{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T20:41:27Z","timestamp":1764103287435,"version":"3.37.3"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T00:00:00Z","timestamp":1649721600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T00:00:00Z","timestamp":1649721600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["International Orthopaedics (SICOT)"],"published-print":{"date-parts":[[2022,7]]},"DOI":"10.1007\/s00264-022-05391-4","type":"journal-article","created":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T03:37:11Z","timestamp":1649734631000},"page":"1465-1471","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Is the risk of periprosthetic joint infection in patients undergoing total hip and knee joint arthroplasty in the multi-unit operating room higher than in the classical single-unit operating room?"],"prefix":"10.1007","volume":"46","author":[{"given":"Salahulddin","family":"Abuljadail","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Akkaya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rudy","family":"Sangaletti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nemandra","family":"Sandiford","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thorsten","family":"Gehrke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3207-7101","authenticated-orcid":false,"given":"Mustafa","family":"Citak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,4,12]]},"reference":[{"key":"5391_CR1","first-page":"7","volume":"7","author":"H Laufman","year":"1973","unstructured":"Laufman H (1973) Current status of special air-handling systems in operating rooms. Med Instrum 7:7\u201315","journal-title":"Med Instrum"},{"key":"5391_CR2","doi-asserted-by":"publisher","first-page":"Doc20","DOI":"10.3205\/dgkh000335","volume":"14","author":"W Popp","year":"2019","unstructured":"Popp W, Alefelder C, Bauer S, Daeschlein G, Geistberger P, Gleich S, Herr C, Hubner NO, Jatzwauk L, Kohnen W, Kulpmann R, Lemm F, Loczenski B, Spors J, Walger P, Wehrl M, Zastrow KD, Exner M (2019) Air quality in the operating room: surgical site infections, HVAC systems and discipline - position paper of the German Society of Hospital Hygiene (DGKH). GMS Hyg Infect Control 14:Doc20. https:\/\/doi.org\/10.3205\/dgkh000335","journal-title":"GMS Hyg Infect Control"},{"key":"5391_CR3","unstructured":"Bauer H (2006) The OR as workplace: the reality and the challenge. Dtsch Arztebl 103(47): A-3185"},{"issue":"47","key":"5391_CR4","first-page":"A3187","volume":"103","author":"U Matern","year":"2006","unstructured":"Matern U, Koneczny S, Scherrer M, Gerlings T (2006) Working conditions and safety in the operating room. Dtsch Arztebl 103(47):A3187-92","journal-title":"Dtsch Arztebl"},{"key":"5391_CR5","doi-asserted-by":"publisher","first-page":"332","DOI":"10.1016\/0002-9610(71)90253-4","volume":"122","author":"H Laufman","year":"1971","unstructured":"Laufman H (1971) What\u2019s wrong with our operating rooms? Am J Surg 122:332\u2013343. https:\/\/doi.org\/10.1016\/0002-9610(71)90253-4","journal-title":"Am J Surg"},{"key":"5391_CR6","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/s0140-6736(73)91225-7","volume":"301","author":"D Shaw","year":"1973","unstructured":"Shaw D (1973) Is airborne infection in operating-theatres an important cause of wound infection in general surgery\u202f? The Lancet 301:17\u201320. https:\/\/doi.org\/10.1016\/s0140-6736(73)91225-7","journal-title":"The Lancet"},{"key":"5391_CR7","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1016\/j.ajic.2008.03.002","volume":"36","author":"TC Horan","year":"2008","unstructured":"Horan TC, Andrus M, Dudeck MA (2008) CDC\/NHSN surveillance definition of health care\u2013associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 36:309\u2013332. https:\/\/doi.org\/10.1016\/j.ajic.2008.03.002","journal-title":"Am J Infect Control"},{"key":"5391_CR8","unstructured":"National Healthcare Safety Network (2022) Surgical Site Infection Event (SSI). CDC Website. https:\/\/www.cdc.gov\/nhsn\/pdfs\/pscmanual\/9pscssicurrent.pdf. Accessed 10 Jan 2022"},{"issue":"1216\u20131222","key":"5391_CR9","doi-asserted-by":"publisher","first-page":"e1211","DOI":"10.1016\/j.arth.2009.08.011","volume":"25","author":"DM Urquhart","year":"2010","unstructured":"Urquhart DM, Hanna FS, Brennan SL, Wluka AE, Leder K, Cameron PA, Graves SE, Cicuttini FM (2010) Incidence and risk factors for deep surgical site infection after primary total hip arthroplasty: a systematic review. J Arthroplasty 25(1216\u20131222):e1211-1213. https:\/\/doi.org\/10.1016\/j.arth.2009.08.011","journal-title":"J Arthroplasty"},{"key":"5391_CR10","doi-asserted-by":"publisher","first-page":"1128","DOI":"10.1302\/0301-620X.92B8.24333","volume":"92","author":"CA Willis-Owen","year":"2010","unstructured":"Willis-Owen CA, Konyves A, Martin DK (2010) Factors affecting the incidence of infection in hip and knee replacement: an analysis of 5277 cases. J Bone Joint Surg Br 92:1128\u20131133. https:\/\/doi.org\/10.1302\/0301-620X.92B8.24333","journal-title":"J Bone Joint Surg Br"},{"key":"5391_CR11","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1097\/01.aco.0000192795.64678.e7","volume":"19","author":"DC Krupka","year":"2006","unstructured":"Krupka DC, Sandberg WS (2006) Operating room design and its impact on operating room economics. Curr Opin Anaesthesiol 19:185\u2013191. https:\/\/doi.org\/10.1097\/01.aco.0000192795.64678.e7","journal-title":"Curr Opin Anaesthesiol"},{"key":"5391_CR12","doi-asserted-by":"publisher","first-page":"1386","DOI":"10.2106\/jbjs.N.01141","volume":"97","author":"H Maradit Kremers","year":"2015","unstructured":"Maradit Kremers H, Larson DR, Crowson CS, Kremers WK, Washington RE, Steiner CA, Jiranek WA, Berry DJ (2015) Prevalence of total hip and knee replacement in the United States. J Bone Joint Surg-Am 97:1386\u20131397. https:\/\/doi.org\/10.2106\/jbjs.N.01141","journal-title":"J Bone Joint Surg-Am"},{"key":"5391_CR13","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1016\/j.jhin.2017.10.013","volume":"98","author":"M Alsved","year":"2018","unstructured":"Alsved M, Civilis A, Ekolind P, Tammelin A, Andersson AE, Jakobsson J, Svensson T, Ramstorp M, Sadrizadeh S, Larsson PA, Bohgard M, \u0160antl-Temkiv T, L\u00f6ndahl J (2018) Temperature-controlled airflow ventilation in operating rooms compared with laminar airflow and turbulent mixed airflow. J Hosp Infect 98:181\u2013190. https:\/\/doi.org\/10.1016\/j.jhin.2017.10.013","journal-title":"J Hosp Infect"},{"key":"5391_CR14","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1055\/s-0029-1224721","volume":"135","author":"A Kramer","year":"2009","unstructured":"Kramer A, K\u00fclpmann R, Wille F, Christiansen B, Exner M, Kohlmann T, Heidecke C, Lippert H, Oldhafer K, Schilling M, Below H, Harnoss J, Assadian O (2009) Infektiologische Bedeutung von Raumlufttechnischen Anlagen (RLTA) in Operations- und Eingriffsr\u00e4umen. Zentralbl Chir 135:11\u201317. https:\/\/doi.org\/10.1055\/s-0029-1224721","journal-title":"Zentralbl Chir"},{"key":"5391_CR15","doi-asserted-by":"publisher","first-page":"3287","DOI":"10.1007\/s00167-020-06154-7","volume":"29","author":"A Klug","year":"2020","unstructured":"Klug A, Gramlich Y, Rudert M, Drees P, Hoffmann R, Wei\u00dfenberger M, Kutzner KP (2020) The projected volume of primary and revision total knee arthroplasty will place an immense burden on future health care systems over the next 30 years. Knee Surg Sports Traumatol Arthrosc 29:3287\u20133298. https:\/\/doi.org\/10.1007\/s00167-020-06154-7","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"5391_CR16","doi-asserted-by":"publisher","first-page":"S79","DOI":"10.1016\/j.arth.2020.02.030","volume":"35","author":"AM Schwartz","year":"2020","unstructured":"Schwartz AM, Farley KX, Guild GN, Bradbury TL (2020) Projections and epidemiology of revision hip and knee arthroplasty in the United States to 2030. J Arthroplasty 35:S79\u2013S85. https:\/\/doi.org\/10.1016\/j.arth.2020.02.030","journal-title":"J Arthroplasty"},{"key":"5391_CR17","unstructured":"Douglas S (2009) The Direct Medical Costs of Healthcare-Associated Infections in U.S. Hospitals and the Benefits of Prevention. Centers for Disease Control and Prevention Website. https:\/\/www.cdc.gov\/hai\/pdfs\/hai\/scott_costpaper.pdf. Accessed 15 Mar\u00a02009"},{"issue":"Suppl 1","key":"5391_CR18","doi-asserted-by":"publisher","first-page":"S37","DOI":"10.1089\/sur.2002.3.s1-37","volume":"3","author":"DE Fry","year":"2002","unstructured":"Fry DE (2002) The economic costs of surgical site infection. Surg Infect (Larchmt) 3(Suppl 1):S37-43. https:\/\/doi.org\/10.1089\/sur.2002.3.s1-37","journal-title":"Surg Infect (Larchmt)"},{"issue":"Suppl 1","key":"5391_CR19","doi-asserted-by":"publisher","first-page":"S19","DOI":"10.1089\/sur.2006.7.s1-19","volume":"7","author":"JA Urban","year":"2006","unstructured":"Urban JA (2006) Cost analysis of surgical site infections. Surg Infect (Larchmt) 7(Suppl 1):S19-22. https:\/\/doi.org\/10.1089\/sur.2006.7.s1-19","journal-title":"Surg Infect (Larchmt)"},{"key":"5391_CR20","doi-asserted-by":"publisher","first-page":"1115","DOI":"10.1016\/j.suc.2005.09.006","volume":"85","author":"PS Barie","year":"2005","unstructured":"Barie PS, Eachempati SR (2005) Surgical site infections. Surg Clin North Am 85:1115\u20131135. https:\/\/doi.org\/10.1016\/j.suc.2005.09.006 (viii-ix)","journal-title":"Surg Clin North Am"},{"issue":"1291\u20131297","key":"5391_CR21","doi-asserted-by":"publisher","first-page":"xii","DOI":"10.1016\/j.suc.2005.09.001","volume":"85","author":"MD Allo","year":"2005","unstructured":"Allo MD, Tedesco M (2005) Operating room management: operative suite considerations, infection control. Surg Clin North Am 85(1291\u20131297):xii. https:\/\/doi.org\/10.1016\/j.suc.2005.09.001","journal-title":"Surg Clin North Am"},{"key":"5391_CR22","doi-asserted-by":"publisher","first-page":"1485","DOI":"10.2106\/JBJS.M.01133","volume":"96","author":"TE Salassa","year":"2014","unstructured":"Salassa TE, Swiontkowski MF (2014) Surgical attire and the operating room: role in infection prevention. J Bone Joint Surg Am 96:1485\u20131492. https:\/\/doi.org\/10.2106\/JBJS.M.01133","journal-title":"J Bone Joint Surg Am"},{"key":"5391_CR23","doi-asserted-by":"publisher","first-page":"357","DOI":"10.2106\/00004623-198365030-00010","volume":"65","author":"RM Letts","year":"1983","unstructured":"Letts RM, Doermer E (1983) Conversation in the operating theater as a cause of airborne bacterial contamination. J Bone Joint Surg Am 65:357\u2013362","journal-title":"J Bone Joint Surg Am"},{"key":"5391_CR24","doi-asserted-by":"publisher","first-page":"890","DOI":"10.1080\/00365540701387056","volume":"39","author":"Y Babkin","year":"2007","unstructured":"Babkin Y, Raveh D, Lifschitz M, Itzchaki M, Wiener-Well Y, Kopuit P, Jerassy Z, Yinnon AM (2007) Incidence and risk factors for surgical infection after total knee replacement. Scand J Infect Dis 39:890\u2013895. https:\/\/doi.org\/10.1080\/00365540701387056","journal-title":"Scand J Infect Dis"},{"key":"5391_CR25","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1016\/j.jhin.2007.05.019","volume":"66","author":"S Scaltriti","year":"2007","unstructured":"Scaltriti S, Cencetti S, Rovesti S, Marchesi I, Bargellini A, Borella P (2007) Risk factors for particulate and microbial contamination of air in operating theatres. J Hosp Infect 66:320\u2013326. https:\/\/doi.org\/10.1016\/j.jhin.2007.05.019","journal-title":"J Hosp Infect"}],"container-title":["International Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-022-05391-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00264-022-05391-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-022-05391-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,4]],"date-time":"2022-06-04T02:03:54Z","timestamp":1654308234000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00264-022-05391-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,12]]},"references-count":25,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["5391"],"URL":"https:\/\/doi.org\/10.1007\/s00264-022-05391-4","relation":{},"ISSN":["0341-2695","1432-5195"],"issn-type":[{"type":"print","value":"0341-2695"},{"type":"electronic","value":"1432-5195"}],"subject":[],"published":{"date-parts":[[2022,4,12]]},"assertion":[{"value":"6 February 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 March 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 April 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was performed after obtaining an ethical approval. Approval was granted by the Ethics Committee of Hamburg Medical Council (Approval Number: 2021\u2013300109-WF).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}