Sterilization & Disinfection

Latest Issue of OR Manager
February 2025
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Use of AI to predict risk of HAIs

Editor's Note This study led by researchers at the Mayo Clinic Arizona finds that a healthcare associated infection (HAI) risk prediction artificial intelligence (AI) model can estimate individualized risk of infection by taking into account a patient’s clinical features and features of similar patients. The model was trained on 38,327…

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By: Judy Mathias
June 8, 2023
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New borescope training model improves SPD personnel knowledge, complex skills

Editor's Note This pilot study by epidemiologist Cori L. Ofstead, MSPH, and colleagues finds that a new borescope training model improves sterile processing department (SPD) personnel mastery and retention of complex skills. A total of nine certified SPD personnel were involved in the study. Training focused on borescope visual inspection…

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By: Judy Mathias
May 23, 2023
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The role of infection prevention when auditing SPD

Infection preventionists (IPs) play a vital role in healthcare, especially in the sterile processing department (SPD), where preventing infection and cross-contamination is paramount. As infection prevention advocates, SPD personnel are responsible for ensuring that surgical instruments and other medical devices are properly sterilized and free of harmful microorganisms before use.…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL
May 23, 2023
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Effect of COVID-19 precautions on postop SSIs

Editor's Note This study from the Mayo Clinic finds that perioperative COVID-19 precautions did not significantly reduce the risk of surgical site infections (SSIs). The analysis included 29,904 patients who had colorectal, hysterectomy, hip, and knee prosthesis procedures at the Mayo Clinic’s multicenter institution between January 1, 2018 and December…

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By: Judy Mathias
May 22, 2023
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SHEA: New SSI guidance recommends antibiotics be discontinued after incision is closed

Editor's Note This update to the 2014 "Strategies to Prevent Surgical Site Infections in Acute Care Hospitals" recommends that antibiotics be discontinued after a patient’s incision has been closed in the OR, even if drains are present. The expert panel members writing the update add that continuing antibiotics after closure…

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By: Judy Mathias
May 4, 2023
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Leapfrog: HAIs increased during COVID-19 pandemic

Editor's Note The Leapfrog Group, on May 3, announced that its new Hospital Safety Grade shows a significant increase in healthcare-associated infections (HAIs) during the COVID-19 pandemic, spiking to a 5-year high and remaining high. Their analysis found that the average: Central line-associated bloodstream infection (CLABSI) ratio increased 60% Methicillin-resistant…

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By: Judy Mathias
May 3, 2023
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Effectiveness of alcohol flush, drying cycles of AERs

Editor's Note This study, led by researchers at the University of Pittsburgh School of Medicine, finds that air flush cycles used in automated endoscope reprocessors (AERs) may not adequately dry endoscope channels, particularly narrow air/water channels. Endoscopes were reprocessed per protocol with a 3-minute or 10-minute air flush following reprocessing.…

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By: Judy Mathias
April 24, 2023
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A day in the life in SPD

Ambulatory surgery centers (ASCs) are continuing to perform more and more surgical procedures. According to Fortune Business Insights, ASCs can expect to see even greater case volumes as the number of outpatient procedures is estimated to increase by 15% by 2028. With an increase in procedures, it is essential that…

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By: Erica Smith, MBA
April 24, 2023
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EPA proposes new standards to lower EtO emissions by 80%

Editor's Note The Environmental Protection Agency, on April 11, proposed new regulations to reduce exposure to ethylene oxide (EtO), which include more stringent air emission standards and protections for workers who are exposed to EtO when sterilizing medical devices. The proposed standards are estimated to cut EtO emissions from commercial…

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By: Judy Mathias
April 17, 2023
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Incidence of HAIs in hospitalized patients with, without COVID-19

Editor's Note This study from HCA Healthcare, Nashville, Tennessee, finds an increase in healthcare-associated infections (HAIs) in patients with COVID-19, but no increase in patients without COVID-19. More than 5 million hospitalizations in 182 hospitals between 2020 and 2022 were included in the analysis. The incidence of HAIs per 100,…

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By: Judy Mathias
April 13, 2023
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