Advertisement
Article| Volume 12, ISSUE 5, P271-275, October 1984

Ophthalmology operating room standards and infection control concerns

  • Louis D. Saravolatz
    Correspondence
    Reprint requests: L. D. Saravolatz, M.D., Division of Infectious Diseases and Hospital Epidemiology, Henry Ford Hospital, 2799 West Grand Blvd., Detroit, MI 48202.
    Affiliations
    From the Division of Infectious Diseases and Hospital Epidemiology, Henry Ford Hospital, Detroit, USA

    University of Michigan Medical School, Ann Arbor, USA
    Search for articles by this author
  • Lucille Arking
    Affiliations
    From the Division of Infectious Diseases and Hospital Epidemiology, Henry Ford Hospital, Detroit, USA

    University of Michigan Medical School, Ann Arbor, USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Postoperative infection is a rare complication of intraocular surgery. Although the incidence is low, the morbidity is high in terms of long-term sequelae. Because some ophthalmologists have requested separate operating rooms to reduce the risk of exogenous sources of infection, ophthalmology training program directors were surveyed to determine national standards of practice. Among the 100 centers responding, most were university affiliated (73%), had more than 500-bed hospitals (67%), and had fewer than 50 practicing ophthalmologists (92%). A single operating room was used in 50 centers and only 33 did not permit nonophthalmology cases in the ophthalmology operating rooms. Centers with a greater ophthalmology volume did not differ from low-volume centers in the scheduling of ophthalmology and nonopthalmology clean or infected cases. Program directors from larger centers, however, were more frequently of the opinion that a separate ophthalmology operating room was needed: 86.2% vs. 63.5% (p = 0.04).
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Infection Control
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Allen H.F.
        • Mangiaracine A.B.
        Bacterial endophthalmitis after cataract extraction. 11: Incidence in 36,000 consecutive operations with special reference to preoperative topical antibiotics.
        Trans Am Acad Ophthalmol Otolaryngol. 1973; 77: 581-588
        • Boyd B.F.
        Ocular infection.
        Highlights Ophthalmol Monthly Letter. 1979; 8: 1-4
        • Crompton D.O.
        Epidemic endophthalmitis.
        in: Watts J. Infection in surgery. Churchill Livingstone, Inc, New York1981: 356
        • Tamblyn D.M.
        Prevention of infection in intraocular lens implantation.
        in: Watts J. Infection in surgery. Churchill Livingstone Inc, New York1981: 352-355
        • Farber B.F.
        • Kaiser D.L.
        • Wenzel R.P.
        Relation between surgical volume and incidence of postoperative wound infection.
        N Engl J Med. 1981; 305: 200-204
        • Swinscow T.D.V.
        Statistics at square one.
        British Medical Association, London1981
        • Coster D.
        Postoperative ocular infection.
        in: Watts J. Infection in surgery. Churchill Livingstone Inc, New York1981: 347-351
        • Abelson M.B.
        • Allansmith M.R.
        Normal conjunctival wound edge flora of patients undergoing uncomplicated cataract extractions.
        Am J Ophthalmol. 1973; 76: 561-565
        • Lidwell O.M.
        Airborne bacteria and surgical infections.
        Am J Med. 1981; 70: 693-697