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Most hospital patients at risk for bacterial infection undergo an anesthetic: implications for infection control practices related to the anesthesia workspace.
- Source :
-
Canadian journal of anaesthesia = Journal canadien d'anesthesie [Can J Anaesth] 2023 Aug; Vol. 70 (8), pp. 1330-1339. Date of Electronic Publication: 2023 Jun 12. - Publication Year :
- 2023
-
Abstract
- Purpose: Even with nearly 100% compliance with prophylactic antibiotic protocols, many surgical patients (> 5%) develop surgical site infections, some caused by pathogens transmitted from the anesthesia workspace (e.g., anesthesia machine), including multidrug-resistant Staphylococcus aureus. Reducing contamination of the anesthesia workspace substantively reduces the risk of surgical site infections. We estimated the percentage of hospital patients at risk for health care-associated infections who may benefit from the application of basic preventive measures under the control of anesthesia practitioners (e.g., their hand hygiene).<br />Methods: We conducted a retrospective cohort study which included every patient admitted to the University of Miami Health System from April 2021 through March 2022 for hospitalization, surgery, emergency department visits, or outpatient visits. Lists were created for the start date and times of every parenteral antibiotic administered and every anesthetic.<br />Results: Among 28,213 patient encounters including parenteral antibiotic(s), more than half (64.3%) also included an anesthetic (99% confidence interval, 62.2 to 66.6). The hypothesis that most antibiotics were administered during encounters when a patient underwent an anesthetic was accepted (P < 0.001). This observation may seem counterintuitive because parenteral antibiotics were administered for fewer than half of the 53,235 anesthetics (34.2%). The result was a consequence of most anesthetics (63.5%) at the health system being conducted in nonoperating room locations, and only 7.2% of such patients received a parenteral antibiotic.<br />Conclusions: Because approximately two-thirds of patients who receive an intravenous antibiotic also undergo an anesthetic, greater use of effective infection control measures in the anesthesia operating room workspace has the potential to substantively reduce overall rates of hospital infections.<br /> (© 2023. Canadian Anesthesiologists' Society.)
- Subjects :
- Humans
Surgical Wound Infection prevention & control
Retrospective Studies
Anti-Bacterial Agents
Infection Control methods
Delivery of Health Care
Hospitals
Methicillin-Resistant Staphylococcus aureus
Bacterial Infections chemically induced
Bacterial Infections drug therapy
Bacterial Infections prevention & control
Anesthesia adverse effects
Cross Infection prevention & control
Anesthetics
Subjects
Details
- Language :
- English
- ISSN :
- 1496-8975
- Volume :
- 70
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Canadian journal of anaesthesia = Journal canadien d'anesthesie
- Publication Type :
- Academic Journal
- Accession number :
- 37308738
- Full Text :
- https://doi.org/10.1007/s12630-023-02515-1