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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Sometimes surgeons ask to have nonmedical devices sterilized, such as spoons, hockey pucks, and fish hooks. Healthcare staff may want to accommodate their requests, but there are times when they cannot do so. A central service (CS) should only sterilize medical devices that have undergone validation testing, which demonstrates that…

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Editor's Note Selecting reusable isolation gowns may result in significant environmental benefits compared with disposable gowns, this study finds. This analysis of 1,000 isolation gowns in a healthcare setting (24 reusable gowns from 8 suppliers, 16 disposable gowns from 5 suppliers) found that the reusable gowns resulted in a: 28%…

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Editor's Note This study finds that irregularly shaped OR surfaces may require enhanced covering, cleaning, and monitoring protocols, compared to more regularly shaped surfaces. Researchers coupled ATP assays with traditional RODAC plate sampling and mass spectrometry to evaluate cleaning of five types of high-touch surfaces in the OR.  Whether surfaces…

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Editor's Note The number of door openings in the OR and duration of procedure were significantly associated with increased colony-forming units (CFUs) in the OR overall and outside of laminar airflow (LAF), this study finds. In LAF conditions, however, only the number of OR personnel was significantly associated with increased…

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