Orthopaedic surgery


audit techniques can be adopted for use in neurosurgery, spinal surgery, cardiac surgery and vascular surgery, and it is anticipated that the audit will expand to include these areas in the future.


Support from Cherwell Andrew Thomas approached Cherwell to develop a solution to enable simple, sterile dispensing of settle plates for the study. Cherwell’s Bespoke Product team supported Andrew to make this useful contribution to the JOINTCASE audit through the company’s New Product Request process. Andrew explained: “We approached Cherwell who took a keen interest in our problem and worked hard to deliver the solution. Cherwell’s team, recognised that making the peel apart packs would be a great contribution, and actually not terribly difficult to deliver.” The new peel apart packs of Redipor tryptone


soy agar (TSA) settle plates, developed initially as a bespoke product for the JOINTCASE study, are now available for purchase as packs of 10, which can be funded by either clinical audit budgets or local Trust funds.


CSJ


References 1. Plowman R, Graves N, Griffin M a. S, et al. The rate and cost of hospital-acquired infections occurring in patients admitted to selected specialties of a district general hospital in England and the national burden imposed. J Hosp Infect. 2001;47(3):198-209. doi:10.1053/ jhin.2000.0881


2. Coello R, Charlett A, Wilson J, Ward V, Pearson A, Borriello P. Adverse impact of surgical site infections in English hospitals. J Hosp Infect. 2005;60(2):93-103. doi:10.1016/j.jhin.2004.10.019


3. The Management and Control of Hospital Acquired Infection in Acute NHS Trusts in England - NAO report. National Audit Office (NAO). Published February 17, 2000. Accessed June 14, 2024. https://www.nao.org.uk/ reports/the-management-and-control-of-


Sign up to the JOINTCASE audit


Any elective orthopaedic department in the UK can still participate in the ongoing JOINTCASE audit and the findings will be disseminated by peer review scientific journal publication and presentations given at national and international conferences. To find out more about how to sign up to participate in the study, see https://nitcollaborative.org.uk/ wp/jointcase/ or contact the study lead, Mr. Andrew Thomas at a.m.c.thomas@bham.ac.uk


62 www.clinicalservicesjournal.com I October 2024


Microbiological cleanliness in the operating room - Preventing airborne contamination - Guidance and fundamental requirements SIS- TS 39:2015 - Swedish Institute for Standards, SIS. Published online May 25, 2015. https:// www.sis.se/en/produkter/health-care- technology/general/sists392015/


13. Whyte W, Lidwell OM, Lowbury EJL, Blowers R. Suggested bacteriological standards for air in ultraclean operating rooms. J Hosp Infect. 1983;4(2):133-139. doi:10.1016/0195- 6701(83)90042-7


14. Clewer V, Thomas A, Wilkinson M. Monitoring air quality in operating theatre and hybrid facilities using settle plate testing. Poster presented at Infection Prevention Society Meeting, 2023


hospital-acquired-infection-in-acute-nhs- trusts-in-england/


4. Hopkins S, Shaw K, Simpson L. English national point prevalence survey on healthcare associated infections and antimicrobial use, 2011: preliminary data. Published online 2011.


5. Kate Woodhead. Surgical Site Infections Surveillance Report. Clinical Services Journal; 2024. https://www.clinicalservicesjournal. com/story/44164/surgical-site-infections- surveillance-report


6. National Joint Registry. National Joint Registry 19th Annual Report 2022. The National Joint Registry. Published September 26, 2022. https://www.njrcentre.org.uk/njr-annual- report-2022/


7. Charnley J. Section II General Orthopaedics Postoperative Infection after Total Hip Replacement with Special Reference to Air Contamination in the Operating Room. Clin Orthop Relat Res. 1972;87:167.


8. Lidwell OM, Lowbury EJ, Whyte W, Blowers R, Stanley SJ, Lowe D. Effect of ultraclean air in operating rooms on deep sepsis in the joint after total hip or knee replacement: a randomised study. Br Med J Clin Res Ed. 1982;285(6334):10-14.


9. NHS England, Health Technical Memorandum 03-01: Specialised ventilation for healthcare premises. https://www.england.nhs.uk/ publication/specialised-ventilation-for- healthcare-buildings/


10. Hoffman PN, Williams J, Stacey A, et al. Microbiological commissioning and monitoring of operating theatre suites. J Hosp Infect. 2002;52(1):1-28. doi:10.1053/jhin.2002.1237


11. Deutsches Institut für Normung. DIN 1946-4 Ventilation and air conditioning - Part 4: Ventilation in buildings and rooms of health care. Published online September 2018. https:// www.en-standard.eu/din-1946-4-ventilation- and-air-conditioning-part-4-ventilation-in- buildings-and-rooms-of-health-care/


12. Swidish Institute for Standards. Standard -


15. Lidwell OM, Lowbury EJL, Whyte W, Blowers R, Stanley SJ, Lowe D. Airborne contamination of wounds in joint replacement operations: the relationship to sepsis rates. J Hosp Infect. 1983;4(2):111-131. doi:10.1016/0195-6701(83)90041-5


16. Stauning MA, Bediako-Bowan A, Bjerrum S, et al. Genetic relationship between bacteria isolated from intraoperative air samples and surgical site infections at a major teaching hospital in Ghana. J Hosp Infect. 2020;104(3):309-320. doi:10.1016/j.jhin.2019.11.007


About the author


Wan Li Low joined Cherwell, cleanroom microbiology solutions experts, in September 2023 as the Microbiology Product Specialist. She is a passionate microbiologist, with an Undergraduate degree in BSc. (Hons) Biotechnology – first class honours, followed by PhD in liposomal delivery of antimicrobial metal ions and essential oils at the University of Wolverhampton, qualifying further as a Chartered Biologist in 2016. Wan Li’s qualifications, teamed with her experience as a Process Development Scientist, a Senior University Lecturer and a Field Application Specialist, deliver the technical expertise required to provide technical advice and support to Cherwell’s customers and partners.


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