Sample times for surveillance of S. aureus transmission to monitor effectiveness and provide feedback on intraoperative infection control

Subhradeep Datta; Franklin Dexter; Johannes Ledolter; Russell T Wall; Randy W Loftus

doi:10.1016/j.pcorm.2020.100137

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Sample times for surveillance of S. aureus transmission to monitor effectiveness and provide feedback on intraoperative infection control

Subhradeep Datta, Franklin Dexter, Johannes Ledolter, Russell T Wall and Randy W Loftus

Perioperative care and operating room management, Vol.21, pp.100137-100137

12/2020

DOI: 10.1016/j.pcorm.2020.100137

PMCID: PMC7547614

PMID: 33072894

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Abstract

Reductions in perioperative surgical site infections are obtained by a multifaceted approach including patient decolonization, vascular care, hand hygiene, and environmental cleaning. Associated surveillance of S. aureus transmission quantifies the effectiveness of these basic measures to prevent transmission of pathogenic bacteria and viruses to patients and clinicians, including Coronavirus Disease 2019 (COVID-19). To measure transmission, the observational units are pairs of successive surgical cases in the same operating room on the same day. In this prospective cohort study, we measured sampling times for inexperienced and experienced personnel. OR PathTrac kits included 6 samples collected before the start of surgery and 7 after surgery. The time for consent also was recorded. We obtained 1677 measurements of time among 132 cases. Sampling times were not significantly affected by technician's experience, type of anesthetic, or patient's American Society of Anesthesiologists’ Physical Status. Sampling times before the start of surgery averaged less than 5 min (3.39 min [SE 0.23], P < 0.0001). Sampling times after surgery took approximately 5 min (4.39 [SE 0.25], P = 0.015). Total sampling times averaged less than 10 min without consent (7.79 [SE 0.50], P < 0.0001), and approximately 10 min with consent (10.22 [0.56], P = 0.70). For routine use of monitoring S. aureus transmission, when done by personnel already present in the operating rooms of the cases, the personnel time budget can be 10 min per case.

Bacterial transmission

Surgical site infection

Cost modeling

Coronavirus disease 2019

Operating room management

Poisson regression

Details

Title: Subtitle: Sample times for surveillance of S. aureus transmission to monitor effectiveness and provide feedback on intraoperative infection control
Creators: Subhradeep Datta - Medical student 2022 class, Georgetown University, United States
Franklin Dexter - Division of Management Consulting, Department of Anesthesia, University of Iowa, 200 Hawkins Drive, 6-JCP, Iowa City, IA, 52242, United States
Johannes Ledolter - Department of Business Analytics, University of Iowa, United States
Russell T Wall - MedStar Georgetown University Hospital, United States
Randy W Loftus - Division of Management Consulting, Department of Anesthesia, University of Iowa, 200 Hawkins Drive, 6-JCP, Iowa City, IA, 52242, United States
Resource Type: Journal article
Publication Details: Perioperative care and operating room management, Vol.21, pp.100137-100137
Publisher: Elsevier Inc
DOI: 10.1016/j.pcorm.2020.100137
PMID: 33072894
PMCID: PMC7547614
ISSN: 2405-6030
eISSN: 2405-6030
Language: English
Date published: 12/2020
Academic Unit: Statistics and Actuarial Science; Health Management and Policy; Anesthesia; Business Analytics
Record Identifier: 9984077380402771

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