دورية أكاديمية

Evaluation of the practice of reprocessing ORs in German hospitals from an infection prevention and control perspective.

التفاصيل البيبلوغرافية
العنوان: Evaluation of the practice of reprocessing ORs in German hospitals from an infection prevention and control perspective.
المؤلفون: Grimm C; Department of Anesthesiology, University Medical Center Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany., Scheithauer S; Department of Infection Control and Infectious Diseases, University Medical Center Göttingen, Göttingen, Germany., Artelt T; Department of Infection Control and Infectious Diseases, University Medical Center Göttingen, Göttingen, Germany., Stieber A; Department of Anesthesiology, University Medical Center Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany., Erlenwein J; Department of Anesthesiology, University Medical Center Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany., Schuster M; Clinic for Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, RKH-Kliniken Landkreis Karlsruhe, Fürst-Stirum-Klinik Bruchsal and Rechbergklinik Bretten, Bruchsal, Germany., Bauer M; Clinic for Anesthesiology, Intensive Care Medicine and OR Management, RHÖN- KLINIKUM Campus Bad Neustadt, Bad Neustadt an der Saale, Germany., Waeschle RM; Department of Anesthesiology, University Medical Center Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany. rwaeschle@med.uni-goettingen.de.
المصدر: Infection [Infection] 2024 Aug; Vol. 52 (4), pp. 1575-1584. Date of Electronic Publication: 2024 Jun 03.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Heidelberg Country of Publication: Germany NLM ID: 0365307 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1439-0973 (Electronic) Linking ISSN: 03008126 NLM ISO Abbreviation: Infection Subsets: MEDLINE
أسماء مطبوعة: Publication: 2011- : Heidelberg : Springer Heidelberg
Original Publication: München, Verlagsgesellschaft Otto Spatz.
مواضيع طبية MeSH: Operating Rooms*/standards , Operating Rooms*/statistics & numerical data , Infection Control*/methods , Disinfection*/methods , Disinfection*/standards , Cross Infection*/prevention & control, Germany ; Humans ; Hospitals/statistics & numerical data ; Surveys and Questionnaires
مستخلص: Background: The aim of this study was to analyze the cleaning and disinfection of operating rooms (ORs) status quo focusing on hygiene plans in German hospitals.
Methods: In 2016, a structured online survey was sent to infection prevention and control (IPC) specialists at the cost calculation hospitals of the Institute for the Hospital Remuneration System (InEK) and all university hospitals in Germany (n = 365).
Results: With a response rate of 27.4%, 78% stated that written hygiene plans were available. After cleaning and disinfecting an OR with a "septic" patient, 55% waited until surfaces were dry before reusing in accordance with national recommendations, 27% waited > 30 min. Additionally, 28% of hospitals had ORs only for "septic" patients. In 56% "septic" patients were only operated on at the end of the program. Postoperative monitoring of patients with bacteria with special IPC requirements took place in the post anesthesia care unit (PACU) (29%), operating room (OR) (52%), intensive care unit (ICU) (53%), and in the intermediate care unit (IMC) (19%).
Discussion and Conclusions: Despite written hygiene plans in place the partly long duration of OR nonuse time following IPC measures, the consistent continued use of stratification for "septic" patients and the postoperative follow-up care of patients with colonizing/infecting bacteria with special IPC requirements in the OR and high care areas represent relevant potential for improvement.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Disinfection; Infection prevention and control; OR; Reprocessing; Survey
تواريخ الأحداث: Date Created: 20240603 Date Completed: 20240730 Latest Revision: 20240802
رمز التحديث: 20240802
مُعرف محوري في PubMed: PMC11289043
DOI: 10.1007/s15010-024-02303-z
PMID: 38829479
قاعدة البيانات: MEDLINE
الوصف
تدمد:1439-0973
DOI:10.1007/s15010-024-02303-z