs was assessed by univariate and multivariate logistic regression analyses. RESULTS: Among 1,308 responding hospitals, 25.7% failed to comply with current standards. “Maintenance mode” had a significant effect on compliance with current standards for clean ORs (p < 0.0001) and “professional” maintenance was superior to “outsource or no” maintenance (odds ratio = 0.511, 95% confidence interval = 0.367–0.711). There was a significant difference in the comfort of healthcare workers in clean ORs that complied with current standards vs. those that did not (39.92% [388/972] vs. 64.28% [216/336], respectively, p < 0.0001). Humidity was the chief complaint among healthcare workers. CONCLUSION: Maintenance of clean ORs was significantly associated with the compliance of current standards. Noncompliance with current standards was associated with greater risks of SSIs. Maintenance of ORs for prevention of SSIs should consider the costs and benefits. Hindawi 2022-08-12 /pmc/articles/PMC9391144/ /pubmed/35991295 http://dx.doi.org/10.1155/2022/8749785 Text en Copyright © 2022 Ye Lu et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Lu, Ye Cai, Ran Xie, Zhongyi Gao, Xiaodong Huang, Xiaoqiang Xu, Ji Li, Ye Hu, Guoqing Current Status and Factors Associated with Clean Operating Rooms: A Survey of Hospitals in China |
title | Current Status and Factors Associated with Clean Operating Rooms: A Survey of Hospitals in China |
title_full | Current Status and Factors Associated with Clean Operating Rooms: A Survey of Hospitals in China |
title_fullStr | Current Status and Factors Associated with Clean Operating Rooms: A Survey of Hospitals in China |
title_full_unstemmed | Current Status and Factors Associated with Clean Operating Rooms: A Survey of Hospitals in China |
title_short | Current Status and Factors Associated with Clean Operating Rooms: A Survey of Hospitals in China |
title_sort | current status and factors associated with clean operating rooms: a survey of hospitals in china |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391144/ https://www.ncbi.nlm.nih.gov/pubmed/35991295 http://dx.doi.org/10.1155/2022/8749785 |
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