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. 2020 Jun 21;10(6):e037299. doi: 10.1136/bmjopen-2020-037299

Table 2.

The 10 most important surgery site infection prevention measures chosen in VIP Room study

Environment Description
E1: Anaesthesiologist consultation room Preoperative bathing: explain the basic concept of preoperative bathing, illustrate the areas with the highest microbiological load of the human body
Decolonisation with mupirocin ointment with or without chlorhexidine bodywash for the prevention of Staphylococcus aureus infection in nasal carriers: describe the indications for preoperative S. aureus decolonisation, describe the decolonisation procedure
Optimal timing for preoperative SAP: understand the impact of SAP on SSI development and resistance rates, define the usage of SAP for patients based on the previously learned risk assessment (ie, contamination classes), describe the correct timing of SAP application
Hair removal: understand the impact of hair removal before surgery, identify appropriate methods of hair removal
E2: Preoperative room Surgical hand preparation: describe the correct procedure of surgical hand hygiene including steps and time, identify the correct substances for hand hygiene, and demonstrate the correct movement from the washing room to the OR while holding hands up and without touching anything
E3: OR Outfit: chose the correct clothing before entrance in OR, identify the pitfalls of clothing (ie, no wearing of rings, jewellery, artificial nails, watches, coverage of mouthpieces around nose and mouth and coverage of hoods of all hair), describe the correct procedure of gloving
Guarantee sterility: identify errors of sterility in the OR
Air treatment: understand the importance of airflow in the OR and demonstrate the correct regulation of airflow in the OR
Surgical site preparation: identify the correct substances for surgical site disinfection
Drapes and gowns: identify and describe the correct placing of drapes and gowns on the patient

OR, operating room; SAP, surgical antibiotic prophylaxis; SSI, surgical site infection; VIP Room, VIrtual reality for the oPerating Room.