Reduction in immediate use steam sterilization associated with reduction in surgical site infections.

IF 2.4 3区医学 Q2 INFECTIOUS DISEASES

American journal of infection control Pub Date : 2025-09-15 DOI:10.1016/j.ajic.2025.08.039

Jennifer Jaffe, Linda Merz, Kathleen McMullen

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引用次数: 0

Abstract

Background: Immediate use steam sterilization (IUSS) is a potential risk factor for surgical site infection (SSI). A quality improvement project to reduce IUSS was implemented at a single hospital after a regulatory survey noted excessive use.

Methods: Components of the project included 3 signatures for every cycle of IUSS; Ordering of additional trays; removal of ability of surgery personnel to perform IUSS; reduction in number of IUSS sterilizers from 8 to 1. The project was fully implemented in December 2019. No other changes were made that were anticipated to impact orthopedic SSI rates.

Results: There was no IUSS use after November 2019. Prior to the project, there were 9 hip SSI (rate = 0.54 per 100 procedures) and 14 knee SSI (rate = 0.49). After the project, hip SSI decreased by 76% (2 SSI, rate = 0.13, P = <.05) and knee SSI decreased by 18% (7 SSI, rate = 0.41, P = .67).

Conclusions: A multidisciplinary quality improvement project was successful at drastically reducing the use of IUSS, and a correlating statistically significant decrease in hip SSI and clinically significant decrease in knee SSI was seen for 3 years after the project was completed.

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减少立即使用蒸汽灭菌与减少手术部位感染相关。

背景：立即使用蒸汽灭菌（IUSS）是手术部位感染（SSI）的潜在危险因素。在一项监管调查发现过度使用IUSS后，在一家医院实施了一项旨在减少IUSS的质量改进（QI）项目。方法：项目组成包括IUSS每个周期的三个签名；订购额外的托盘；剥夺手术人员进行体外循环的能力；将IUSS灭菌器的数量从8个减少到1个。该项目于2019年12月全面实施。没有其他预计会影响骨科SSI发生率的变化。结果：2019年11月以后未使用IUSS。在该项目之前，有9例髋关节SSI（发生率= 0.54 / 100例）和14例膝关节SSI（发生率= 0.49）。项目结束后，髋关节SSI下降了76% （2 SSI，率= 0.13,p =）。结论：多学科QI项目成功地大幅减少了IUSS的使用，项目完成后3年内，髋关节SSI和膝关节SSI均有统计学意义的相关下降和临床意义的显著下降。

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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来源期刊

American journal of infection control 医学-传染病学

CiteScore

7.40

自引率

4.10%

发文量

479

审稿时长

24 days

期刊介绍： AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)