Newsletter_07-2024_EN
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National study requires new peel apart packs to assess relationship between<br />
microbiological quality of operating theatre air and infection rate<br />
Cherwell develops bespoke new<br />
product to support air quality<br />
audit in UCA operating theatres<br />
Cherwell, cleanroom microbiology solutions<br />
expert, has developed a new peel apart pack<br />
settle plate product to support a UK national<br />
study investigating the relationship between<br />
microbiological quality of operating<br />
theatre air and infection rate. Supported<br />
by NHS England, the UK Health Security<br />
Agency and British Orthopaedic Association,<br />
the JOINTCASE audit aims to check the<br />
air quality of ultra clean air (UCA) operating<br />
theatres while actually in use for surgery.<br />
Despite the well-documented relationship<br />
between microbiological air quality and<br />
deep infection rates, it is not routine to monitor<br />
operating theatres when in use. This is<br />
because slit samplers are traditionally used<br />
to test air quality by volumetric counting, but<br />
these are labour-intensive, requiring trained<br />
individuals and not practical for routine audits.<br />
The study management group noted<br />
settle plate counting to be a simpler methodology<br />
and its relationship with volumetric<br />
counting well established.<br />
Conducted jointly by local orthopaedic<br />
and microbiology/infectious disease departments<br />
in elective orthopaedic units nationwide,<br />
the audit now uses a settle plate<br />
based technique. For this, packs of 10 microbiology<br />
plates, which can be simply peeled<br />
apart aseptically for easy sterile dispensing<br />
onto surgical instrument trolleys and next<br />
to the wound, were specially developed by<br />
Cherwell. To further minimise contamination<br />
risk, during transfer for incubation after<br />
exposure, the plates can be secured with<br />
sterile elastic bands which are also supplied<br />
within the packs.<br />
The new peel apart packs were required<br />
as settle plates are generally packed double<br />
or triple wrapped and sterilised for laboratory<br />
or cleanroom use, which is not sufficient<br />
during surgery in an operating theatre.<br />
Study lead and orthopaedic surgeon, Mr.<br />
Andrew Thomas, The Royal Orthopaedic<br />
Hospital, Birmingham, explained, “Regular<br />
plate packs must be opened in a completely<br />
New peel apart settle plate pack developed by Cherwell to support UK national study on<br />
relationship between microbiological air quality of operating theatres and infection rates.<br />
aseptic way using sterile scissors, and that<br />
is an additional task for the scrub person. It<br />
distracts them and there is a risk of de-sterilising<br />
the outside of the settle plates.”<br />
“The logical answer was to have a peel<br />
apart pack, which can be dispensed onto the<br />
sterile instrument trolley, just like any other<br />
piece of equipment that is dispensed to the<br />
scrub nurse by the circulating staff, but this<br />
wasn’t available on the market,” continued<br />
Andrew.<br />
Cherwell’s Bespoke Product team supported<br />
Andrew and the JOINTCASE audit<br />
through the company’s New Product Request<br />
Process. Andrew said, “We approached<br />
Cherwell who took a keen interest in<br />
our problem and worked hard to deliver the<br />
solution. Other well-known multinational<br />
companies working in the area were simply<br />
not interested in a relatively small problem.<br />
Cherwell’s team, recognised that making<br />
the peel apart packs would be a great contribution,<br />
and actually not terribly difficult<br />
to deliver.”<br />
The Joint Orthopaedics and Infectious diseases<br />
National Theatre Clean Air Services<br />
Evaluation (JOINTCASE) is an ongoing<br />
national, multicentre, prospective audit.<br />
All elective orthopaedic units in the UK<br />
are encouraged to participate in this study.<br />
This includes major elective centres, tertiary<br />
units, and district general hospitals. Initially,<br />
the audit will focus on UCA theatres used<br />
for joint replacement surgery in the UK.<br />
In addition to its standard range of Redipor®<br />
media products, instrument accessories<br />
and packaging, Cherwell also offers a<br />
fully bespoke service for any aspect of environmental<br />
monitoring programs. Cherwell’s<br />
new peel apart packs of Redipor® tryptone<br />
soy agar (TSA) settle plates, developed initially<br />
as a bespoke product for the JOINTCA-<br />
SE study, are now available for purchase as<br />
packs of 10.<br />
Cherwell Laboratories Ltd<br />
OX26 4XB BICESTER<br />
Vereinigtes Königreich<br />
www.reinraum.de | www.cleanroom-online.com NEWSLETTER | Edition <strong>EN</strong> <strong>07</strong>-<strong>2024</strong><br />
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