{"id":251914,"date":"2026-04-08T12:37:30","date_gmt":"2026-04-08T12:37:30","guid":{"rendered":"https:\/\/resysten.com\/news\/a-muteti-fertozesek-nem-a-sebben-hanem-a-terben-kezdodnek\/"},"modified":"2026-04-08T12:38:47","modified_gmt":"2026-04-08T12:38:47","slug":"a-muteti-fertozesek-nem-a-sebben-hanem-a-terben-kezdodnek","status":"publish","type":"news","link":"https:\/\/resysten.com\/tr\/news\/a-muteti-fertozesek-nem-a-sebben-hanem-a-terben-kezdodnek\/","title":{"rendered":"Surgical site infections don\u2019t start in the wound \u2014 they start in the room"},"content":{"rendered":"

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This insight fundamentally reshapes our understanding of perioperative safety. The operating room environment is not a passive backdrop but an active clinical factor that directly influences patient outcomes.<\/p>\n

The article identifies four critical domains that determine SSI risk:<\/p>\n

    \n
  1. Environmental surfaces as microbial reservoirs<\/strong><\/li>\n<\/ol>\n

    Studies show that only one\u2011third of high\u2011touch surfaces in operating rooms are adequately cleaned during terminal cleaning, and peripheral elements perform even worse. This means that OR surfaces continuously carry microbial load, and microorganisms present on these surfaces can easily aerosolize due to staff movement and re\u2011enter the sterile field.<\/p>\n

    The process forms a clear cause\u2011and\u2011effect chain: A contaminated surface \u2192 particle dispersion \u2192 increased airborne microbial load \u2192 elevated SSI risk.<\/p>\n

      \n
    1. Cleanliness must be measured<\/strong><\/li>\n<\/ol>\n

      OR hygiene becomes reliable only when it is assessed with objective tools. Without fluorescent markers, ATP testing, and real\u2011time audits, cleaning systematically underperforms, and staff remain unaware of hidden deficiencies that sustain the infection chain. Without measurement, there is no feedback and without feedback, there is no improvement. Surfaces continue to function as microbial reservoirs.<\/p>\n

        \n
      1. Interaction between surface contamination and airflow<\/strong><\/li>\n<\/ol>\n

        A significant proportion of airborne particles in the OR originate from surfaces that are continuously disturbed by staff movement. Door openings, equipment relocation, and personnel traffic alter airflow patterns and particle distribution, allowing contaminants from surfaces to reach the sterile field.<\/p>\n

        The logic is straightforward: A contaminated surface releases particles when disturbed \u2192 these particles enter the air \u2192 they contaminate the sterile field \u2192 SSI risk increases. Surface hygiene therefore directly influences the effectiveness of ventilation systems.<\/p>\n

          \n
        1. EVS\u2013SPD: two separate domains, one infection chain<\/strong><\/li>\n<\/ol>\n

          Environmental Services (EVS) is responsible for the environment, while Sterile Processing (SPD) manages sterile instruments. If either domain fails, the sterile field is compromised. A contaminated environment can easily contaminate sterile instruments, increasing SSI risk. OR safety functions only when both areas operate in a coordinated, mutually reinforcing manner.<\/p>\n

          High\u2011reliability OR hygiene requires a systems approach<\/strong><\/p>\n

          OR hygiene is not a simple cleaning task \u2014 it is a patient safety intervention. A high\u2011reliability model includes standardized SOPs, unidirectional workflows, objective monitoring, audit\u2011based feedback and training, EVS\u2013SPD collaboration, and integrated management of airflow and human factors. Together, these elements form a system capable of sustainably reducing SSI risk.<\/p>\n

          How does all this connect to Resysten technology?<\/strong><\/p>\n

          Every major claim is directly linked to the Resysten technology \u2014 and this connection is professionally defensible and evidence\u2011based.<\/p>\n

            \n
          1. Surfaces as microbial reservoirs \u2192 Resysten reduces bioburden long\u2011term<\/strong><\/li>\n<\/ol>\n

            The Resysten coating prevents microbial adhesion, reduces proliferation, and remains active between cleaning cycles. As a result, fewer microorganisms are present on surfaces, fewer particles become airborne, and SSI risk decreases.<\/p>\n

              \n
            1. Cleanliness must be measured \u2192 Resysten stabilizes measured outcomes<\/strong><\/li>\n<\/ol>\n

              Resysten reduces fluctuations in surface bioburden, making ATP and fluorescent marker results more consistent. This supports objective EVS performance. Stable surface conditions lead to stable measurement outcomes \u2014 improving EVS quality and reducing SSI incidence.<\/p>\n

                \n
              1. Surface contamination and airflow \u2192 Resysten reduces particle release into the air<\/strong><\/li>\n<\/ol>\n

                By lowering surface contamination, Resysten reduces the number of particles released into the air during movement. This supports the effectiveness of laminar and directed airflow systems. Cleaner surfaces mean less aerosolization, cleaner air, and lower SSI risk.<\/p>\n

                  \n
                1. EVS\u2013SPD collaboration<\/strong><\/li>\n<\/ol>\n

                  Resysten provides long\u2011term surface protection in ORs, prep areas, and SPD\u2011adjacent spaces. A cleaner environment ensures that sterile instruments enter a truly clean setting, reducing SSI risk.<\/p>\n

                  Resysten as a system\u2011level technological component<\/strong><\/p>\n

                  Resysten does not replace cleaning, ventilation, or SPD \u2014 it strengthens the entire system by keeping surface bioburden consistently low. Stable surface hygiene results in stable EVS performance, stable ventilation efficiency, and a stable sterile field \u2014 ultimately leading to fewer SSIs.<\/p>\n

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                  The article \u201cSurgical Site Infections Don\u2019t Start in the Wound \u2014 They Start in the Room\u201d clearly states that the primary source of surgical site infections (SSI) is not the wound itself, but the environmental hygiene of the operating room. According to the authors: \u201cEnvironmental surfaces in operating rooms serve as reservoirs for microbial transmission.\u201d<\/p>\n","protected":false},"author":499,"featured_media":251904,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"categories":[],"class_list":["post-251914","news","type-news","status-publish","format-standard","has-post-thumbnail","hentry"],"featured_image_url":"https:\/\/resysten.com\/wp-content\/uploads\/2026\/04\/surgeons-performing-surgical-procedure-on-patient-2026-01-08-23-31-03-utc-scaled.jpg","all_taxonomies":[],"_links":{"self":[{"href":"https:\/\/resysten.com\/tr\/wp-json\/wp\/v2\/news\/251914","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/resysten.com\/tr\/wp-json\/wp\/v2\/news"}],"about":[{"href":"https:\/\/resysten.com\/tr\/wp-json\/wp\/v2\/types\/news"}],"author":[{"embeddable":true,"href":"https:\/\/resysten.com\/tr\/wp-json\/wp\/v2\/users\/499"}],"replies":[{"embeddable":true,"href":"https:\/\/resysten.com\/tr\/wp-json\/wp\/v2\/comments?post=251914"}],"version-history":[{"count":2,"href":"https:\/\/resysten.com\/tr\/wp-json\/wp\/v2\/news\/251914\/revisions"}],"predecessor-version":[{"id":251916,"href":"https:\/\/resysten.com\/tr\/wp-json\/wp\/v2\/news\/251914\/revisions\/251916"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/resysten.com\/tr\/wp-json\/wp\/v2\/media\/251904"}],"wp:attachment":[{"href":"https:\/\/resysten.com\/tr\/wp-json\/wp\/v2\/media?parent=251914"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/resysten.com\/tr\/wp-json\/wp\/v2\/categories?post=251914"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}