Pediatric anesthesia & critical care
Epidemiology of Enterococcus, Staphylococcus aureus, Klebsiella, Acinetobacter, Pseudomonas, and Enterobacter Species Transmission in the Pediatric Anesthesia Work Area Environment With and Without Practitioner Use of a Personalized Body-Worn Alcohol Dispenser
Main finding · Contribution of provider hand contamination at case start to ESKAPE transmissionResult — go to the resultRelative risk 2.03 99.17% CI 1.025–5.27Authors' conclusion
A personalized body-worn alcohol dispenser can impact the epidemiology of ESKAPE transmission in the pediatric anesthesia work area environment.
Study context
- Population
- Pediatric patients in operating room cases, pediatric anesthesia work area57 ESKAPE transmission events
- Participants
- 40 patients
- Comparison
- Device vs Usual care
- Outcome
- Epidemiology of ESKAPE transmission in the pediatric anesthesia work area environment
Methodological detailsrandomly selected operating rooms, wireless device-use tracking
- Randomly selected operating rooms
- Wireless device-use tracking
Main finding
As reported in the abstract
Contribution of provider hand contamination at case start to ESKAPE transmission · case start
Relative risk
2.03
99.17% CI 1.025–5.27
P = 0.0066
Events by group
Device
21 of 29
events
Usual care
10 of 28
events
Device vs Usual care
RR 2.03 (99.17% CI 1.025–5.27); P = 0.0066
Further findings
Patient intravascular device ESKAPE contamination
- Intravascular devices contaminated with ESKAPE pathogens
- 20% (8/40)
Alcohol dispenser use by anesthesia providers
- Dispenser uses per hour (mean ± SD)
- 3.3 ± 2.1
Preoperative patient skin surface ESKAPE contamination
- Skin surfaces contaminated with ≥1 ESKAPE pathogen
- 85% (34/40)
- ESKAPE pathogens per surface (mean ± SD)
- 1.78 ± 0.19
Original publication
Epidemiology of Enterococcus, Staphylococcus aureus, Klebsiella, Acinetobacter, Pseudomonas, and Enterobacter Species Transmission in the Pediatric Anesthesia Work Area Environment With and Without Practitioner Use of a Personalized Body-Worn Alcohol Dispenser. Anesth Analg. Published 14 December 2023. doi:10.
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