Evidence map›Paper›PMID 41943023›Full record

Observational studyBMC research notes2026

An 18-month pilot microbiological evaluation of sterilized operating room supplies stored under routine clinical conditions at a single hospital in Japan.

Kentaro Hara, Misa Tomooka, Reika Tachibana, Ryosuke Kumashiro

Abstract readObservational Study
In one paragraph

Observational study in BMC research notes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Kentaro HaraDepartment of Fundamental Nursing, Faculty of Life Sciences, Kumamoto University, 4-24-1 Kuhonji, Chuo-ku, Kumamoto, 862-0976, Japan. kentaro-hara@kumamoto-u.ac.jp.ORCID http://orcid.org/0000-0002-2677-3816
Misa TomookaDepartment of Fundamental Nursing, Faculty of Life Sciences, Kumamoto University, 4-24-1 Kuhonji, Chuo-ku, Kumamoto, 862-0976, Japan.ORCID http://orcid.org/0000-0002-4640-6810
Reika TachibanaDepartment of Operation Center, NHO Nagasaki Medical Center, Kubara 2-1001-1, Omura, Nagasaki, 856-8562, Japan.
Ryosuke KumashiroDepartment of Operation Center, NHO Nagasaki Medical Center, Kubara 2-1001-1, Omura, Nagasaki, 856-8562, Japan.

Funding

Japan Society for the Promotion of Science JP23K17255
6 · The paper itself

Abstract

objectiveTime-related sterility maintenance (TRSM) remains common in Japanese operating rooms (ORs), requiring routine re-sterilization of unopened supplies. Event-related sterility maintenance (ERSM), which defines loss of sterility based on contamination events rather than elapsed time, may reduce unnecessary reprocessing and associated burden. This study reports a pre-specified 18-month pilot interim analysis of a prospective observational evaluation of ERSM.

resultsThis single-center prospective observational study was conducted in a tertiary-care OR. Representative materials (titanium instruments, cotton, and latex) were sterilized using steam, ethylene oxide, or vaporized hydrogen peroxide, double-bagged and heat-sealed in ISO 11607-1–compliant sterile barrier systems, and stored in closed cabinets at three OR locations under routine clinical handling. Sterility testing followed the Japanese Pharmacopoeia (18th edition) sterility test (4.06), harmonized with USP < 71 > and Ph. Eur. 2.6.1. At 18 months, all 18 cultured items showed no microbial growth (0/18) across all sterilization modalities and storage locations. These interim findings are descriptive and suggest feasibility only; the ongoing protocol will continue to the planned 60-month evaluation.

Indexed as

Equipment ContaminationOperating RoomsSterilizationEthylene OxideHumansHydrogen PeroxideJapanPilot ProjectsProspective StudiesTime FactorsEthylene OxideHydrogen PeroxideEvent-related sterility maintenanceOperating roomsSterile barrier systemsSterility testVaporized hydrogen peroxide sterilization

Identifiers

PMID41943023
PMCPMC13181946

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.