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

Carlos Eduardo Macedo,Adriano Menis Ferreira, Larissa da Silva Barcelos, Andre Luiz Silva Alvim,Liliane Moretti Carneiro, Sandro Rogerio Martins,Denise de Andrade,Marcelo Alessandro Rigotti, Ruberval Peres Gasques, Vanderlei Amaro da Silva Junior,Layze Braz de Oliveira,Herica Emilia Felix de Carvalho,Alvaro Francisco Lopes de Sousa

SAO PAULO MEDICAL JOURNAL(2024)

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摘要
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 Tres 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.
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关键词
Infection control,Anesthesia,general,Equipment contamination,Patient safety
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