Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-28T00:33:45.371Z Has data issue: false hasContentIssue false

Frequency of Interactions and Hand Disinfections among Anesthesiologists While Providing Anesthesia Care in the Operating Room: Induction versus Maintenance

Published online by Cambridge University Press:  10 May 2016

L. Silvia Munoz-Price*
Affiliation:
Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida
Bobbie Riley
Affiliation:
Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida
Shawn Banks
Affiliation:
Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida
Scott Eber
Affiliation:
Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida
Kristopher Arheart
Affiliation:
Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida Division of Biostatistics, University of Miami Miller School of Medicine, Miami, Florida
David A. Lubarsky
Affiliation:
Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida
David J. Birnbach
Affiliation:
Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida
*
Park Plaza West L-302, 1611 NW 12th Avenue, Miami, FL 33136-1096 ([email protected]).

Extract

We evaluated the behaviors of anesthesiologists during induction and maintenance of anesthesia. Contacts with surfaces occurred a mean (±standard error) of 154.8 ± 7.7 and 60 ± 3.1 times per hour during induction and maintenance, respectively (P < .0001). Hand hygiene events were 1.8 ± 0.27 per hour during induction versus 1.19 ± 0.27 during maintenance (P = .018).

Infect Control Hosp Epidemiol 2014;35(8):1056–1059

Type
Concise Communication
Copyright
© 2014 by The Society for Healthcare Epidemiology of America. All rights reserved.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Loftus, RW, Koff, MD, Burchman, CC, et al. Transmission of pathogenic bacterial organisms in the anesthesia work area. Anesthesiology 2008;109:399407.CrossRefGoogle ScholarPubMed
2. Loftus, RW, Brindeiro, BS, Kispert, DP, et al. Reduction in intraoperative bacterial contamination of peripheral intravenous tubing through the use of a passive catheter care system. Anesth Analg 2012;115:13151323.CrossRefGoogle ScholarPubMed
3. Loftus, RW, Brown, JR, Koff, MD, et al. Multiple reservoirs contribute to intraoperative bacterial transmission. Anesth Analg 2012;114:12361248.Google Scholar
4. Jefferson, J, Whelan, R, Dick, B, Carling, P. A novel technique for identifying opportunities to improve environmental hygiene in the operating room. AORN J 2011;93:358364.CrossRefGoogle ScholarPubMed
5. Munoz-Price, LS, Birnbach, DJ, Lubarsky, DA, et al. Decreasing operating room environmental pathogen contamination through improved cleaning practice. Infect Control Hosp Epidemiol 2012;33:897904.Google Scholar
6. Munoz-Price, LS, Lubarsky, DA, Arheart, K, et al. Interactions between anesthesiologists and the environment while providing anesthesia care in the operating room. Am J Infect Control 2013;41:922924.Google Scholar
7. American Society of Anesthesiologists Committee on Occupational Health Task Force on Infection Control. Recommendations for infection control for the practice of anesthesiology, 2013. http://www.asahq.org/For-Members/About-ASA/ASA-Committees/Committee-on-Occupational-Health.aspx. Accessed October 29, 2013.Google Scholar
8. Sax, H, Allegranzi, B, Uckay, I, Larson, E, Boyce, J, Pittet, D. “My five moments for hand hygiene”: a user-centred design approach to understand, train, monitor and report hand hygiene. J Hosp Infect 2007;67:921.CrossRefGoogle ScholarPubMed
9. Birnbach, DJ, Rosen, LF, Fitzpatrick, M, Carling, P, Arheart, KL, Munoz-Price, LS. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. Anesth Analg 2014 [Epub ahead of print].Google Scholar
10. Koff, MD, Loftus, RW, Burchman, CC, et al. Reduction in intraoperative bacterial contamination of peripheral intravenous tubing through the use of a novel device. Anesthesiology 2009;110:978985.CrossRefGoogle ScholarPubMed
11. Krediet, AC, Kalkman, CJ, Bonten, MJ, Gigengack, AC, Barach, P. Hand-hygiene practices in the operating theatre: an observational study. Br J Anaesth 2011;107:553558.Google Scholar