Skin sampling—validation of a pad method and comparison with commonly used methods

Two types of pad were tested for sampling bacteria from the skin. One pad was made of 85% viscose and a 15% mixture of polyester and polyamide fibres, the other was made of polyvinyl-alcohol foam. The efficiency was calculated using double samples and 8 consecutive samples. The two pads were equally efficient and more efficient when moist. Their efficiency was compared with that of the bud swab, the Rodac plate and the scrub cylinder method. Using the double sample method for calculation, the scrub cylinder method and the pads were equally efficient, around 50%. As calculated from consecutive samples the efficiency of the pads was about 45%, the efficiency of the cylinder scrub method 29%, and that of the bud swab and Rodac plate 16% and 5% respectively. The low efficiency of the Rodac plate may be partly explained by the fact that microcolonies and not bacterial cells are sampled with this method

The relative importance of the routes and sources of wound contamination during general surgery. II. Airborne

The influence of airborne bacteria on wound contamination during biliary surgery was studied. When bacteria grew in the bile they accounted for most of the bacteria in the wound but when the wounds were free of bile bacteria many of the bacteria came from the patient's skin. It was only in wounds with little contamination from non-airborne routes that it was possible to demonstrate an effect of airborne contamination. In such a situation it was estimated that a reduction in the airborne bacteria in the operating room of about 13-fold would reduce the wound contamination by about 50%. The contamination of patient drapes from various sources and its relationship to wound contamination was studied. It was demonstrated that in areas away from the wound, the bacterial concentration on the drape surface was significantly affected only by airborne bacteria. In the area close to the wound, airborne bacteria and bacteria from the wound significantly affected drape contamination. However, it was found that more bacteria transferred from the wound to the drape surface than vice versa. Punctured gloves, impervious gowns and the number of bacteria on the patient's skin did not significantly affect the counts on the drapes' surfaces

The relative importance of routes and sources of wound contamination during general surgery. I. Non-airborne

A study was undertaken to determine the relative importance of some sources, routes of transmission, and measures to prevent bacteria entering the wound during biliary tract surgery. When bacteria were growing in the bile they accounted for the majority (>99%) of the bacteria found in the wound. However, when the bile was sterile the skin bacteria at the incision site were found to make a substantial contribution to the wound flora. The difference in the total wound contamination between a patient who had practically no skin bacteria and one who had an average amount was in the region of 17-fold. No transfer of skin bacteria from the surgical team through perforated gloves or by direct contact from the surface of operating gowns was demonstrated. Ten of the patients studied had septic wounds. Five of these were infected by bacteria from the bile