{"title":"减少立即使用蒸汽灭菌与减少手术部位感染相关。","authors":"Jennifer Jaffe, Linda Merz, Kathleen McMullen","doi":"10.1016/j.ajic.2025.08.039","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Reduction in immediate use steam sterilization associated with reduction in surgical site infections.\",\"authors\":\"Jennifer Jaffe, Linda Merz, Kathleen McMullen\",\"doi\":\"10.1016/j.ajic.2025.08.039\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":7621,\"journal\":{\"name\":\"American journal of infection control\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-09-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American journal of infection control\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.ajic.2025.08.039\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of infection control","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ajic.2025.08.039","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
Reduction in immediate use steam sterilization associated with reduction in surgical site infections.
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.
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)
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