환기정도에 따른 수술실용 신발 종류가 수술실 오염에 미치는 영향

남경동; 정혜선; 박영신; 원진희; 주미자; 성화신; 이지혜; 이병희; 조경숙; 배재춘

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자료유형: 학술저널

저자정보: 남경동 (삼성의료원 수술간호과) 정혜선 (삼성의료원 수술간호과) 박영신 (삼성의료원 수술간호과) 원진희 (삼성의료원 수술간호과) 주미자 (삼성의료원 수술간호과) 성화신 (삼성의료원 수술간호과) 이지혜 (삼성의료원 수술간호과) 이병희 (삼성의료원 수술간호과) 조경숙 (경원전문대학교 간호학과) 배재춘 (삼성의료원 임상병리과)

저널정보: 한국의료질향상학회 한국의료질향상학회지 한국의료질향상학회지 제7권 제1호

발행연도: 2000.1

수록면: 72 - 89 (18page)

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Background : Various types of protective footwear have been used to minimize bacterial contamination in operating rooms. In recent years, debate has arisen concerning the need for use of such protective footwear. This study was designed to provide useful data about choosing shoes most suitable for the surgical environment. Methods : Between November, 1999 and January, 2000, we performed this experimental study by comparing effect of three types of shoes (i.e., disposable shoescover, operating room-restricted shoes, and ordinary shoes) on bacterial contamination of operating rooms equipped with two different ventilation systems (i.e., high air-change, low air-change) respectively. Data were collected during two- hour sham operations in which subjects and their activities were strictly standardized. Bacterial flora were sampled from the study area floor and air colony counts were measured. Results : In experiments involving high air-change ventilation system, there was a significant difference of floor contamination between three types of shoes, but no difference of air contamination. Under low air-change system, there was a significant difference of both floor and air contamination between three types of shoes. Conclusion : The results show that protective footwear would be unnecessary in the operating room with high air-change ventilation system, but it is important to choose suitable shoes carefully under low air-change system. Therefore, the use of outdoor shoes can be considered under high air-change system, but it would seem sensible to apply their first use in less bloody operations at the day surgery center or out-patient department to prevent transfer of body fluid into the outside environment.

#Operating room #Shoes #Ventilation #Contamination

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