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Actual Indoor Air Cleanliness for Surgical Site Infections during Thoracotomies and Endoscopic Surgeries

U Yanagi, Shinsuke Kato, Akane Odagiri

Previous studies based on simulations and mock-up experiments have reported the concentrations of fine particles and bacteria in ORs. However, the generation characteristics of fine particles and bacteria during actual surgery and their concentrations in ORs are not known. We identified the generation characteristics of airborne particles and bacteria in a Class 6 CR during endoscopic procedures and thoracotomies, and we report that the indoor airborne particulate concentration greatly exceeds the maximum allowable concentration established by the ISO 14644-1 standard. The findings strongly suggest how important it is to inhibit the development of pathogens for controlling SSIs during surgery.