Infection Control in the Operation Room Environment in India
Abstract
Purpose: In this study the infection control practices in Guru Nanak Eye Care (GNEC) have been critically evaluated.
Methods: Guru Nanak Eye Centre is a tertiary care hospital which handles 1,94,000 patients attending the OPD in a year. An average of 10,000 surgeries were performed every year.
Given the large daily turnover rate in the OT, maintaining a clean environment is a continuous challenge for the theatre staff and the infection control team. In the paper we have tried
to analyse the work load, population, patients profile and the effectiveness of our infection control procedure over a period of one year.
Results: It was noted that the bacterial counts increased from no growth / < 1 cfu/ml/min immediately post fumigation levels to 6/25 cfu/ml/min in an average of one to one and half
months period. In the months of October, December and January there were low colony counts at an average of 5-6 cfu/ml/min. Coagulase Negative Staphylococcus, S. aureus and
Aerobic spore bearers were isolated the whole year round. In the month of February, fungus especially aspergillus was isolated.
Conclusion: It is recommended that in ophthalmic operation theaters there should be a decrease in the number of surgeries to be carried out as the patients themselves contributed
to the increased air borne bacterial count.
References
2. Nicholas RL. The Operating room. I n: Bennet JV, Brachman PS, eds. Hospital infections 4th ed Lippincott Raven, New York 1998: 421-430.
3. LoCicero Jhi, Quebbeman EJ, Nicholas RL Health hazards in the operating room: an update. Bull Am Coll Surg 1987; 72; 4-9.
4. Walter CW, Kundsin RB. The floor as a reservoir of hospital infection. Surg Gynecol Obstet 1960; 111: 1-11.
5. Haley RW et al. How frequent are outbreaks of nosocomial infection in community hospital? Infect Control 1985; 6: 233.
6. Nicholas RL. The operating room. In: Bennet JV, Brachman PS, eds. Hospital Infections 3rd ed Boston Little, Brown, 1992: 461-471.
7. Borst M. Collier C, Miller D, Operating room surveillance a new approach in reducing hip and knee prosthetic wound infections. Am J Infect Control 11986; 14: 161-166.
8. Hambraeus A. Aerobiology in the operating room – a review. J Hosp Infect 1988; 11: 68-76.
9. Kelkar A, Kelkar J, Sheikh A. How to prevent endophthalmitis in cataract surgeries. Indian Journal of Ophthalmology. 2008;58(5):403-407
