Laminar flow reduces cases of surgical site infections in vascular patients.

Bosanquet, DC ORCID: https://orcid.org/0000-0003-2304-0489, Jones, CN, Gill, N, Jarvis, P and Lewis, MH 2013. Laminar flow reduces cases of surgical site infections in vascular patients. Annals of The Royal College of Surgeons of England 95 (1) , pp. 15-19. 10.1308/003588413X13511609956011

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Abstract

Introduction Numerous strategies are employed routinely in an effort to lower rates of surgical site infections (SSIs). A laminar flow theatre environment is generally used during orthopaedic surgery to reduce rates of SSIs. Its role in vascular surgery, especially when arterial bypass grafts are used, is unknown. Methods A retrospective review of a prospectively maintained database was undertaken for all vascular procedures performed by a single consultant over a one-year period. Cases were performed, via random allocation, in either a laminar or non-laminar flow theatre environment. Demographic data, operative data and evidence of postoperative SSIs were noted. A separate subgroup analysis was undertaken for patients requiring an arterial bypass graft. Univariate and multivariate logistical regression was undertaken to identify significant factors associated with SSIs. Results Overall, 170 procedures were analysed. Presence of a groin incision, insertion of an arterial graft and a non-laminar flow theatre were shown to be predictive of SSIs in this cohort. In the subgroup receiving arterial grafts, only a non-laminar flow theatre environment was shown to be predictive of an SSI. Conclusions This study suggests that laminar flow may reduce incidences of SSI, especially in the subgroup of patients receiving arterial grafts.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	Royal College of Surgeons of England
ISSN:	0035-8843
Date of Acceptance:	17 June 2012
Last Modified:	27 Jun 2024 09:45
URI:	https://orca.cardiff.ac.uk/id/eprint/169970

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