Infection Prevention

Latest Issue of OR Manager
August 2019
Home Periop Nursing > Perioperative Practice > Infection Prevention

Effect of hospital move to all private rooms on healthcare-associated infections

Editor's Note The move to a new hospital with all single-patient rooms was associated with an immediate and durable reduction in the rates of nosocomial vancomycin-resistant Enterococcus (VRE) and methicillin-resistant Staphylococcus aureus (MRSA) colonization as well as VRE infections, but not in  the rates of nosocomial Clostridioides difficile (CDI) or…

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By: Judy Mathias
August 19, 2019
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AI, machine learning help unlock health data at Michigan Medicine

Editor's Note The University of Michigan’s health system has 34 artificial intelligence (AI) and machine learning research projects underway, 28 of which have principal investigators, the August 12 Health Data Management reports. Projects include analyzing electronic health records (EHRs), ECG monitor data, and analytics to predict acute hemodynamic instability and…

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By: Judy Mathias
August 14, 2019
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Effect of BMI on SSI risk

Editor's Note This study found a trend of increasing risk of surgical site infections (SSIs) for almost all surgery types when body mass index (BMI) increased from normal to morbidly obese. Of 387,919 patients analyzed in the Dutch national surveillance network PREZIES, 1% were underweight, 30% had normal weight, 40%…

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By: Judy Mathias
August 8, 2019
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Study links cancer center affiliation to lower postop mortality

Editor's Note Patients who had complex surgical procedures for cancer at community hospitals that were affiliated with top-ranked cancer hospitals were less likely to die within 90 days after surgery than patients treated at nonaffiliated hospitals, this study finds. Data for more than 14,000 Medicare patients showed 90-day mortality after…

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By: Judy Mathias
August 8, 2019
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NYT: Experts call for single-use, sterilization or redesign of duodenoscopes, bronchoscopes

Editor's Note Contaminated duodenoscopes have transmitted drug-resistant infections to hundreds of patients, and now some experts are urging the Food & Drug Administration to force manufacturers to develop duodenoscopes that can be properly sterilized or single-use duodenoscopes or take duodenoscopes off the market, the August 6 New York Times Reports.…

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By: Judy Mathias
August 6, 2019
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Research raises concerns about lubricants used in endoscopes

Current endoscope reprocessing methods are not consistently effective in eliminating organic soil or microbes, and the off-label use of products for defoaming, lubrication, and bleeding control may be contributing to reprocessing failures. Though endoscope manufacturers have cautioned against the use of these products, endoscopists still commonly use them, and many…

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By: Judith M. Mathias, MA, RN
July 24, 2019
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Duration, type of surgical prophylaxis linked to adverse events

Editor's Note The risk of adverse events increases with each additional day of surgical antimicrobial prophylaxis, and extended duration does not lead to additional surgical site infection (SSI) reductions, finds this study. In this study of 79,058 patients having surgical procedures in the VA healthcare system, increasing the duration of…

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By: Judy Mathias
July 18, 2019
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Effect of visible-light CED on microbial contamination, SSIs

Editor's Note A visible-light continuous environmental disinfection (CED) system, used with manual cleaning, resulted in a significant reduction in microbial surface contamination and surgical site infections (SSIs) in an orthopedic OR, in this study. Samples were taken from 25 surfaces within two contiguous ORs sharing an air supply after manual…

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By: Judy Mathias
June 20, 2019
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Study: Healthcare workers often care for patients while ill themselves

Editor's Note Large numbers of healthcare workers go to work with symptoms of cold, flu, and other acute respiratory illnesses, this study finds. In this survey of healthcare workers from nine Canadian hospitals during four influenza seasons, 94.6% reported working while sick with an acute respiratory illness, most often because…

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By: Judy Mathias
June 18, 2019
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Editorial

The Leapfrog Group’s spring 2019 Hospital Safety Grade Report shows some progress in patient safety: an estimated 160,000 avoidable deaths nationwide, down from 205,000 in 2016. But 160,000 is a large number. “There’s still a lot of needless death and harm in American hospitals,” says Leah Binder, Leapfrog’s president and…

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By: Elizabeth Wood
June 18, 2019
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