Guidelines on the facilities required for minor surgical procedures and minimal access interventions.

Hdl Handle:
http://hdl.handle.net/10147/207130
Title:
Guidelines on the facilities required for minor surgical procedures and minimal access interventions.
Authors:
Humphreys, H; Coia, J E; Stacey, A; Thomas, M; Belli, A-M; Hoffman, P; Jenks, P; Mackintosh, C A
Affiliation:
Department of Clinical Microbiology, Royal College of Surgeons in Ireland,, Dublin, Ireland; Department of Microbiology, Beaumont Hospital, Dublin, Ireland.
Citation:
J Hosp Infect. 2012 Feb;80(2):103-9. Epub 2011 Dec 20.
Journal:
The Journal of hospital infection
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207130
DOI:
10.1016/j.jhin.2011.11.010
PubMed ID:
22192171
Abstract:
There have been many changes in healthcare provision in recent years, including the delivery of some surgical services in primary care or in day surgery centres, which were previously provided by acute hospitals. Developments in the fields of interventional radiology and cardiology have further expanded the range and complexity of procedures undertaken in these settings. In the face of these changes there is a need to define from an infection prevention and control perspective the basic physical requirements for facilities in which such surgical procedures may be carried out. Under the auspices of the Healthcare Infection Society, we have developed the following recommendations for those designing new facilities or upgrading existing facilities. These draw upon best practice, available evidence, other guidelines where appropriate, and expert consensus to provide sensible and feasible advice. An attempt is also made to define minimal access interventions and minor surgical procedures. For minimal access interventions, including interventional radiology, new facilities should be mechanically ventilated to achieve 15 air changes per hour but natural ventilation is satisfactory for minor procedures. All procedures should involve a checklist and operators should be appropriately trained. There is also a need for prospective surveillance to accurately determine the post-procedure infection rate. Finally, there is a requirement for appropriate applied research to develop the evidence base required to support subsequent iterations of this guidance.
Language:
eng
ISSN:
1532-2939 (Electronic); 0195-6701 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorHumphreys, Hen_GB
dc.contributor.authorCoia, J Een_GB
dc.contributor.authorStacey, Aen_GB
dc.contributor.authorThomas, Men_GB
dc.contributor.authorBelli, A-Men_GB
dc.contributor.authorHoffman, Pen_GB
dc.contributor.authorJenks, Pen_GB
dc.contributor.authorMackintosh, C Aen_GB
dc.date.accessioned2012-02-01T09:59:57Z-
dc.date.available2012-02-01T09:59:57Z-
dc.date.issued2012-02-01T09:59:57Z-
dc.identifier.citationJ Hosp Infect. 2012 Feb;80(2):103-9. Epub 2011 Dec 20.en_GB
dc.identifier.issn1532-2939 (Electronic)en_GB
dc.identifier.issn0195-6701 (Linking)en_GB
dc.identifier.pmid22192171en_GB
dc.identifier.doi10.1016/j.jhin.2011.11.010en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207130-
dc.description.abstractThere have been many changes in healthcare provision in recent years, including the delivery of some surgical services in primary care or in day surgery centres, which were previously provided by acute hospitals. Developments in the fields of interventional radiology and cardiology have further expanded the range and complexity of procedures undertaken in these settings. In the face of these changes there is a need to define from an infection prevention and control perspective the basic physical requirements for facilities in which such surgical procedures may be carried out. Under the auspices of the Healthcare Infection Society, we have developed the following recommendations for those designing new facilities or upgrading existing facilities. These draw upon best practice, available evidence, other guidelines where appropriate, and expert consensus to provide sensible and feasible advice. An attempt is also made to define minimal access interventions and minor surgical procedures. For minimal access interventions, including interventional radiology, new facilities should be mechanically ventilated to achieve 15 air changes per hour but natural ventilation is satisfactory for minor procedures. All procedures should involve a checklist and operators should be appropriately trained. There is also a need for prospective surveillance to accurately determine the post-procedure infection rate. Finally, there is a requirement for appropriate applied research to develop the evidence base required to support subsequent iterations of this guidance.en_GB
dc.language.isoengen_GB
dc.titleGuidelines on the facilities required for minor surgical procedures and minimal access interventions.en_GB
dc.contributor.departmentDepartment of Clinical Microbiology, Royal College of Surgeons in Ireland,, Dublin, Ireland; Department of Microbiology, Beaumont Hospital, Dublin, Ireland.en_GB
dc.identifier.journalThe Journal of hospital infectionen_GB
dc.description.provinceLeinster-

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