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Operating room hygiene: Clinical practice recommendations
D Moszkowicz1, C Hobeika2, M Collard3
1Service 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.
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.
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