Evidence map›Paper›PMID 41868741›Full record

ArticleOrthopedic reviews2026

Clean Air, Safe Joints: Optimizing Operating Theatre Air Quality to Reduce Surgical Site and Periprosthetic Joint Infections.

Jurek Rafal Tomasz Pietrzak, Dyllan Brett Geldenhuys, Allan Roy Sekeitto, Nkhodiseni Sikhauli, Lipalo Mokete

Abstract read
In one paragraph

Article in Orthopedic reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jurek Rafal Tomasz PietrzakDepartment of Orthopedics University of the Witwatersrand.
Dyllan Brett GeldenhuysDepartment of Orthopedics University of the Witwatersrand.
Allan Roy SekeittoDepartment of Orthopedics University of the Witwatersrand.
Nkhodiseni SikhauliDepartment of Orthopedics University of the Witwatersrand.
Lipalo MoketeOrthopedics University of the Witwatersrand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Periprosthetic joint infection (PJI) remains one of the most devastating complications of total joint arthroplasty (TJA), with profound clinical, economic and psychosocial consequences. While modern operating theatres are designed to reduce microbial load, there remains ongoing debate about the role of laminar airflow (LAF), turbulent ventilation, high-efficiency particulate air (HEPA) systems, ultraviolet adjuncts and surgical helmet systems (SHS) in mitigating infection risk. This narrative review synthesizes current evidence on airborne contamination, environmental controls and adjunctive measures in orthopaedic theatres. It highlights key advances in monitoring (e.g., particle counts vs. microbiological sampling), the impact of human behaviour on contamination and integrates findings with patient risk factors, operative efficiency and seasonality. It further examines economic and regulatory perspectives, providing a holistic framework for future directions in infection prevention.

Indexed as

air qualityarthroplastyclinical outcomeslaminar flowoperating theatrePJISurgical site infection

Identifiers

PMID41868741
PMCPMC13004646

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.