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Swabbing of operation theatres

Paweł Skowronek, Artur Wojciechowski, Piotr Leszczyński, Paweł Olszewski, Marcin Sibiński, Michał Polguj, Marek Synder
UNLABELLED: Ultrasound examinations are recognised as being safe. The greatest epidemiological threat during the performance of examination is the transfer of pathogenic and opportunistic microorganisms between patients and from personnel to patients. Colonization of the skin with opportunistic bacteria of immunocompromised and high risk patients may lead to infection following an ultrasound scan. AIM: To identify and evaluate the strains of bacteria occurring on ultrasound equipment subjected to unexpected control performed by a local infectious diseases control team...
September 2016: Medical Ultrasonography
A Kadar, G Eisenberg, E Yahav, M Drexler, M Salai, E L Steinberg
OBJECTIVE: Surgical site infection (SSI) after hip fracture surgery is a well-known complication with serious consequences for both the patient and the medical system. Silver ion treatment is considered an effective antibacterial agent, however, the use of silver dressing (SD) in the primary prevention of SSIs is controversial. The aims of this study were to compare SD with regular dressing (RD) in the prevention of SSI in elderly patients undergoing surgery for hip fractures, and to compare costs...
October 2015: Journal of Wound Care
T Donnelly
A concurrent audit was conducted over a four week period to determine if the counting of swabs, needles and instruments for surgery adhered to local policy and recommended guidelines. Data were collected on 30 abdominal surgical procedures. This audit highlighted failings in the count process. It identified poor communication within the multidisciplinary team. There needs to be an increased awareness about local policy, national and international guidelines regarding the counting of swabs, needles and instruments for all surgical procedures...
July 2014: Journal of Perioperative Practice
Lone Heimann Larsen, Yijuan Xu, Ole Simonsen, Christian Pedersen, Henrik C Schønheyder, Trine Rolighed Thomsen
BACKGROUND: Accurate microbial diagnosis is crucial for effective management of prosthetic joint infections. Culturing of multiple intraoperative tissue samples has increased diagnostic accuracy, but new preparatory techniques and molecular methods hold promise of further improvement. The increased complexity of sampling is, however, a tough challenge for surgeons and assistants in the operation theatre, and therefore we devised and tested a new concept of pre-packed boxes with a complete assortment of swabs, vials and additional tools needed in the operating theatre for non-standard samples during a clinical study of prosthetic joint infections...
2014: BMC Research Notes
Yvonne Smith, Linda Burke
This article presents the results of an audit of swab and instrument count practices in the operating department of a large hospital NHS Trust in South East England. A literature review of the subject is presented followed by the methodology used including questionnaires and observation of practice. Findings are discussed in terms of compliance with the department's swab and instrument count policy and observed practice mapped against the recommendations for best practice in the literature. The findings show that audit of practice is still treated with suspicion by many and that a number of practices of scrub and circulating personnel in operating theatres need to be improved...
June 12, 2014: British Journal of Nursing: BJN
Rishi Bali, Parveen Sharma, Saurabh Nagrath, Prachi Gupta
Postoperative infection and sepsis remain a major cause of morbidity among patients undergoing surgery. Maintenance of strict asepsis is essential if post-operative infection and its consequences are to be minimized. In developing countries maintenance of asepsis in most operation theatres is limited to fumigation and mopping. Clinical trials have confirmed that 80-90 % of bacterial contaminants found in wound after surgery come from microbes present in air of operating theatre. A study was conducted to evaluate the microbiological contamination of maxillofacial operation theatres in India and its correlation to weekly fumigation...
June 2014: Journal of Maxillofacial and Oral Surgery
A Chuan, C Tiong, M Maley, J Descallar, H Ziochos
Portable ultrasound machines are frequently used in operating theatres for peripheral single-shot nerve block procedures. This equipment must be decontaminated by reducing the microbial load to a sufficient level to reduce the risk of nosocomial infection. In our institution we use a simple three-step decontamination protocol utilising 70% isopropyl alcohol as chemical disinfectant. We performed a prospective, quality assurance study to assess the efficacy of this protocol, as it is unclear if this is suitable for disinfecting semi-critical equipment...
July 2013: Anaesthesia and Intensive Care
Harjeet Grewal, Kavita Varshney, Lee C Thomas, Jen Kok, Amith Shetty
OBJECTIVE: Blood pressure (BP) cuffs are potential vectors for transmission of multi-resistant organisms (MROs). The present study aims to determine MRO colonisation rates in BP cuffs from areas of high patient flow as an assessment of the quality of disinfection and infection control practices. METHODS: BP cuffs in the ED, high dependency unit (HDU) and operating theatres (OT) were prospectively examined after routine disinfection procedures. Swabs collected from the inner and outer surfaces of BP cuffs during inter-patient intervals were plated onto replicate organism detection and counting, methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE) chromogenic agar plates to detect rates of bacterial, MRSA and VRE colonisation, respectively...
June 2013: Emergency Medicine Australasia: EMA
R Squeri, O C Grillo, V La Fauci
INTRODUCTION: Direct contact is undoubtedly the main means of transmission of hospital infections. An investigative study was therefore conducted to assess workplace surfaces at risk from microbial contamination. METHODS: The study was conducted using swabs and contact slides placed on the palms of healthcare workers during their routine patient care and on workplace surfaces (e.g. telephones, computers, medication trolleys, taps) in treatment rooms, operating theatres and wards...
September 2012: Journal of Preventive Medicine and Hygiene
E Carlos Rodriguez-Merchan
UNLABELLED: The rate of infection following primary total knee arthroplasty (TKA) in the general population is 1% on average. However, in persons with haemophilia (PWH), the mean rate of infection following primary TKA is nearly 8%. QUESTIONS: why is the infection rate higher in persons with haemophilia compared with the general population? what should be done to correct this? A PubMed (MEDLINE) search and a Cochrane Library search were performed. The most important articles as judged by the author were selected for this review...
September 2012: Blood Coagulation & Fibrinolysis: An International Journal in Haemostasis and Thrombosis
C J Siah, J Yatim
OBJECTIVE: To perform a comparative assessment of the efficacy of total occlusive ionic silver-containing dressing (TOISD) combination vs no dressing after colorectal surgery. METHOD: The surgical sites from both groups were swabbed and sent for culture and sensitivity upon wound closure (superficial incisional skin surface) in the operating theatre, as a baseline for bacterial colonisation. The patients' surgical wounds in the study group were dressed with TOISD combination and the patient's surgical wounds in the control group received the conventional method of no dressing...
December 2011: Journal of Wound Care
Zubin J Daruwalla, Fiachra Rowan, Margaret Finnegan, Jerome Fennell, Maurice Neligan
PURPOSE: Exsanguinators and tourniquets are regularly used in orthopaedic theatres. A good understanding of their application and contraindications must be ensured to prevent injury to limb or life. However, the level of staff understanding is not well documented. The aims of this study were to assess knowledge of their use between theatre personnel and assess their sterility at our institution. METHODS: A previously published questionnaire was distributed to various orthopaedic theatre personnel responsible for exsanguinator and tourniquet application...
June 2012: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Vinay Kumar Singh, Shazeena Hussain, Sadaf Javed, Ivor Singh, Rohinton Mulla, Yegappan Kalairajah
PURPOSE: To evaluate the sterility of the sterile surgical helmet system (SSHS) during elective total hip and knee arthroplasty in theatres with (n=20) and without (n=20) laminar flow. METHODS: Three surgeons performed 14 total knee arthroplasties (TKAs) and 6 total hip arthroplasties (THAs) in a laminar flow theatre and 15 TKAs and 5 THAs in a non-laminar flow theatre. An SSHS was used in all the procedures. Samples were taken from the hood at 30-minute intervals during surgery...
August 2011: Journal of Orthopaedic Surgery
O O Oduyebo, T O Odugbemi, A Idewu, A Adefule-Ositelu, I E Aibinu, A Ogunro
BACKGROUND: There is a dearth of information on postoperative eye infections in Nigeria and most hospitals do not have an infection control program in place. OBJECTIVE: This study was done to investigate the incidence of post-operative eye infections, their potential sources and the preparedness of the hospital to prevent such infections. METHODS: A microbiological survey of all eye surgical procedures between March 2004 and May 2005 was performed...
July 2010: Nigerian Quarterly Journal of Hospital Medicine
L Bernard, M Assal, C Garzoni, I Uçkay
In this study, we investigate the accuracy of two consecutive ulcer cultures with bone contact compared to bone biopsy for the diagnosis of diabetic toe osteomyelitis. The same nurse and orthopaedic surgeon obtained all samples: sample A-1: bone contact swabbing through the ulcer; sample A-2: a second culture swabbing from the bone surface within 24 h; sample B: surgical bone biopsy in the operating theatre. The kappa statistic measure between samples A-1 and A-2 (bone contact swabs) indicated 82.35% agreement...
February 2011: European Journal of Clinical Microbiology & Infectious Diseases
Ferhan Ahmed, Andrew J Kinshuck, Michael Harrison, Dan O'Brien, Jeffrey Lancaster, Nicholas J Roland, Shaun R Jackson, Terrence M Jones
The use of trans-oral laser techniques for the resection of head and neck carcinomas has increased exponentially over the last four decades. Inadvertent laser damage to the patient or operating theatre staff is an acknowledged risk. However, no data exist to verify the safety margin of commonly employed precautions. The aims of this study was to assess the safety margins of protective strategies commonly adopted when using CO(2) lasers to resect tumours of the head and neck. A Sigmacon Acupulse Lumenis CO(2) laser was evaluated...
November 2010: European Archives of Oto-rhino-laryngology
Viliame Tuisawana
A good infection control manager understands the need to prevent a complete cycle of infection. The Infection Control Working Group Manual of Fiji, emphasised that the Cycle of Infection is the series of stage in which infection is spread. Operating theatres have infection control protocols. Most equipments and instruments used in operating theatre circulate within the theatre. The theatre trolleys are a main component in managing an operating theatre but the least recognised. This paper reviews the effectiveness and efficiency of the current two-trolley system as an infection control mechanism in theatre...
November 2009: Pacific Health Dialog
S Ensayef, S Al-Shalchi, M Sabbar
Contamination of the operating theatre is a major cause of nosocomial infection. This study aimed to evaluate the incidence of bacterial contamination of operating theatres in Al Imam Ali Hospital in Baghdad, and the source of contamination. From 1216 swabs collected from surfaces, equipment and antiseptic solutions from different operating theatres in 2001 and 2002, the rates of positive cultures were 3.7% in 2001 and 4.0% in 2002. Staphylococcus epidermidis was the most common isolate in 2001 followed by Pseudomonas aeruginosa, whereas in 2002 coliform bacteria were the highest, followed by P...
January 2009: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
Elijah O Kehinde, Yusuf Ali, Fathima Khodakhast, Wafaa Y Jamal, Mohammed Seshah, Vincent O Rotimi
OBJECTIVE: To establish the bacterial flora of the perineum before and after antiseptic preparation in male urology patients. PATIENTS/METHODS: Adult male patients undergoing cystoscopic procedures were studied. Three sets of swab specimens, labelled A, B and C, were taken from the perineum in the theatre. Specimen A was taken before cleaning and disinfection of the skin with Savlon (Chlorhexidine- cetrimide mixture), specimen B after disinfection and draping, and C after completion of the operative procedure...
2008: Urologia Internationalis
F Kiernan, M Joyce, C K Byrnes, H O'Grady, F B V Keane, P Neary
INTRODUCTION: Post-operative complications in surgery may frequently be unavoidable. However, some complications result from human error, both in the intra-operative and post-operative period. One such complication, which is frequently underreported, is the retained swab, or gossypiboma. CASE REPORT: We report a case from our hospital of a patient who presented with unexplained pyrexia, 4 years post-gynaecological surgery in another institution. A 67-year-old woman from overseas presented to our emergency department with a 2-day-history of pyrexia, collapse and confusion...
December 2008: Irish Journal of Medical Science
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