Infection prevention in the operating room anesthesia work area

作者：Luisa Silvia Munoz-Price, Andrew Bowdle, Bree Johnston, Gonzalo M. Bearman, Bernard C. Camins, Evan Patchen Dellinger, Marjorie A. Geisz-Everson, Galit Holzmann-Pazgal, Rekha K. Murthy, David A. Pegues, Richard C. Prielipp, Zachary Rubin, Joshua K. Schaffzin, Deborah S. Yokoe, David J. Birnbach · 发表于：Infection Control and Hospital Epidemiology · 年份：2018 · DOI：10.1017/ice.2018.303 · 被引用次数：131 · 研究领域：Surgical site infection prevention、Infection Control in Healthcare、Medical Device Sterilization and Disinfection

PurposeThe potential for clinically significant microbial cross transmission in the intraoperative environment poses a threat to patient safety.A growing body of literature has shown contamination in the anesthesia work area, including the anesthesia medical work cart, stopcocks, laryngeal masks and laryngoscope blades, touchscreens, and keyboards, as well as on providers' hands, resulting in transmissions, healthcare-associated infections, and increased risk of patient mortality.The authors acknowledge that the operating room (OR) is a challenging environment in which to affect ideal infection prevention and control practices.In addition, infection prevention and control policies specific to anesthesia care in the OR are not universal; audits of infection prevention practices are not routine; and consequently, providers may not have clarity on expected practices and behaviors.Studies have reported problematic practices by anesthesia providers, including use of multiple-dose vials for >1 patient, <100% use of gloves for airway management, failure to perform hand hygiene (HH) after removing gloves, and entry into anesthesia cart drawers without performance of HH.This guidance provides recommendations specific to the anesthesia work area to improve infection prevention through HH, environmental disinfection, and implementation of effective improvement efforts.Furthermore, SHEA acknowledges significant challenges to implementing the array of infection prevention and control reco...