Safety, quality & education

Most hospital patients at risk for bacterial infection undergo an anesthetic: implications for infection control practices related to the anesthesia workspace

Can J AnaesthPublished Retrospective cohort study

Authors' conclusion

Because approximately two-thirds of patients who receive an intravenous antibiotic also undergo an anesthetic, greater use of effective infection control measures in the anesthesia operating room workspace has the potential to substantively reduce overall rates of hospital infections.

Study context

Population
All patients admitted to the University of Miami Health System (hospitalization, surgery, ED or outpatient visits), April 2021–March 2022encounters with parenteral antibiotic(s)
Participants
28,213 patients
Outcome
Percentage of patient encounters with parenteral antibiotic(s) that also included an anesthetic
Methodological detailssingle health system
  • Single health system

Main finding

As reported in the abstract

Encounters with parenteral antibiotic(s) that also included an anesthetic

Encounters with parenteral antibiotic(s) also including an anesthetic (99% CI 62.2 to 66.6); hypothesis that most antibiotics were given during encounters with an anesthetic accepted, P < 0.001

64.3%

Observational data: associations, not effects.

Further findings

Anesthetics with parenteral antibiotics administered

Anesthetics (of 53,235) with parenteral antibiotics
34.2%
Anesthetics conducted in nonoperating room locations
63.5%
Nonoperating room anesthetic patients receiving a parenteral antibiotic
7.2%

Original publication

Most hospital patients at risk for bacterial infection undergo an anesthetic: implications for infection control practices related to the anesthesia workspace. Can J Anaesth. Published 12 June 2023. doi:10.1007/s12630-023-02515-1

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