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This paper describes a search for Gram-negative bacteria in an operating theatre and the steps taken to reduce the level of environmental contamination.A high rate of infection in clean wounds prompted a bacteriological survey. Potential sources of infection found, and the measures employed are described in the hope that others may be encouraged to examine familiar equipment critically and to improve hygiene even in old premises.The choice, design, use and care of cleaning and sterilizing equipment were open to criticism. In particular, a currently popular floor-scrubbing machine provided a breeding ground for Pseudomonas aeruginosa and was distributing it in the theatre environment.

Contamination of an operating theatre by Gram-negative bacteria. Examination of water supplies, cleaning methods and wound infections