OPERATING THEATRE MANAGEMENT
Its advantages are:
It provides complete asepsis within 30 to 60 minutes
Cleaning with detergent or carbolic acid is not required
Formalin fumigation is not required
A shutdown of an OT for 24 hours is not required Another chemical compound which has gained importance as a non-Aldehyde compound is a multipurpose disinfectant which contains oxone (potassium peroxymonosulphate), sodium dodecylbenzenesulfonate, sulphamic acid and inorganic buffers. It is typically used for cleaning up hazardous spills, disinfecting surfaces and soaking equipment. The solution is used in many areas, including hospitals, laboratories, nursing homes, funeral homes, medical, dental and veterinary facilities, and anywhere else where control of pathogens is required. This second product has a wide spectrum of activity against viruses, some fungi, and bacteria but it is less effective against spores and fungi than some alternative disinfectants. Several other compounds are emerging in the market for safer use, however.
A breadth of considerations
Operating theatres should be built with implementation of good civil engineering standards, which encompass numerous elements.
1. Operating theatre discipline
Only people absolutely needed for an assigned task should be present in the operating theatres
People present in theatre should make minimal movements and curtail unnecessary movements in and out of theatres. This will greatly reduce bacterial count
Airborne contamination is usually affected by the type of surgery and the quality of air, which in fact depends on the rate of air exchange
All the persons, including the least cadre of employers, are partners in infection control and should be careful to comply with infection control regulations
Prompt disposal of theatre waste is a top priority. Any spillage of body fluids, including blood on the floors, is highly hazardous and prompts the rapid multiplication of nosocomial pathogens – in particular, Pseudomonas spp
2. Surveillance of operating theatre
The environment in the operating theatre is dynamic and subject to continuous change. Good infrastructures do not mean a safe environment, as people in fact make a greater impact by making the environment unsafe. The role of microbiological surveillance is crucial, and microbiologists should be aware of organisms, sites and populations as surveillance cultures should be chosen carefully to allow meaningful interpretation of results.Microbiologists should be familiar with the clinical techniques, as those normally used for culturing clinical specimens may not yield correct results when applied to environmental specimens.Sites and cultured reports should not be chosen as etiological sources in the present infections. Culturing unnecessary surface areas causes confusion and meaningful interpretation is lost.
3. Air as an infection source
Bacterial counts in operating theatres are influenced by the number of individuals present, ventilation and air flow. The results should be interpreted taking this into consideration.
Surveillance of air borne pathogens
In resource poor hospitals settle plates with blood agar are used and can detect pathogens, commensals and saprophytic bacteria. Multiple plates are kept and results are based on overall assessment rather than on a single plate study in the room. Microbiologists will clarify the acceptable counts at the different physical locations in multispecialty hospitals.