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Chapter 29 - Clinical environment

from Section 5 - Applied Basic Sciences

Published online by Cambridge University Press:  15 November 2019

Paul A. Banaszkiewicz
Affiliation:
Queen Elizabeth Hospital, Gateshead
Deiary F. Kader
Affiliation:
Queen Elizabeth Hospital, Gateshead
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Summary

Sterilization is the process that destroys all forms of microbial life and is carried out in healthcare facilities by either chemical or physical methods. Disinfection, however, is a process that eliminates all pathogenic microorganisms, except bacterial spores or viruses.

Cleaning is a physical process that removes contamination but does not necessarily destroy microorganisms.

Type
Chapter
Information
Postgraduate Orthopaedics
Viva Guide for the FRCS (Tr & Orth) Examination
, pp. 681 - 688
Publisher: Cambridge University Press
Print publication year: 2019

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References

Hooper, GJ, Rothwell, AG, Frampton, C, Wyatt, MC, et al. Does the use of laminar flow and space suits reduce early deep infection after total hip and knee replacement? The ten-year results of the New Zealand Joint Registry. J Bone Joint Surg (Br). 2011;93:8590.CrossRefGoogle ScholarPubMed
Lidwell, OM, Elson, RA, Lowbury, RJ, et al. Ultraclean air and antibiotics for prevention of postoperative infection – a multicentre study of 8,052 joint replacement operations. Acta Orthop Scand. 1987;58:413.CrossRefGoogle Scholar
McGovern, PD, Albrecht, M, Belani, K, et al. Forced-air warming and ultra-clean ventilation do not mix – an investigation of theatre ventilation, patient warming and joint replacement infection in orthopaedics. J Bone Joint Surg (Br). 2011;93(11):15331544.Google Scholar
Nicolay, CR. Hand hygiene: an evidence-based review for surgeons. Int J Surg. 2006;4(1):5365.Google Scholar
Odinsson, A, Finsen, V. Tourniquet use and its complications in Norway. J Bone Joint Surg (Br). 2006;88B:10901092.CrossRefGoogle Scholar
Pinder, EM, Bottle, A, Aylin, P, Loeffler, MD, et al. Does laminar flow ventilation reduce the rate of infection? An observational study of trauma in England. J Bone Joint Surg (Br). 2016;98:12621269.Google Scholar
Ritter, MA, Eitzen, H, French, ML, Hart, JB, et al. The operating room environment as affected by people and the surgical face mask. Clin Orthop Relat Res. 1975;111:147150.Google Scholar

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