Contamination of equipment and surfaces in the operating room anesthesia workspace: a cross-sectional study

Carlos Eduardo Macedo, Adriano Menis Ferreira, L. D. S. Barcelos, André Luiz Silva Alvim, Liliane Moretti Carneiro, Sandro Rogério Martins, Denise de Andrade, M. A. Rigotti, Ruberval Peres Gasques, Vanderlei Amaro da Silva, Layze Braz De Oliveira, Herica Emilia Félix de Carvalho, Álvaro Francisco Lopes de Sousa
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Abstract

ABSTRACT BACKGROUND: Contamination of the breathing circuit and medication preparation surface of an anesthesia machine can increase the risk of cross-infection. OBJECTIVE: To evaluate the contamination of the anesthetic medication preparation surface, respiratory circuits, and devices used in general anesthesia with assisted mechanical ventilation. DESIGN AND SETTING: Cross-sectional, quantitative study conducted at the surgical center of a philanthropic hospital, of medium complexity located in the municipality of Três Lagoas, in the eastern region of the State of Mato Grosso do Sul. METHODS: Eighty-two microbiological samples were collected from the breathing circuits. After repeating the samples in different culture media, 328 analyses were performed. RESULTS: A higher occurrence of E. coli, Enterobacter spp., Pseudomonas spp., Staphylococcus aureus, and Streptococcus pneumoniae (P < 0.001) were observed. Variations were observed depending on the culture medium and sample collection site. CONCLUSION: The study findings underscore the inadequate disinfection of the inspiratory and expiratory branches, highlighting the importance of stringent cleaning and disinfection of high-touch surfaces.
手术室麻醉工作区设备和表面的污染:横断面研究
摘要 背景:麻醉机呼吸回路和药物准备表面的污染会增加交叉感染的风险。目的:评估辅助机械通气全身麻醉中使用的麻醉药物准备表面、呼吸回路和设备的污染情况。设计与环境:在位于南马托格罗索州东部特里斯拉戈斯市的一家中型慈善医院外科中心进行横断面定量研究。方法:从呼吸回路中采集了 82 份微生物样本。在不同培养基中重复采集样本后,进行了 328 项分析。结果:观察到大肠杆菌、肠杆菌属、假单胞菌属、金黄色葡萄球菌和肺炎链球菌的发病率较高(P < 0.001)。培养基和样本采集部位不同,结果也不同。结论:研究结果强调了吸气和呼气分支消毒不充分的问题,突出了对高接触表面进行严格清洁和消毒的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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