Infection control in the operating room

Loftus, Randy W.

doi:10.1097/aco.0000000000000300

Cited by 12 publications

(8 citation statements)

References 37 publications

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“…Perioperative infection prevention practices are very different from those in nonperioperative health care environments 12 , 13 because undergoing operative or other invasive procedures puts perioperative patients at risk for developing surgical site infections. 14 , 15 Further, aerosol‐generating procedures, such as the administration of general anesthesia, are a primary source of COVID‐19 infection.…”

Section: Discussionmentioning

confidence: 99%

Perioperative Management Strategies for the COVID‐19 Pandemic at a Facility in China

Bian¹,

Jia²,

Wang³

et al. 2022

AORN Journal

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The spread of coronavirus disease 2019 posed a public health crisis beginning in January 2020, affecting hospitals and health care personnel worldwide and disrupting perioperative services. Organization leaders at Xijing Hospital, Xi’an, China, developed a mitigation system for the OR that involved creating a pandemic response team to identify and implement appropriate infection control practices to prevent virus transmission. The leaders addressed managing the daily surgery schedule through patient screening and a focus on the urgency and volume of procedures. They required increased use of personal protective equipment and more stringent cleaning and disinfection protocols and ensured that the physical and mental health of staff members were monitored and prioritized. This article describes how leaders implemented these enhanced processes to protect personnel from infection as they continued to provide patient care. It also describes how high‐risk procedures involving patients with confirmed or suspected infections were managed and discusses lessons learned.

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Section: Discussionmentioning

confidence: 99%

Perioperative Management Strategies for the COVID‐19 Pandemic at a Facility in China

Bian¹,

Jia²,

Wang³

et al. 2022

AORN Journal

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“…Bacterial contamination of intraoperative anesthesia work environment can contribute to transmission of healthcare-associated pathogens, postoperative infections, and increased mortality in surgical patients [ 8 ]. Some surgeons (eg, orthopedists) seem reluctant to use ORs where the preceding patient was on contact precautions for colonization/infection with an MDR pathogen for fear that the environment would be contaminated and put their patients at risk for the previous patient’s pathogen.…”

Section: Discussionmentioning

confidence: 99%

Perioperative Bacterial Contamination from Patients on Contact Precaution in Operating Room Environment

Kanamori

Rutala

Gergen

et al. 2020

Open Forum Infectious Diseases

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We investigated the microbial burden on the operating room environment when patients on contact precautions for a multidrug-resistant pathogen received surgery. Our study demonstrated that the perioperative environment was contaminated with aerobic bacteria and MRSA after surgery, and that MRSA persisted environmentally even after cleaning/disinfection, highlighting the need for meticulous cleaning/disinfection in the perioperative environment.

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“…Prevention of surgical infection is a global priority, to which applying the World Health Organization’s (WHO) hand hygiene (HH) campaign is of critical importance in the operating room (OR) (Abbas and Pittet, 2016). Despite high design specification of the OR and equipment, with exception of sterile surgical instruments in the surgical field, the OR is a clean, not a sterile environment (Loftus, 2016). The focus of this study is non-sterile equipment, which will be referred to as equipment.…”

Section: Introductionmentioning

confidence: 99%

“…Responding to the risk of HAI associated with bacterial transmission around equipment (Loftus, 2016), which occurs in as little as 30 min (Rowlands et al, 2014), the research team introduced the WHO HH guidelines (Smith et al, 2016). The core of these guidelines is the concept of ‘My five moments for hand hygiene’ (Figure 1).…”

Section: Introductionmentioning

confidence: 99%

Identifying the World Health Organization’s fifth moment for hand hygiene: Infection prevention in the operating room

Smith

Lee

Binnie-McLeod

et al. 2019

Journal of Infection Prevention

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Background: The World Health Organization have designed the fifth of their ‘5 moments’ for hand hygiene to account for microbial transfer from patients to equipment in a narrow area around that patient, known as the patient zone. The study was prompted by emerging local confusion about application of the patient zone in the operating room (OR). Aim/Objectives: In two phases, we aimed to create a ‘5 moments’ style poster displaying an OR patient zone: phase 1, quantify equipment, in direct contact with the patient and, touched by non-scrubbed staff immediately after touching the patient; and phase 2, categorise equipment identified in phase 1 into patient zone and healthcare zone. An objective is to produce a ‘5 moments’ poster for the OR. Methods: The first phase used non-participant direct overt observation. In phase 2, phase 1 data were collaboratively assigned to patient zone or healthcare zone. Photography and graphic design were used to produce the OR ‘5 moments’ poster. Results: In 11 full-length surgeries, 20 pieces of equipment were in direct contact with the patient and 57 pieces of equipment were touched. In phase 2, a ‘5 moments’ poster showing an OR patient zone was designed. Discussion: Content of the patient zone was identified and displayed in a novel resource. Having shared understanding of the patient zone has potential to sustain hand hygiene compliance and equipment cleaning in the OR. Conclusion: Limitations in methods were balanced by collaboration with frontline staff. The study has been used as a teaching tool in the OR and similar settings.

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Infection control in the operating room

Cited by 12 publications

References 37 publications

Perioperative Management Strategies for the COVID‐19 Pandemic at a Facility in China

Perioperative Management Strategies for the COVID‐19 Pandemic at a Facility in China

Perioperative Bacterial Contamination from Patients on Contact Precaution in Operating Room Environment

Identifying the World Health Organization’s fifth moment for hand hygiene: Infection prevention in the operating room

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