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Effect of desquamation of facial skin during surgery
W R Hodge1, M Trepal, W H Woolf
1Department of Microbiology, New York College of Podiatric Medicine, NY 10035.
Abstract:
Aseptic control of organisms in the operating arena has long been a major goal of surgeons. The purpose of this study was to assess the facial skin flora of operating room personnel and its relationship to contamination adjacent to the surgical site. The authors found that, in spite of all attempts at aseptic control, operating room personnel have numerous organisms on the exposed facial areas, and the same organisms appear on the operating room table adjacent to the surgical site of about one in five patients.
Insights
Operating room personnel carry facial skin flora that can contaminate surgical sites. Despite aseptic measures, about 20% of patients experience contamination from personnel
Area of Science:
- Microbiology
- Surgical Infection Prevention
Background:
- Maintaining aseptic conditions in operating rooms is crucial for preventing surgical site infections.
- Facial skin flora of operating room personnel represents a potential source of microbial contamination.
Purpose of the Study:
- To investigate the prevalence of facial skin microorganisms among operating room staff.
- To determine the association between facial skin flora and microbial contamination near the surgical site.
Main Methods:
- Sampling of facial skin flora from operating room personnel.
- Microbial analysis to identify organisms present.
- Comparison of identified flora with environmental samples from the surgical area.
Main Results:
- Operating room personnel harbor significant populations of microorganisms on exposed facial skin.
- Identical organisms found on personnel's faces were detected on the operating room table adjacent to the surgical site in approximately 20% of cases.
Conclusions:
- Facial skin flora of operating room personnel can contribute to surgical site contamination.
- Enhanced strategies for aseptic control targeting personnel's exposed areas may be necessary to reduce infection risk.
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