Evaluation of the practice of reprocessing ORs in German hospitals from an infection prevention and control perspective.
Infection
; 52(4): 1575-1584, 2024 Aug.
Article
in En
| MEDLINE
| ID: mdl-38829479
ABSTRACT
BACKGROUND:
The aim of this study was to analyze the cleaning and disinfection of operating rooms (ORs) status quo focusing on hygiene plans in German hospitals.METHODS:
In 2016, a structured online survey was sent to infection prevention and control (IPC) specialists at the cost calculation hospitals of the Institute for the Hospital Remuneration System (InEK) and all university hospitals in Germany (n = 365).RESULTS:
With a response rate of 27.4%, 78% stated that written hygiene plans were available. After cleaning and disinfecting an OR with a "septic" patient, 55% waited until surfaces were dry before reusing in accordance with national recommendations, 27% waited > 30 min. Additionally, 28% of hospitals had ORs only for "septic" patients. In 56% "septic" patients were only operated on at the end of the program. Postoperative monitoring of patients with bacteria with special IPC requirements took place in the post anesthesia care unit (PACU) (29%), operating room (OR) (52%), intensive care unit (ICU) (53%), and in the intermediate care unit (IMC) (19%). DISCUSSION ANDCONCLUSIONS:
Despite written hygiene plans in place the partly long duration of OR nonuse time following IPC measures, the consistent continued use of stratification for "septic" patients and the postoperative follow-up care of patients with colonizing/infecting bacteria with special IPC requirements in the OR and high care areas represent relevant potential for improvement.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Operating Rooms
/
Disinfection
/
Cross Infection
/
Infection Control
Limits:
Humans
Country/Region as subject:
Europa
Language:
En
Journal:
Infection
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: