Surgical Instrument Reprocessing in Resource-Constrained Countries: A Scoping Review of Existing Methods, Policies, and Barriers

Surgical Infections
Jared A ForresterThomas G Weiser

Abstract

Surgical infections are a major cause of morbidity and mortality in low- and middle-income countries (LMICs). Inadequately reprocessed surgical instruments can be a vector for pathogens. Little has been published on the current state of surgical instrument reprocessing in LMICs. We performed a scoping review of English-language articles in PubMed, Web of Science, and Google Scholar databases describing current methods, policies, and barriers to surgical instrument reprocessing in LMICs. We conducted qualitative analysis of all studies to categorize existing practices and barriers to successful surgical instrument reprocessing. Barriers were non-exclusively categorized by theme: training/education, resource availability, environment, and policies/procedures. Studies associating surgical infections with existing practices were separately evaluated to assess this relationship. Nine hundred seventy-two abstracts were identified. Forty studies met criteria for qualitative analysis and three studies associated patient outcomes with surgical instrument reprocessing. Most studies (n = 28, 70%) discussed institution-specific policies/procedures; half discussed shortcomings in staff training. Sterilization (n = 38, 95%), verification of ...Continue Reading

References

Sep 1, 1992·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·E C SmootG A Draper
Aug 1, 1988·Annals of Emergency Medicine·R R SimonR J Halbert
Nov 28, 2002·Journal of Applied Microbiology·A F JørgensenJ Nøhr
Jan 7, 2005·International Dental Journal·I A ElkarimY E Ibrahim
Oct 19, 2006·The Journal of Hospital Infection·R VijayaraghavanC S Belagavi
Jul 8, 2008·Indian Journal of Pathology & Microbiology·H B Veena KumariA Chandramuki
Jan 16, 2009·The New England Journal of Medicine·Alex B HaynesUNKNOWN Safe Surgery Saves Lives Study Group
Apr 7, 2009·World Journal of Surgery·T Peter KinghamAdam L Kushner
Dec 23, 2009·Journal of Applied Oral Science : Revista FOB·Emir YüzbasiogluSeda Cengiz
Jan 12, 2011·Indian Journal of Dermatology, Venereology and Leprology·Narendra Patwardhan, Uday Kelkar
Mar 18, 2011·The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases·Jacqueline Kimiko MatsudaHarry Davidowicz
May 24, 2011·BMC Pregnancy and Childbirth·Rajesh MehtaJulia Hussein
Nov 16, 2011·Bulletin of the World Health Organization·Sepideh Bagheri NejadDidier Pittet
Dec 22, 2011·The Journal of Contemporary Dental Practice·Raghunath PuttaiahDu Minquan
May 10, 2012·International Dental Journal·Balendra Pratap SinghLakshya Kumar
Aug 1, 2012·The American Journal of Tropical Medicine and Hygiene·Tremayne KasemanDouglas A Schuler
Sep 25, 2012·Lancet·Daniel BainbridgeUNKNOWN Evidence-based Peri-operative Clinical Outcomes Research (EPiCOR) Group
May 3, 2014·World Journal of Surgery·Anji E Wall
Sep 10, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Debabrata BasuMammen Chandy
Sep 23, 2014·International Dental Journal·Jeanné OosthuysenAnnabel Fossey
Mar 19, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Debabrata BasuMammen Chandy
Jun 18, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Debabrata Basu
Jul 23, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Kristy WeinshelNalini Singh
Aug 11, 2015·American Journal of Infection Control·Nathan N O'HaraElizabeth A Bryce
Mar 24, 2016·PloS One·Jean BoubourDouglas A Schuler
Apr 29, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Debabrata BasuMammen Chandy
Dec 18, 2016·Annals of Global Health·Catherine R deVries, Jenna S Rosenberg
Jan 8, 2018·Lancet·Bruce M BiccardUNKNOWN African Surgical Outcomes Study (ASOS) investigators
Feb 13, 2018·The Journal of Surgical Research·Sagar ChawlaThomas McIntyre

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Citations

Jan 11, 2019·Surgical Infections·Thomas G WeiserJared A Forrester
Mar 24, 2020·International Journal of Impotence Research·Faysal A YafiSteven K Wilson
Apr 13, 2021·Journal of Infection Prevention·Alexander CuncannonOlive Fast
Jul 25, 2021·Antimicrobial Resistance and Infection Control·Daniel RobertsonTim Horeman-Franse
Jan 28, 2019·American Journal of Infection Control·Joanna Veazey BrooksKsenia Gorbenko

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