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1.
Article in English | MEDLINE | ID: mdl-31936699

ABSTRACT

Surgical staff behavior in operating theatres is one of the factors associated with indoor air quality and surgical site infection risk. The aim of this study was to apply an approach including microbiological, particle, and microclimate parameters during two simulated surgical hip arthroplasties to evaluate the influence of staff behavior on indoor air quality. During the first hip arthroplasty, the surgical team behaved correctly, but in the second operation, behavioral recommendations were not respected. Microbiological contamination was evaluated by active and passive methods. The air velocity, humidity, temperature, and CO2 concentration were also monitored. The highest levels of microbial and particle contamination, as well as the highest variation in the microclimate parameter, were recorded during the surgical operation where the surgical team behaved "incorrectly". Turbulent air flow ventilation systems appeared more efficient than in the past and very low air microbial contamination was reached when behavior was correct. Therefore, adherence to behavioral recommendations in operating theatres is essential to not undermine the effectiveness of the heating, ventilation, and air conditioning systems and employed resources.


Subject(s)
Air Pollution, Indoor/analysis , Behavior , Medical Staff, Hospital/statistics & numerical data , Operating Rooms/standards , Ventilation/standards , Air Microbiology , Arthroplasty , Hospitals, University/standards , Humans
3.
Ig Sanita Pubbl ; 73(6): 567-577, 2017.
Article in Italian | MEDLINE | ID: mdl-29573384

ABSTRACT

We conducted an on-line survey among 255 specialists in Hygiene and Preventive Medicine in Italy who completed their training between October 2014 and July 2016, to assess their training experience, employment opportunities and current job satisfaction. Response rate was 49%. Mean age was 35 years. A high employment rate within two years from obtaining specialist qualification was reported by the 125 specialists who completed the questionnaire (76% are currently employed). The three main work settings of the participating specialists are hospital health directions (37%), universities (19%) and local Prevention Departments (16%). Two thirds (66%) have temporary positions and only 6% permanent positions. Job, pay, and training satisfaction are often below expectations with geographical differences that would need to be further investigated.


Subject(s)
Employment/statistics & numerical data , Job Satisfaction , Preventive Medicine/education , Public Health , Adult , Female , Humans , Hygiene/education , Italy , Male , Middle Aged , Self Report
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