Surgical rooms are not very clean, at least not by particle count, nor by bioaerosol sampling. Surgery rooms do not have to be perfect for most patients. However, sterile drug manufacturing, or chip manufacturing require much cleaner environments. The problem with earrings is that they get caught it the hair covering and the earring backing pulls off, then falls through the inside of the tyvek suit and inevitably ends up either thrown out with the gowning or on the floor of the gowning room where it can be picked up by the sole of the sterile boot and transferred to the manufacturing floor.
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