Contamination of equipment and surfaces in the operating room anesthesia workspace: a cross-sectional study.

Carlos Eduardo Macedo, Adriano Menis Ferreira, Larissa da Silva Barcelos, Andr�� Luiz Silva Alvim, Liliane Moretti Carneiro, Sandro Rog��rio Martins, Denise de Andrade, Marcelo Alessandro Rigotti, Ruberval Peres Gasques, Vanderlei Amaro da Silva Junior, Layze Braz de Oliveira, Herica Emilia F��lix de Carvalho, Alvaro Francisco Lopes de Sousa
Author Information
  1. Carlos Eduardo Macedo: MD. Physician, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande (MS), Brazil. ORCID
  2. Adriano Menis Ferreira: PhD. Nurse, Full Professor, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Tr��s Lagoas (MS), Brazil. ORCID
  3. Larissa da Silva Barcelos: PhD. Associate Professor, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Tr��s Lagoas (MS), Brazil. ORCID
  4. Andr�� Luiz Silva Alvim: PhD. Associate Professor, Graduate Program in Nursing, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora (MG), Brazil. ORCID
  5. Liliane Moretti Carneiro: MSc, Nurse, Doctoral Student, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande (MS), Brazil. ORCID
  6. Sandro Rog��rio Martins: MD. Physician, Hospital Regional de Presidente Prudente (SP), Brazil. ORCID
  7. Denise de Andrade: PhD. Nurse, Full Professor, Ribeir��o Preto College of Nursing, Universidade de S��o Paulo (USP), Ribeir��o Preto, S��o Paulo (SP), Brazil. ORCID
  8. Marcelo Alessandro Rigotti: PhD. Nurse, Associate Professor, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Tr��s Lagoas (MS), Brazil. ORCID
  9. Ruberval Peres Gasques: Nurse. Master Student, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Tr��s Lagoas (MS), Brazil. ORCID
  10. Vanderlei Amaro da Silva Junior: BS. Biomedic, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande (MS), Brazil. ORCID
  11. Layze Braz de Oliveira: PhD, Nurse, Ribeir��o Preto College of Nursing, Universidade de S��o Paulo (USP), Ribeir��o Preto, S��o Paulo (SP), Brazil. ORCID
  12. Herica Emilia F��lix de Carvalho: PhD. Nurse, Ribeir��o Preto College of Nursing, Universidade de S��o Paulo (USP), Ribeir��o Preto, S��o Paulo (SP), Brazil. ORCID
  13. Alvaro Francisco Lopes de Sousa: PhD. Nurse, Institute of Teaching and Research, Hospital S��rio-Lib��nes, SP, Brazil. ORCID

Abstract

BACKGROUND: Contamination of the breathing circuit and medication preparation surface of an anesthesia machine can increase the risk of cross-infection.
OBJECTIVE: To evaluate the contamination of the anesthetic medication preparation surface, respiratory circuits, and devices used in general anesthesia with assisted mechanical ventilation.
DESIGN AND SETTING: Cross-sectional, quantitative study conducted at the surgical center of a philanthropic hospital, of medium complexity located in the municipality of Tr��s Lagoas, in the eastern region of the State of Mato Grosso do Sul.
METHODS: Eighty-two microbiological samples were collected from the breathing circuits. After repeating the samples in different culture media, 328 analyses were performed.
RESULTS: A higher occurrence of E. coli, Enterobacter spp., Pseudomonas spp., Staphylococcus aureus, and Streptococcus pneumoniae (P < 0.001) were observed. Variations were observed depending on the culture medium and sample collection site.
CONCLUSION: The study findings underscore the inadequate disinfection of the inspiratory and expiratory branches, highlighting the importance of stringent cleaning and disinfection of high-touch surfaces.

References

  1. Rev Bras Enferm. 2020;73(6):e20190477 [PMID: 32813804]
  2. Rev Bras Enferm. 2022 Feb 02;75(3):e20210208 [PMID: 35137885]
  3. Infect Control Hosp Epidemiol. 2019 Jan;40(1):1-17 [PMID: 30526699]
  4. Infect Dis Clin North Am. 2016 Sep;30(3):609-37 [PMID: 27515140]
  5. Acta Anaesthesiol Scand. 2016 Oct;60(9):1251-60 [PMID: 27470996]
  6. Surg Infect (Larchmt). 2014 Dec;15(6):694-9 [PMID: 25317716]
  7. Indian J Anaesth. 2018 Oct;62(10):786-792 [PMID: 30443062]
  8. Orthopedics. 2014 Apr;37(4):e339-44 [PMID: 24762837]
  9. Anesthesiology. 2018 Dec;129(6):1140-1148 [PMID: 30247201]
  10. Eur J Clin Microbiol Infect Dis. 2013 Mar;32(3):305-16 [PMID: 23242464]
  11. Can J Infect Dis Med Microbiol. 2018 Feb 04;2018:1905360 [PMID: 29623137]
  12. Rev Bras Ter Intensiva. 2010 Sep;22(3):264-9 [PMID: 25302433]
  13. MMWR Recomm Rep. 2004 Mar 26;53(RR-3):1-36 [PMID: 15048056]
  14. Br J Anaesth. 2023 Oct;131(4):e109-e111 [PMID: 37563035]
  15. GMS Krankenhhyg Interdiszip. 2011;6(1):Doc14 [PMID: 22242095]
  16. Anaesthesia. 2000 Aug;55(8):791-2 [PMID: 10947694]
  17. Braz J Anesthesiol. 2020 Jul - Aug;70(4):398-418 [PMID: 32636024]
  18. Anesth Analg. 2017 Apr;124(4):1339-1346 [PMID: 28221200]
  19. Am J Infect Control. 2013 May;41(5 Suppl):S97-104 [PMID: 23622759]
  20. Am J Infect Control. 2016 Aug 1;44(8):873-8 [PMID: 27040571]
  21. Curr Anesthesiol Rep. 2020;10(3):233-241 [PMID: 32837343]
  22. Open Forum Infect Dis. 2020 Oct 27;7(11):ofaa508 [PMID: 33244480]
  23. J Bras Pneumol. 2018 Sep-Oct;44(5):405-423 [PMID: 30517341]

MeSH Term

Humans
Cross-Sectional Studies
Operating Rooms
Escherichia coli
Anesthesia
Anesthesiology

Word Cloud

Created with Highcharts 10.0.0anesthesiastudyContaminationbreathingmedicationpreparationsurfacecircuitsmediumsamplesculturesppobserveddisinfectionsurfacesBACKGROUND:circuitmachinecanincreaseriskcross-infectionOBJECTIVE:evaluatecontaminationanestheticrespiratorydevicesusedgeneralassistedmechanicalventilationDESIGNANDSETTING:Cross-sectionalquantitativeconductedsurgicalcenterphilanthropichospitalcomplexitylocatedmunicipalityTr��sLagoaseasternregionStateMatoGrossoSulMETHODS:Eighty-twomicrobiologicalcollectedrepeatingdifferentmedia328analysesperformedRESULTS:higheroccurrenceEcoliEnterobacterPseudomonasStaphylococcusaureusStreptococcuspneumoniaeP<0001VariationsdependingsamplecollectionsiteCONCLUSION:findingsunderscoreinadequateinspiratoryexpiratorybrancheshighlightingimportancestringentcleaninghigh-touchequipmentoperatingroomworkspace:cross-sectional

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