Infection Prevention

Latest Issue of OR Manager
March 2019
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SHEA issues new guidance on infection control in anesthesiology

Editor's Note The Society for Healthcare Epidemiology of America (SHEA) on December 11 published a new expert guidance on “Infection prevention in the operating room anesthesia work area.” Key recommendations of the guidance to improve infection prevention include: Increased hand hygiene performed, at a minimum, before aseptic tasks, after removing…

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By: Judy Mathias
December 12, 2018
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FDA issues statement on updated rates of duodenoscope contamination

Editor's Note The Food and Drug Administration (FDA) on December 10 issued a statement on an updated safety communication about rates of duodenoscope contamination obtained from preliminary postmarket data. Interim results from sampling studies from device manufacturers−Olympus, Fujifilm, and Pentax− indicate higher-than-expected contamination rates after reprocessing. Up to 3% of…

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By: Judy Mathias
December 11, 2018
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SSI incidence, risk factors in total knees

Editor's Note In this 9-year prospective cohort study from Spain, researchers identified surgical site infection (SSI) risk factors that showed the necessity  to strictly comply with wound decontamination and patient preparation protocols, reduce the length of surgical time, and identify patients requiring comprehensive monitoring. This analysis of 1,969 patients who…

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By: Judy Mathias
November 29, 2018
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Incidence of sharps injuries among surgical staff

Editor's Note This meta-analysis found that a surgeon will have a sharps injury in about 1 in 10 surgical procedures. Of 45 studies analyzed, the incidence rate was 13.2 sharps injuries per 100 time-units. Per 100 person-years, the rate was 88.2 for self-reported injuries, 40.0 for perforations, and 5.8 for administrative…

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By: Judy Mathias
November 29, 2018
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Research backs changes to AORN's Guideline for Sterilization

AORN’s updated Guideline for Sterilization is based on a recent review of evidence in peer-reviewed journals and regulations from 2012 to 2017. In addition to guidance for sterilizing reusable medical devices to be used in perioperative and procedural settings, the updated guideline points to findings that substantiate current practices, and…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
November 14, 2018
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CDC reports decline in hospital infections

Editor's Note The Centers for Disease Control and infection (CDC) on October 31 reported that the risk of hospital patients having healthcare-associated infections was 16% lower in 2015 than in 2011, largely because of declines in surgical site and urinary tract infections. The percentage of patients having surgical site and…

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By: Judy Mathias
November 1, 2018
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Identifying SSIs using electronic health record data

Editor's Note In this study, researchers developed an algorithm model that accurately identified surgical site infections (SSIs) using independent variables from electronic health record data and outcomes from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). Researchers fit 3 models to data from patients having surgery at the…

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By: Judy Mathias
October 31, 2018
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Effect of wound photography for remote postop assessment of SSIs

Editor's Note Wound photography facilitates online postoperative wound assessment for surgical site infections (SSIs) but needs refinement to make sure critical issues aren’t missed, this study finds. A total of 523 surgeons reviewed online clinical vignettes with or without wound photography to diagnose SSIs. The addition of photography did not…

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By: Judy Mathias
October 26, 2018
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APIC, CDC develop tools to help prevent HAIs

Editor's Note The Association for Professionals in Infection Control and Epidemiology (APIC) and Centers for Disease Control and Prevention (CDC) on October 18 announced the availability of free, downloadable Quick Observation Tools to help facilities prevent healthcare associated infections (HAIs). The Tools include 20 sets of quick assessment forms that…

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By: Judy Mathias
October 19, 2018
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CDC reports progress in lowering HAIs

Editor's Note The Centers for Disease Control and Prevention (CDC) on October 11 released as report showing progress by hospitals in reducing healthcare-associated infections (HAIs). The report shows hospitals reduced: abdominal hysterectomy surgical site infections (SSIs) by 13% central line-associated bloodstream infections by 11% Clostridium difficile infections by 8% catheter-associated…

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By: Judy Mathias
October 15, 2018
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