Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-28T11:28:15.269Z Has data issue: false hasContentIssue false
  • English
  • Français

Improved Compliance With Universal Precautions in the Operating Room Following an Educational Intervention

Published online by Cambridge University Press:  02 January 2015

Lynn E. Kim ,
Donna B. Jeffe ,
Bradley A. Evanoff ,
Sunita Mutha ,
Brad Freeman  and
Victoria J. Fraser
Lynn E. Kim
Affiliation:
Division of Infectious Disease, University of California, San Francisco, California
Donna B. Jeffe
Affiliation:
Department of Internal Medicine, Division of Health Behavior Research, University of California, San Francisco, California
Bradley A. Evanoff
Affiliation:
Department of Internal Medicine, Division of General Medical Sciences, University of California, San Francisco, California
Sunita Mutha
Affiliation:
Department of Internal Medicine, Health Professions, University of California, San Francisco, California
Brad Freeman
Affiliation:
Division of Trauma and Critical Care, Department of Surgery, Washington University, School of Medicine, St Louis, Missouri
Victoria J. Fraser*
Affiliation:
Division of Infectious Disease, University of California, San Francisco, California
*
Infectious Disease, Box 8051, Washington University, School of Medicine, 660 S Euclid Ave, St Louis, MO 63110
Get access Rights & Permissions [Opens in a new window]

Abstract

Observation of surgical personnel in four specialties (cardio-thoracic, general, gynecologic, and orthopedic) in the operating room was performed prior to implementation of an educational intervention designed to improve compliance with Universal Precautions and at 1- and 2-years post-intervention. Use of protective eyewear and double gloving increased following the intervention, whereas the incidence of documented blood and body fluid exposures decreased.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 22 , Issue 8 , August 2001 , pp. 522 - 524
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2001

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. Tokars, JI, Bell, DM, Culver, DH, Marcus, R, Mendelson, MH, Sloan, EP, et al. Percutaneous injuries during surgical procedures. JAMA 1992;267:2899–2904.CrossRefGoogle ScholarPubMed
2. Gerberding, JL, Iittell, C, Tarkington, A, Brown, A, Schecter, WP. Risk of exposure of surgical personnel to patients' blood during surgery at San Francisco General Hospital. N Engl J Med 1990;322:1788–1793.CrossRefGoogle ScholarPubMed
3. Beekmann, SE, Vaughn, TE, McCoy, KD, Ferguson, KJ, Torner, JC, Woolson, RF, et al. Hospital bloodborne pathogens programs: program characteristics and blood and body fluid exposure rates. Infect Control Hosp Epidemiol 2001;22:73–82.CrossRefGoogle ScholarPubMed
4. Centers for Disease Control. Update: Universal Precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health-care settings. MMWR 1988;37:377–388.Google Scholar
5. Akduman, D, Kim, LE, Parks, RL, L'Ecuyer, PB, Mutha, S, Jeffe, DB, et al. Use of personal protective equipment and operating room behaviors in four surgical subspecialties. Infect Control Hosp Epidemiol 1999;20:110–114.CrossRefGoogle ScholarPubMed
6. Tokars, JI, Culver, DH, Mendelson, MH, Sloan, EP, Farber, BF, Fligner, DJ, et al. Skin and mucous membrane contacts with blood during surgical procedures: risk and prevention. Infect Control Hosp Epidemiol 1995;16:703–711.CrossRefGoogle ScholarPubMed
7. Courington, KR, Patterson, SL, Howard, RJ. Universal Precautions are not universally followed. Arch Surg 1991;126:93–96.CrossRefGoogle Scholar
8. Michalsen, A, Delclos, GL, Felknor, SA, Davidson, AL, Johnson, PC, Vesley, D, et al. Compliance with Universal Precautions among physicians. J Occup Environ Med 1997;39:130–137.CrossRefGoogle ScholarPubMed
9. Beekman, SE, Vlahov, D, Koziol, DE, McShalley, ED, Schmitt, JM, Henderson, DK. Temporal association between implementation of Universal Precautions and a sustained, progressive decrease in percutaneous exposures to blood. Clin Infect Dis 1994;18:562–569.CrossRefGoogle Scholar
10. Wong, ES, Stotka, JL, Chinchili, VM, Williams, DS, Stuart, CG, Markowitz, SM. Are Universal Precautions effective in reducing the number of occupational exposures among health care workers? JAMA 1991;265:1123–1128.CrossRefGoogle ScholarPubMed