Prevention of surgical site infection under different ventilation systems in operating room environment

• The effectiveness of four different ventilation systems was compared in depth. • Airflow and bacteria-carrying particles concentration were quantitatively analyzed. • Vertical laminar airflow with high airflow rate could not achieve desired effect. • Temperature-controlled airflow ventilation could guarantee air cleanliness. Biological particles in the operating room (OR) air environment can cause surgical site infections (SSIs). Various ventilation systems have been employed in ORs to ensure an ultraclean environment. However, the effect of different ventilation systems on the control of bacteria-carrying particles (BCPs) released from the surgical staff during surgery is unclear. In this study, the performance of four different ventilation systems (vertical laminar airflow ventilation (VLAF), horizontal laminar airflow ventilation (HLAF), differential vertical airflow ventilation (DVAF), and temperature-controlled airflow ventilation (TAF)) used in an OR was evaluated and compared based on the spatial BCP concentration. The airflow field in the OR was solved by the Renormalization Group (RNG) k-e turbulence model, and the BCP phase was calculated by Lagrangian particle tracking (LPT) and the discrete random walk (DRW) model. It was found that the TAF system was the most effective ventilation system among the four ventilation systems for ensuring air cleanliness in the operating area. This study also indicated that air cleanliness in the operating area depended not only on the airflow rate of the ventilation system but also on the airflow distribution, which was greatly affected by obstacles such as surgical lamps and surgical staff.     

我国秦至清末的疫病灾害研究

本文根据《中国历代天灾人祸表》中疫病的文字记载，统计出各个历史时期疫病发生时间（季节）、频数及其与旱、涝（水）、地震、战争等灾难事件的关系，进而推测历史时期疫病所包含的急性传染病。统计发生周期，证实疫病周期与太阳、太阳系活动规律有明显的相关性。     

An immunological axis of biocontrol: infections in field-trapped insects

Insect immunology is an active research arena, however, the vast majority of research in the area is conducted on model species taken from laboratory cultures. We tested the hypothesis that insects are regularly exposed to infections or invasions in nature and here report results of a field study designed to assess the extent of natural infections in insects collected from agrarian fields surrounding Kahramanmaraş, Turkey. Specimens were dissected to assess numbers of nodules. Formation of darkened, melanotic nodules is the predominant cellular immune reaction to microbial and parasitic infection, and once formed, the nodules are permanently attached to internal surfaces. The collected insects were healthy. Of the >400 examined specimens, at least some nodules were found in 98%. Numbers of nodules ranged from ∼2/individual to >100 nodules/individual. We conclude that insects are regularly challenged by microbial and parasitic infections from which they recover. The novel implication of our data is that insect immune systems may limit the host range and effectiveness of agents deployed in biological control programs. Knowledge of insect immune systems may contribute to increased use of biopesticides globally.     

Occupational risk of exposure to methicillin-resistant Staphylococcus aureus (MRSA) and the quality of infection hygiene in nursing homes

• Staff members were not colonised with MRSA. • But staff were exposed to MRSA from air, sedimented dust and surfaces. • MRSA was found in the rooms of MRSA-colonised residents but not in common areas. • Staff worry about MRSA and spreading it to other residents, family, and acquaintances. • The use of protective eyewear and facemasks could be improved. Methicillin-resistant Staphylococcus aureus (MRSA) is an increasing health concern across the globe and is often prevalent at long-term care facilities, such as nursing homes. However, we know little of whether nursing home staff is exposed to MRSA via air and surfaces. We investigated whether staff members at nursing homes are colonised with and exposed to culturable MRSA, and assessed staff members’ self-reported knowledge of MRSA and compliance with infection hygiene guidelines. Five nursing homes with MRSA positive residents were visited in Copenhagen, Denmark. Personal bioaerosol exposure samples and environmental samples from surfaces, sedimented dust and bioaerosols were examined for MRSA and methicillin-susceptible S. aureus (MSSA) to determine occupational exposure. Swabs were taken from staffs’ nose, throat, and hands to determine whether they were colonised with MRSA. An online questionnaire about MRSA and infection control was distributed. No staff members were colonised with MRSA, but MRSA was detected in the rooms of the colonised residents in two out of the five nursing homes. MRSA was observed in air (n = 4 out of 42, ranging from 2.9–7.9 CFU/m³), sedimented dust (n = 1 out of 58, 1.1 × 10³ CFU/m²/d), and on surfaces (n = 9 out of 113, 0.04–70.8 CFU/m²). The questionnaire revealed that half of the staff members worry about spreading MRSA to others. Identified aspects for improvement were improved availability and use of protective equipment, not transferring cleaning supplies (e.g., vacuum cleaners) between residents’ rooms and to reduce worry of MRSA, e.g., through education.