Operating room hygiene: Clinical practice recommendations

Introduction: The French Society of Gastro-Intestinal Surgery (Societe Francaise de Chirurgie Digestive) and the Association of hepato-bilio-pancreatic and transplantation surgery (Association de Chirurgie Hepato-Bilio-Pancreatique et Transplantation) requested that clinical practice recommendations be established with regard to operating room hygiene. Methods: The literature was analyzed according to the High Authority of Health (Haute Autorite de sante [HAS]) methodology and after consultation of the Cochrane and Medline databases. Pertinent references were selected, and supplementary references were hand-picked from the reference lists. Only English or French language papers were retained. The recommendations of learned societies and the World Health Organization were also considered. Results: Recommendations were proposed with regard to pre-operative patient preparation, skin preparation, draping, wound edge protectors, surgeon hygiene, wound closure, and operating room environment. Conclusion: These clinical practice recommendations should guide and improve the daily practice of gastro-intestinal surgeons. (C) 2019 Elsevier Masson SAS. All rights reserved.