Editor's Note Treating contaminated surgical instruments with alcohol, allowing them to dry, or allowing them to soak in water for extended periods of time increases cleaning difficulty and may contribute to sterilization inefficacy, this study finds. Soaking or spraying instruments with alcohol significantly reduced viable bacterial numbers, but significantly increased…

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Editor's Note Leading the Joint Commission’s Top Ten Challenging Standards for accredited ambulatory health care organizations during the past year was infection control standard IC.02.02.01, EP 2: The organization reduces the risk of infections associated with medical equipment, devices, and supplies by performing a high-level disinfection and sterilization. In 2016,…

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Editor's Note Despite widespread adoption of contact precautions for methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE), there is no strong clinical trial evidence to support the mandated use of these precautions, three noted infection prevention researchers say. Without the support of evidence, policy makers from 2000 to 2010 passed…

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Editor's Note In this single institution study, the most common reasons for unplanned return to the OR (uROR) were infection and hemorrhage. However, the researchers found that a large number of cases were incorrectly classified as uROR, when they were instead planned reoperations without adequate documentation. Using uROR as reported…

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Are there nursing characteristics such as certification status or educational attainment that impact surgical site infection rates? The answer to questions such as this may provide evidence of modifiable factors that could lessen surgical site infections (SSIs) and thus decrease the financial and emotional impact from these adverse events. The…

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Editor's Note Techniques used to clean and sterilize flexible ureteroscopes left behind contamination that included debris, residue, and bacteria, in this study presented June 14 at the 44th Annual Conference of the Association for Professionals in Infection Control. Researchers with Ofstead & Associates (St Paul, Minnesota) sampled 16 ureteroscopes at…

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Editor's Note The American College of Rheumatology (ACR) and American Association of Hip and Knee Surgeons (AAHKS) have released a new guideline to help reduce postoperative total hip and knee infections through the perioperative management of antirheumatic medications. Among the recommendations: Discontinuing biologic therapy before surgery in patients with inflammatory…

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Editor's Note The Joint Commission on May 31 announced the revision of requirements for National Patient Safety Goal (NPSG) 7: Reduce the risk of healthcare-associated infections. The changes are effective January 1, 2018. The requirements include: NPSG.07.03.01−Multidrug-resistant organisms. The changes help address infection prevention strategies to contain outbreaks, which now…

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Editor's Note Temperatures above 90o F were associated with a 28.9% increase in odds for surgical site infections (SSIs) compared to temperatures less than 40o F in this study. Analyzing data on millions of patients in the National Inpatient Sample database from 1998 to 2011, researchers found that SSIs were seasonal, with…

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Editor's Note A research group from the Global Center for Medical Engineering and Informatics, Osaka University, has developed a self-donning and self-adjusting surgical gown called “Selfgown,” the May 16 EurekaAlert reports. The new gown comprises a special spring along the neckline instead of strings, and the inner belt is removed…

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