Tourniquets and exsanguinators: a potential source of infection in the orthopedic operating theater?

Hdl Handle:
http://hdl.handle.net/10147/94741
Title:
Tourniquets and exsanguinators: a potential source of infection in the orthopedic operating theater?
Authors:
Brennan, Stephen A; Walls, Raymond J; Smyth, Elizabeth; Al Mulla, Talal; O'Byrne, John M
Affiliation:
Cappagh National, Orthopaedic Hospital, Dublin, Ireland.
Citation:
Tourniquets and exsanguinators: a potential source of infection in the orthopedic operating theater? 2009, 80 (2):251-5 Acta Orthop
Journal:
Acta orthopaedica
Issue Date:
Apr-2009
URI:
http://hdl.handle.net/10147/94741
DOI:
10.3109/17453670902930016
PubMed ID:
19404812
Abstract:
BACKGROUND AND PURPOSE: Fomites are increasingly being recognised as a source of hospital-acquired infection. We have therefore assessed tourniquets and exsanguinators for the presence of bacterial pathogens in 1 elective and 2 trauma orthopedic hospitals. MATERIAL AND METHODS: Swabs were taken prior to and after decontaminating these devices with 1 of 3 different cleaning modalities. These were then assessed for colony counts and organisms identified. RESULTS: Bacteria commonly implicated in surgical site infections such as coagulase-negative staphylococci, Staphylococcus aureus and Proteus spp. were prevalent. We also found a resistant strain of Acinetobacter and Candida. Exsanguinators were the most heavily contaminated devices, and colony counts in the trauma hospitals were up to 400% higher than in the elective hospital. Alcohol- and non-alcohol-based sterile wipes were both highly effective in decontaminating the devices. INTERPRETATION: Infectious organisms reside on the tourniquets and exsanguinators presently used in the orthopedic theater. These fomites may possibly be a source of surgical site infection. We have demonstrated a simple and effective means of decontaminating these devices between cases.
Language:
en
MeSH:
Bandages; Colony Count, Microbial; Cross Infection; Equipment Contamination; Fomites; Humans; Infection Control; Operating Rooms; Tourniquets
ISSN:
1745-3682

Full metadata record

DC FieldValue Language
dc.contributor.authorBrennan, Stephen Aen
dc.contributor.authorWalls, Raymond Jen
dc.contributor.authorSmyth, Elizabethen
dc.contributor.authorAl Mulla, Talalen
dc.contributor.authorO'Byrne, John Men
dc.date.accessioned2010-03-23T16:34:56Z-
dc.date.available2010-03-23T16:34:56Z-
dc.date.issued2009-04-
dc.identifier.citationTourniquets and exsanguinators: a potential source of infection in the orthopedic operating theater? 2009, 80 (2):251-5 Acta Orthopen
dc.identifier.issn1745-3682-
dc.identifier.pmid19404812-
dc.identifier.doi10.3109/17453670902930016-
dc.identifier.urihttp://hdl.handle.net/10147/94741-
dc.description.abstractBACKGROUND AND PURPOSE: Fomites are increasingly being recognised as a source of hospital-acquired infection. We have therefore assessed tourniquets and exsanguinators for the presence of bacterial pathogens in 1 elective and 2 trauma orthopedic hospitals. MATERIAL AND METHODS: Swabs were taken prior to and after decontaminating these devices with 1 of 3 different cleaning modalities. These were then assessed for colony counts and organisms identified. RESULTS: Bacteria commonly implicated in surgical site infections such as coagulase-negative staphylococci, Staphylococcus aureus and Proteus spp. were prevalent. We also found a resistant strain of Acinetobacter and Candida. Exsanguinators were the most heavily contaminated devices, and colony counts in the trauma hospitals were up to 400% higher than in the elective hospital. Alcohol- and non-alcohol-based sterile wipes were both highly effective in decontaminating the devices. INTERPRETATION: Infectious organisms reside on the tourniquets and exsanguinators presently used in the orthopedic theater. These fomites may possibly be a source of surgical site infection. We have demonstrated a simple and effective means of decontaminating these devices between cases.-
dc.language.isoenen
dc.subject.meshBandages-
dc.subject.meshColony Count, Microbial-
dc.subject.meshCross Infection-
dc.subject.meshEquipment Contamination-
dc.subject.meshFomites-
dc.subject.meshHumans-
dc.subject.meshInfection Control-
dc.subject.meshOperating Rooms-
dc.subject.meshTourniquets-
dc.titleTourniquets and exsanguinators: a potential source of infection in the orthopedic operating theater?en
dc.contributor.departmentCappagh National, Orthopaedic Hospital, Dublin, Ireland.en
dc.identifier.journalActa orthopaedicaen

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