Tag: Guidelines

APIC calls for improved medical device reprocessing instructions, guidelines

Editor’s Note The Association for Professionals in Infection Control and Epidemiology (APIC) is advocating for clearer reprocessing instructions for medical devices to improve patient safety and efficiency, Outpatient Surgery Magazine August 19 reports. Many current instructions for use (IFUs) are considered overly complex, outdated, and difficult to interpret, especially for…

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By: Tarsilla Moura
September 4, 2024
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Flexibility for clinicians in managing RAS inhibitors in noncardiac surgery

Editor's Note A new study, the Stop-or-Not Trial, has found no significant difference in outcomes for patients undergoing noncardiac surgery who either continued or discontinued their renin-angiotensin system (RAS) inhibitor therapy, MedPage Today August 31 reports. The randomized clinical trial, which included over 2,200 patients, reported the rate of death…

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By: Tarsilla Moura
September 3, 2024
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Water quality: 5 Ws and an H for sterile processing pros

Asking who, what, why, when, where, and how—otherwise known as the “5 Ws and an H”— is a time-tested way for writers and researchers to ensure comprehensive coverage of any topic. Here, we apply this framework from the perspective of sterile processing department (SPD) professionals seeking to start a water…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL
August 28, 2024
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Reassessing colonoscopy surveillance: Early- vs average-onset colorectal cancer

Editor's Note Early-onset colorectal cancer (EO-CRC), diagnosed before age 50, is increasing in incidence worldwide. Despite existing postoperative colonoscopy surveillance strategies, the optimal intervals for EO-CRC patients are unclear due to limited long-term data. This study, titled “Early-onset Colorectal Cancer Patients Do Not Require Shorter Intervals for Post-surgical Surveillance Colonoscopy”…

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By: Tarsilla Moura
June 26, 2024
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Study reveals common symptoms, diagnosis delays in early-onset colorectal cancer

JAMA (healthcare publication) Network logo

Editor's Note A comprehensive systematic review and meta-analysis, published by JAMA Network on May 24 and encompassing 81 studies and over 24.9 million patients, shed light on the signs and symptoms associated with early-onset colorectal cancer (EOCRC) and highlighted significant delays in diagnosis. The analysis identified the most common presenting…

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By: Tarsilla Moura
May 29, 2024
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Antiseptic nasal decolonization noses ahead

Over 20 years ago, an article from Johns Hopkins published in The New England Journal of Medicine showed that Staphylococcus aureus decolonization of the nares can decrease risk of surgical site infections (SSI). Since then, nasal decolonization—the application of a topical antimicrobial or antiseptic agent to the nares—has been adopted…

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By: Marc-Oliver Wright
May 24, 2024
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WHO: Virus transmission airborne, not limited to droplets

Editor's Note In a move one expert calls “a complete U-turn,” the World Health Organization (WHO) has concluded that viruses transmit through primarily the air via inhalation of tiny suspended particles of saliva and mucus, KFF Health News reported on May 1. Until now, health authorities have relied on the…

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By: Matt Danford
May 6, 2024
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Data cast doubt on recommendation to delay weight-loss meds prior to surgery

Editor's Note A recent analysis of insurance claims data suggests weight-loss medications like Ozempic (semaglutide), Trulicity (dulaglutide), and other glucagon-like peptide-1 (GLP-1) receptor agonists do not increase risks associated with undergoing anesthesia. As reported April 22 in MedPage Today, these finding that contradicts a June 2023 recommendation from the American Society of…

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By: Matt Danford
April 29, 2024
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AAMI guidance covers sterile processing of dilators, ultrasound probes

Editor's Note A new guidance document covering the entire process for the selection, labeling, and sterile processing of dilators and ultrasound probes is available from The Association for the Advancement of Medical Instrumentation (AAMI). Released April 17, AAMI TIR99:2024; Processing Of Dilators, Transesophageal And Ultrasound Probes In Health Care Facilities…

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By: Matt Danford
April 29, 2024
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Prioritizing quality of life: Surgery, anesthesia considerations for elderly patients

Editor's Note A March 11 article on SeniorLiving.org broke down key considerations and risks for elderly patients undergoing surgery and anesthesia. One such consideration is studies show that older adults often prioritize quality of life over the extension of life if it means sacrificing independence or functional abilities. Other lessons…

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By: Tarsilla Moura
April 3, 2024
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