Infection Prevention

Latest Issue of OR Manager
February 2018
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Study links antibiotic resistance to chlorhexidine

Editor's Note This study from the UK is the first to link antibiotic resistance with exposure to the disinfectant chlorhexidine. In five of six strains of Klebsiella pneumoniae exposed to chlorhexidine-containing disinfectants in the laboratory, adaptation to chlorhexidine led to resistance to the last resort antibiotic colistin. The risk of…

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By: Judy Mathias
November 9, 2016
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Association between intraop hypothermia and SSIs

Editor's Note This study from the Mayo Clinic found that intraoperative hypothermia was not significantly associated with surgical site infections (SSIs). Among the findings: Compliance with Surgical Care Improvement Project Performance Measure “Surgery Patients with Perioperative Temperature Management” (SCIP-Inf-10) overall and its components (maintenance of minimum body temperature and use…

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By: Judy Mathias
November 7, 2016
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New WHO recommendations on preventing SSIs

Editor's Note The World Health Organization (WHO) on November 3 released the “Global Guidelines for the Prevention of Surgical Site Infection,” which includes a list of 29 recommendations (13 preoperative and 16 intra- and postoperative). Included in the recommendations are: ensuring patients take a preoperative bath or shower no shaving…

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By: Judy Mathias
November 7, 2016
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Study identifies high touch areas in the OR

Editor's Note This study from the University of Colorado Hospital, Centennial, found that the five primary high touch surfaces in the OR (in order) are: anesthesia computer mouse OR bed nurse computer mouse OR door anesthesia cart. The study also demonstrated that low touch areas were less contaminated than high…

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By: Judy Mathias
November 2, 2016
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HHS announces new targets for reducing HAIs

Editor's Note The US Department of Health and Human Services (HHS) in October announced new targets for reducing healthcare associated infections (HAIs) in acute care hospitals. The new targets are part of the agency’s "National Action Plan to Prevent Health Care-Associated Infections: Road Map to Elimination." The targets use data…

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By: Judy Mathias
November 1, 2016
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Study tracks bacteria from patients to nurse’s scrubs and patients to rooms

Editor's Note A study by Duke University researchers, which followed 40 ICU nurses, found 22 cases in which at least one of five drug-resistant bacteria was transmitted from the patient or the room to the nurse’s scrubs or from the patient to the room. The study was presented October 27 at…

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By: Judy Mathias
October 31, 2016
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Experimental nanofiber coating prevents prosthetic joint infections

Editor's Note In a study on mice, Johns Hopkins researchers have shown that a coating made with antibiotic-releasing nanofibers can prevent bacterial infections after total joint surgery. After 14 days, mice that received implants without the antibiotic coating all had bacteria in infected tissue around the joint, and 80% had…

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By: Judy Mathias
October 25, 2016
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Effect of hair removal on SSI rates

Editor's Note In this study, surgical site infection (SSI) rates were similar for general surgery patients whether hair was clipped or not. Of 1,543 patients included in the study, 768 were in the clipped group and 775 were in the not-clipped group. The overall rate of SSIs was 6.12% in…

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By: Judy Mathias
October 24, 2016
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Diagnosing SSIs with photography

Editor's Note The addition of patient-generated wound photographs to existing data significantly improved diagnostic accuracy of surgical site infections (SSIs) and prevented overtreatment in this study. When photographs were added, overall diagnostic accuracy improved from 67% to 76%, and specificity increased from 77% to 92%, but sensitivity did not significantly…

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By: Judy Mathias
October 18, 2016
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Dirty scopes persist despite cleaning protocol compliance

Recent outbreaks of deadly infections linked to flexible endoscopes have made headlines, and the Food and Drug Administration has issued strict guidelines for reprocessing these devices. However, cleaning and disinfection may not be effective under the recommended protocols, says Cori L. Ofstead, MSPH, epidemiologist and president and chief executive officer,…

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By: Judith M. Mathias, MA, RN
October 17, 2016
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