SHEA GUIDELINES Bundle (free trial)

Anesthesia Infection in the Operating Room Anesthesia Work Area

SHEA GUIDELINES Apps brought to you free of charge courtesy of Guideline Central. All of these titles are available for purchase on our website, GuidelineCentral.com. Enjoy!

Issue link: http://eguideline.guidelinecentral.com/i/1069031

Contents of this Issue

Navigation

Page 2 of 5

Recommendations ➤ To reduce risk of contamination in the OR, providers should consider wearing double gloves during airway management and should remove the outer gloves immediately after airway manipulation. As soon as possible, providers should remove the inner gloves and perform HH. ➤ The authors recommend that facilities locate alcohol-based hand rub (ABHR) dispensers at the entrances to ORs and near anesthesia providers inside the OR in order to promote frequent HH. Several studies have demonstrated that wearable ABHR dispensers with audible reminders increase the frequency of HH as well as the potential to decrease the incidence of hospital-acquired infection (HAI). Several studies have demonstrated that wearable ABHR dispensers with audible reminders increase the frequency of HH as well as the potential to decrease the incidence of HAI. While the specific wearable devices used in these studies are not currently available, the authors recommend that facilities consider suitable wearable ABHR dispensers with automatic reminders when commercially available. ABHR dispensers should be located in accordance with applicable national and local fire safety standards and codes. Additionally, the authors recommend that the facility delegate the filling of the ABHR dispensers to designated personnel and regularly ensure compliance with this practice. ➤ Changing gloves with HH between doffing and donning is the preferred method of disinfection. Current data are inadequate for the authors to either support or discourage the procedure of using ABHR on gloved hands or to determine whether application of foam or gel affects glove integrity. However, application of ABHR to gloved hands might be better than to not perform any HH when doffing and donning are not feasible. Environmental Disinfection ➤ The authors recommend that facilities ensure that standard direct laryngoscope or video-laryngoscope reusable handles and blades undergo high-level disinfection (at the minimum) or sterilization prior to use, or that reusable laryngoscopes are replaced with single-use standard direct laryngoscopes or video-laryngoscopes. Clean blades and handles should be stored in packaging appropriate for semicritical items designated for "high- level" disinfection. ➤ Current data are inadequate for the authors to make recommendations regarding the use of disposable covers to prevent contamination of anesthesia machines.

Articles in this issue

Archives of this issue

view archives of SHEA GUIDELINES Bundle (free trial) - Anesthesia Infection in the Operating Room Anesthesia Work Area