Editor's Note A 16-hour delay from emergency department (ED) admission or a 12-hour delay from hospital admission to performance of an appendectomy was not associated with an increased risk of surgical site infections (SSIs), in this study. Of 1,338 patients included in the study, 70% had a diagnosis of simple…

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Editor's Note An investigation by the Pasadena Public Health Department, Pasadena, California, into the outbreak of Pseudomonas aeruginosa bacterial infections from duodenoscopes found that 16 patients at Huntington Hospital were infected from January 2013 to August 2015, including 11 who have now died, the June 1 Los Angeles Times reports.…

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Editor's Note The Food and Drug Administration (FDA) on June 1 issued a safety alert that the agency had received reports of US patients infected with Mycobacterium chimaera after undergoing cardiothoracic surgery that involved the use of the Stockert 3T Heater-Cooler System by Sorin Group Deustchland GmbH. Efforts are underway…

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Editor's Note In patients having endoscopic retrograde cholangiopancreatography (ERCP) with a contaminated duodenoscope, biliary stent placement, a diagnosis of bile duct cancer, and hospital inpatient status were independently associated with an increased risk of carbapenem-resistant Enterobacteriaceae (CRE) transmission, this study finds. The findings were based on data from a 2015…

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Editor's Note Officials from the Centers for Disease Control and Prevention on May 27 reported the first US case of Escherichia coli (E coli) bacteria that is resistant to colistin, a last-resort antibiotic, Reuters reports. A 49-year old woman in Pennsylvania was found last month to have a urinary tract…

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Editor's Note Physicians Endoscopy, an ambulatory surgery center management company based in Jamison, Pennsylvania, is one of 12 outpatient-focused professional organizations and 10 ambulatory health care systems selected by the Joint Commission and Centers for Disease Control and Prevention (CDC) to participate in an infection prevention initiative. The initiative, called…

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Editor's Note Medical chart review for surgical site infections (SSIs) that were identified through administrative data is an efficient supplemental SSI surveillance strategy following total hip and knee arthroplasty, this study finds. Of 162 patients with potential SSIs identified by diagnosis or procedure code, 46 (28%) were confirmed as an…

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Editor's Note This study from the University of Colorado Hospital, Aurora, identifies the most frequently touched surfaces in the OR and their level of contamination. The top high touch surface was the anesthesia computer mouse, followed by the OR table, nurse computer mouse, OR door, and anesthesia cart. Using the…

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Editor's Note In this study, a nonpunitive and collaborative peer methodology for assessing endoscope reprocessing at five Johns Hopkins GI endoscopy sites (three hospital based and two ASCs) was successful in capturing and sharing best practices for cleaning, disinfection, and sterilization of endoscopes. The assessments showed that 20 (42%) of…

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Some complex medical devices cannot withstand high-temperature sterilization. An alternative is low-temperature sterilization, which works for heat- and moisture-sensitive devices. There are different types of low-temperature sterilizers, and this article will review them.   Spaulding classification A deciding factor in whether an instrument can undergo high-level disinfection is the Spaulding…

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