Over the years, anesthesia providers have taken on increasing responsibility for preventing health care-associated infections (HAIs). Because of this, many interventions have been put in place to try to reduce patient complications. Despite best efforts, microorganisms from anesthesia providers hands and equipment commonly serve as significant sources for IV stopcock contamination associated with anesthesia delivery.1,2 Due to these alarming findings, Harriet W. Hopf, MD concludes each anesthesia provider should "take stock of her/his own intraoperative practices and commit to reducing pathogen transmission and cross-contamination from provider hands, the anesthetic workspace and IV access ports."3
More than 1 in 10 stopcocks tested positive for bacteria2
Transmission of bacteria from anesthesia work areas to sterile stopcocks occurred in 32% of cases.1
IV stopcock sets were contaminated in 11.5% of cases, and anesthesia providers were identified as the origin of this transmission in 47% of cases.2
85% of stopcocks were not disinfected before access.4
Disinfects in 1 minute. Protects open female luers for up to 7 days if not removed.
Are brightly colored making it easy to verify that a port is clean at a glance and making it easy to measure compliance with protocol.
Are dispensed as individual caps or on a convenient 5-cap strip, which can be hung from I.V. poles for easy access.
Achieved a 99.99% reduction in 6 microbes commonly associated with central line-associated bloodstream infections.8,9
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Sources:
1. Loftus RW, Koff MD, Burchman CC, Schwartzman JD, Thorum V, Read ME, Wood TA, Beach ML. Transmission of pathogenic bacterial organisms in the anesthesia work area. Anesthesiology. 2008;109:399-407. [PubMed]
2. Loftus RW, Muffly MK, Brown JR, Beach ML, Koff MD, Corwin HL, Surgenor SD, Kirkland KB, Yeager MP. Hand contamination of anesthesia providers is an important risk factor for intraoperative bacterial transmission. Anesth Analg. 2011;112:98-105. [PubMed]
3. Hopf, H. W. (2015). Bacterial Reservoirs in the Operating Room. Anesthesia & Analgesia, 120(4), 700-702. doi:10.1213/ane.0000000000000247
4. Munoz-Price LS, Lubarsky DA, Arheart KL, Prado G, Cleary T, Fajardo-Aquino Y, Depascale D, Eber S, Carling P, Birnbach DJ. Interactions between anesthesiologists and the environment while providing anesthesia care in the operating room. Am J Infect Control 2013;41:922-4
5. Centers for Disease Control and Prevention. HICPAC Guideline For The Prevention Of Intravascular Catheter-Related Infections http://hica.jp/cdcguideline/Draft_IV_Guideline2002.pdf. Accessed February 19, 2018.
6. Munoz-Price LS, Birnbach DJ, Lubarsky DA, Arheart KL, Fajardo-Aquino Y, Rosalsky M, et al. Decreasing operating room environmental pathogen contamination through improved cleaning practice. Infect Control Hosp Epidemiol 2012;33:897-904.
7. Stackhouse RA, Beers R, Brown D, Brown M, Greene E., McCann ME, et al. and the ASA Committee on Occupational Health. Task Force on Infection Control. Recommendations for infection control for the practice of anesthesiology (Third Edition). Available from: http://www.asahq.org/For-Members/Standards-Guidelines-and-Statements.aspx#rec (refer to infection control section). Accessed February 19, 2018
8. For more information regarding organisms associated with central line-associated bloodstream infections, refer to: Sievert, D. M., Ricks, P., Edwards, J. R., Schneider, A., Patel, J., Srinivasan, A., . . . Fridkin, S. (2013). Antimicrobial- Resistant Pathogens Associated with Healthcare-Associated Infections: Summary of Data Reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2009-2010. Infection Control & Hospital Epidemiology, 34(01), 1-14. doi:10.1086/668770.
9. Data reflects in vitro findings on Curos™ Disinfecting Port Protectors
Social sources:
1. Loftus RW, Koff MD, Burchman CC, Schwartzman JD, Thorum V, Read ME, Wood TA, Beach ML. Transmission of pathogenic bacterial organisms in the anesthesia work area. Anesthesiology. 2008;109:399–407.
2. Loftus RW, Muffly MK, Brown JR, Beach ML, Koff MD, Corwin HL, Surgenor SD, Kirkland KB, Yeager MP. Hand contamination of anesthesia providers is an important risk factor for intraoperative bacterial transmission. Anesth Analg. 2011;112:98–105.
3. Munoz-Price LS, Lubarsky DA, Arheart KL, Prado G, Cleary T, Fajardo-Aquino Y, Depascale D, Eber S, Carling P, Birnbach DJ. Interactions between anesthesiologists and the environment while providing anesthesia care in the operating room. Am J Infect Control 2013;41:922–4
4. Loftus, R. W., Muffly, M. K., Brown, J. R., Beach, M. L., Koff, M. D., Corwin, H. L., . . . Yeager, M. P. (2010). Hand contamination of anesthesia providers is an important risk factor for intraoperative bacterial transmission. Anesth Analg, 112(1), 98-105. doi:10.1213/ANE.0b013e3181e7ce18