Nosocomial Infections
Conditions
Keywords
Anesthesia Workspace, Hospital Acquired Infections, Hand Hygiene, Alcohol Based Cleanser, Bacterial Contamination
Brief summary
We hypothesized that by improving hand hygiene compliance in the operative environment, we would reduce horizontal transmission of pathogenic bacteria to surgical patients.
Detailed description
We performed an observational study evaluating provider adherence to these techniques. We then sought to increase hand hygiene compliance through the use of a point of care alcohol based hand hygiene device. We hypothesized that increased hand hygiene compliance would reduce bacterial contamination of the anesthesia workspace and peripheral intravenous tubing, and ultimately reducing overall morbidity and mortality secondary to a reduction in nosocomial infection rates.
Interventions
None listed
Sponsors
Harbor Medical Inc.
Dartmouth-Hitchcock Medical Center
Study design
Observational model
ECOLOGIC_OR_COMMUNITY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients present in operating rooms randomized to study.
Exclusion criteria
* Patients that were already enrolled in study and return to the operating room.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The presence of a positive culture on the previously sterile patient stopcock set, and the presence of multidrug resistant bacteria | Beginning and end of surgical case |
Secondary
| Measure | Time frame |
|---|---|
| Reduction of bacterial contamination on predetermined sites on the anesthesia machine | Beginning and End of Surgical Case |
| Decreased length of stay | Postoperatively |
| Nosocomial infection rates | within 30 days postoperatively |
| Mortality | Within 30 days postoperatively |
Countries
United States
Outcome results
None listed