Transmission of pathogenic bacterial organisms in the anesthesia work area

Anesthesiology
Randy W LoftusMichael L Beach

Abstract

The current prevalence of hospital-acquired infections and evolving amplification of bacterial resistance are major public health concerns. A heightened awareness of intraoperative transmission of potentially pathogenic bacterial organisms may lead to implementation of effective preventative measures. Sixty-one operative suites were randomly selected for analysis. Sterile intravenous stopcock sets and two sites on the anesthesia machine were decontaminated and cultured aseptically at baseline and at case completion. The primary outcome was the presence of a positive culture on the previously sterile patient stopcock set. Secondary outcomes were the number of colonies per surface area sampled on the anesthesia machine, species identification, and antibiotic susceptibility of isolated organisms. Bacterial contamination of the anesthesia work area increased significantly at the case conclusion, with a mean difference of 115 colonies per surface area sampled (95% confidence interval [CI], 62-169; P < 0.001). Transmission of bacterial organisms, including vancomycin-resistant enterococcus, to intravenous stopcock sets occurred in 32% (95% CI, 20.6-44.9%) of cases. Highly contaminated work areas increased the odds of stopcock contami...Continue Reading

References

Oct 1, 1991·Journal of Advanced Nursing·D Gould
Sep 1, 1986·JPEN. Journal of Parenteral and Enteral Nutrition·J L KaufmanR E Brolin
Nov 1, 1988·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M R LessardP H Denault
Jun 21, 1995·JAMA : the Journal of the American Medical Association·L E DanzigW R Jarvis
Sep 29, 1998·Annales Françaises D'anesthèsie Et De Rèanimation·M C BimarB Pottecher
Aug 18, 1999·JAMA : the Journal of the American Medical Association·D L VeenstraS D Sullivan
Jan 7, 2000·British Journal of Nursing : BJN·L J Parker
Feb 7, 2001·Annales Françaises D'anesthèsie Et De Rèanimation·J Hajjar, R Girard
Jul 6, 2000·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·S SaintB A Lipsky
Oct 26, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·M K Hayden
Jan 5, 2002·The Journal of Hospital Infection·D Pittet
Feb 21, 2003·Quality Management in Health Care·Susan HoustonJohn Sabo
Sep 23, 2003·Critical Care Medicine·Cameron DezfulianSanjay Saint
Jun 30, 2006·Intensive Care Medicine·Josep-Maria SirventAlfons Bonet
Jul 28, 2006·Anesthesiology·Estelle Traurig Baer
Jul 28, 2006·Anesthesiology·William J Mauermann, Edward C Nemergut
Jan 24, 2007·The Journal of Hospital Infection·A L CaseyT S J Elliott
Mar 27, 2007·Circulation Journal : Official Journal of the Japanese Circulation Society·Satoshi AkagiTohru Ohe
May 8, 2007·Emerging Infectious Diseases·Luciano TegaAntonio Carraturo
May 8, 2007·American Journal of Infection Control·Mark W WoodKurt B Stevenson
Oct 18, 2007·JAMA : the Journal of the American Medical Association·R Monina KlevensUNKNOWN Active Bacterial Core surveillance (ABCs) MRSA Investigators

❮ Previous
Next ❯

Citations

Jun 15, 2011·British Journal of Anaesthesia·A C KredietP Barach
May 24, 2011·Journal of Paediatrics and Child Health·Lucinda C Winckworth, Reena M Bhatt
Sep 29, 2012·Science Translational Medicine·Henk J BusscherDavid W Grainger
Jul 18, 2009·Anesthesia and Analgesia·Tyler R CallNancy A Nussmeier
Dec 22, 2010·Anesthesia and Analgesia·Markus W Hollmann, Raymond C Roy
Apr 3, 2012·Anesthesia and Analgesia·Randy W LoftusMark P Yeager
May 23, 2012·Anesthesia and Analgesia·Walter Zingg, Didier Pittet
Jan 13, 2011·Indian Journal of Anaesthesia·Ravi L BhatP Raghavendra Rao
Jan 22, 2014·Anesthesia and Analgesia·Julie L HolroydMark J Rice
Jun 28, 2014·American Journal of Infection Control·John RowlandsRandy W Loftus
Dec 3, 2014·Journal of Clinical Anesthesia·Craig S CurryJohn W Allyn
Oct 5, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Alan F MerrySimon J Mitchell
Dec 3, 2014·AORN Journal·Charles E Edmiston, Maureen Spencer
Dec 3, 2014·American Journal of Infection Control·Cantwell ClarkMichaela Whitty
Aug 8, 2013·Biomedical Instrumentation & Technology·Kathryn M GoldVictoria M Hitchins
Feb 10, 2016·American Journal of Infection Control·Angela CatalanottiMark Stibich
Sep 24, 2013·American Journal of Infection Control·Susan A DolanRobin A Stackhouse
Nov 21, 2012·Journal of Clinical Anesthesia·Brian J Egan, Sean Cheng
Mar 15, 2011·The Journal of Hospital Infection·B EllgerA W Friedrich
Jan 15, 2016·Current Opinion in Anaesthesiology·Randy W Loftus
Aug 8, 2015·Journal of Anesthesia·Colby L ParksRichard E Galgon
Jul 28, 2015·Anesthesia and Analgesia·David J BirnbachL Silvia Munoz-Price
Feb 5, 2016·Anesthesiology·Warren S Sandberg, Thomas R Talbot
Apr 5, 2016·American Journal of Infection Control·Chuck BiddleBrad Verhulst
Aug 8, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·L Silvia Munoz-PricePhilip Carling
Aug 12, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·L A MermelL LeBlanc
Feb 17, 2015·Antimicrobial Resistance and Infection Control·Veronika MegeusAnnette Erichsen Andersson
May 9, 2014·Anesthesia and Analgesia·David J BirnbachL Silvia Munoz-Price
Mar 20, 2015·Anesthesia and Analgesia·Harriet W Hopf
Mar 20, 2015·Anesthesia and Analgesia·L Silvia Munoz-Price, Robert A Weinstein
Mar 20, 2015·Anesthesia and Analgesia·Randy W LoftusDavid J Birnbach
Nov 11, 2014·Anesthesia and Analgesia·Patrick G FernandezJeremiah R Brown

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.