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


Journal

Sao Paulo medical journal = Revista paulista de medicina
ISSN: 1806-9460
Titre abrégé: Sao Paulo Med J
Pays: Brazil
ID NLM: 100897261

Informations de publication

Date de publication:
2024
Historique:
received: 06 06 2023
accepted: 29 11 2023
medline: 29 2 2024
pubmed: 29 2 2024
entrez: 29 2 2024
Statut: epublish

Résumé

Contamination of the breathing circuit and medication preparation surface of an anesthesia machine can increase the risk of cross-infection. To evaluate the contamination of the anesthetic medication preparation surface, respiratory circuits, and devices used in general anesthesia with assisted mechanical ventilation. Cross-sectional, quantitative study conducted at the surgical center of a philanthropic hospital, of medium complexity located in the municipality of Três Lagoas, in the eastern region of the State of Mato Grosso do Sul. Eighty-two microbiological samples were collected from the breathing circuits. After repeating the samples in different culture media, 328 analyses were performed. 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. 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.

Sections du résumé

BACKGROUND BACKGROUND
Contamination of the breathing circuit and medication preparation surface of an anesthesia machine can increase the risk of cross-infection.
OBJECTIVE 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 METHODS
Cross-sectional, quantitative study conducted at the surgical center of a philanthropic hospital, of medium complexity located in the municipality of Três Lagoas, in the eastern region of the State of Mato Grosso do Sul.
METHODS METHODS
Eighty-two microbiological samples were collected from the breathing circuits. After repeating the samples in different culture media, 328 analyses were performed.
RESULTS 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 CONCLUSIONS
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.

Identifiants

pubmed: 38422242
pii: S1516-31802024000400202
doi: 10.1590/1516-3180.2023.0177.R1.291123
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e2023177

Auteurs

Carlos Eduardo Macedo (CE)

MD. Physician, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande (MS), Brazil.

Adriano Menis Ferreira (AM)

PhD. Nurse, Full Professor, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Três Lagoas (MS), Brazil.

Larissa da Silva Barcelos (LDS)

PhD. Associate Professor, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Três Lagoas (MS), Brazil.

André Luiz Silva Alvim (ALS)

PhD. Associate Professor, Graduate Program in Nursing, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora (MG), Brazil.

Liliane Moretti Carneiro (LM)

MSc, Nurse, Doctoral Student, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande (MS), Brazil.

Sandro Rogério Martins (SR)

MD. Physician, Hospital Regional de Presidente Prudente (SP), Brazil.

Denise de Andrade (D)

PhD. Nurse, Full Professor, Ribeirão Preto College of Nursing, Universidade de São Paulo (USP), Ribeirão Preto, São Paulo (SP), Brazil.

Marcelo Alessandro Rigotti (MA)

PhD. Nurse, Associate Professor, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Três Lagoas (MS), Brazil.

Ruberval Peres Gasques (RP)

Nurse. Master Student, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Três Lagoas (MS), Brazil.

Vanderlei Amaro da Silva Junior (VAD)

BS. Biomedic, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande (MS), Brazil.

Layze Braz de Oliveira (LB)

PhD, Nurse, Ribeirão Preto College of Nursing, Universidade de São Paulo (USP), Ribeirão Preto, São Paulo (SP), Brazil.

Herica Emilia Félix de Carvalho (HEF)

PhD. Nurse, Ribeirão Preto College of Nursing, Universidade de São Paulo (USP), Ribeirão Preto, São Paulo (SP), Brazil.

Alvaro Francisco Lopes de Sousa (AFL)

PhD. Nurse, Institute of Teaching and Research, Hospital Sírio-Libânes, SP, Brazil.

Classifications MeSH