Editor's Note In this study, a preoperative, patient-centered wellness program significantly reduced hospital acquired infections in surgical patients at an academic medical center. A total of 12,396 surgical patients were given a wellness bundle in a roller bag during preoperative screening. The bundle included chlorhexidine bath solution, immuno-nutrition supplements, an…

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In this study, researchers project that the burden of complex surgical site infections (SSIs) after primary and revision total hips and knees will increase 14% from 2020 through 2030 because of an aging population. Editor's Note In this study, researchers project that the burden of complex surgical site infections (SSIs)…

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Editor's Note In this study, a novel test method with a robotic arm was used to investigate the effect of movement, exposure type, exposure duration, procedure duration, and existence of pressure on the amount of fluid leakage at the glove-gown interface. Results show that with the exception of procedure duration,…

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Editor's Note A significant decrease in bacterial bioburden on the instrument table was found when the table was covered during static periods of nonuse and dynamic periods of active OR use in this study. Bacterial contamination of the instrument table was evaluated by settle plates in static and dynamic ORs,…

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Editor's Note The Joint Commission and Centers for Disease Control and Prevention on September 11 released new infection prevention resources for podiatry and orthopedic and pain management settings. Free resources include: Guide to Infection Prevention for Outpatient Podiatry Settings (available now). Guide to Infection Prevention in Orthopedic and Pain Management…

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Editor's Note The Joint Commission on September 5 announced it has refined its scoring for high-level disinfection (HLD) and sterilization to focus on process steps that post the highest risk to patients if they fail. The new scoring revisions apply to: soiled instruments enzymatic solution transportation of instruments instruments in…

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Editor's Note When used after terminal cleaning, the pulsed-xenon ultraviolet light (PX-UV) significantly reduced contamination on high-touch surfaces in the OR, this study finds. This analysis included 1,464 surface samples from 136 ORs at 23 hospitals after terminal cleaning and again after PX-UV disinfection. Results showed the average colony forming…

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Editor's Note Patients who have Foley catheters placed by medical students in the OR are at increased risk of postoperative catheter-associated urinary tract infections (CAUTIs), this study finds. This analysis included 891 patients who had Foley catheters placed in the OR by surgical residents (547 patients), OR nurses (227), or…

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Editor's Note The Joint Commission announced on August 22 that several revisions will be implemented to the Medication Compounding Certification program and Home Care Accreditation program’s Medication Compounding chapter, effective January 1, 2019. The revisions were made to maintain consistency with current United States Pharmacopeia (USP) 795 (Pharmaceutical Compounding−Nonsterile Preparations)…

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Editor's Note Though the effects of healthcare associated infections (HAIs) vary, patients recount similar experiences in this review study. A total of 17 studies from 5 countries addressing 5 types of HAIs were analyzed: Methicillin-resistant Staphylococcus aureus, surgical site, Clostridium difficile, Staphylococcus aureus bloodstream, and extended-spectrum β-lactamase-producing bacterial infections. Four interrelated themes emerged:…

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