- Bacterial Contamination and Disinfection Status of Laryngoscopes Stored in Emergency Crash Carts
-
Jae Hyung Choi, Young Soon Cho, Jung Won Lee, Hee Bong Shin, In Kyung Lee
-
J Prev Med Public Health. 2017;50(3):158-164. Published online April 4, 2017
-
DOI: https://doi.org/10.3961/jpmph.17.013
-
-
23,869
View
-
216
Download
-
7
Crossref
-
Abstract
PDF
- Objectives
To identify bacterial contamination rates of laryngoscope blades and handles stored in emergency crash carts by hospital and area according to the frequency of intubation attempts.
Methods One hundred forty-eight handles and 71 blades deemed ready for patient use from two tertiary hospitals were sampled with sterile swabs using a standardized rolling technique. Samples were considered negative (not contaminated) if no colonies were present on the blood agar plate after an 18-hour incubation period. Samples were stratified by hospital and according to the frequency of intubation attempts (10 attempts per year) using the χ2-test and Fisher exact test.
Results One or more species of bacteria were isolated from 4 (5.6%) handle tops, 20 (28.2%) handles with knurled surfaces, and 27 (18.2%) blades. No significant differences were found in microbial contamination levels on the handle tops and blades between the two hospitals and two areas according to the frequency of intubation attempts. However, significant differences were found between the two hospitals and two areas in the level of microbial contamination on the handles with knurled surfaces (p<0.05).
Conclusions Protocols and policies must be reviewed to standardize procedures to clean and disinfect laryngoscope blades and handles; handles should be re-designed to eliminate points of contact with the blade; and single-use, one-piece laryngoscopes should be introduced.
-
Summary
-
Citations
Citations to this article as recorded by
- A cost comparison between reusable flexible and disposable laryngoscopes
James Ellis, Albert H Park, Aaron Prussin American Journal of Otolaryngology.2022; 43(2): 103321. CrossRef - Current practice of anesthetic equipment disinfection in the University of Gondar Comprehensive Specialized Hospital, 2020: a cross sectional study
Seid A. Ahmed, Demeke Y. Fentie International Journal of Surgery: Global Health.2021; 4(3): e54. CrossRef - Moving towards green anaesthesia: Are patient safety and environmentally friendly practices compatible? A focus on single-use devices
Thibault Reynier, Mathilde Berahou, Pierre Albaladejo, Hélène Beloeil Anaesthesia Critical Care & Pain Medicine.2021; 40(4): 100907. CrossRef - Economic and Epidemiological Impact of an Improvement Plan for the Decrease of Ventilator-Associated Pneumonia in a Tertiary Hospital in Mexico
Oscar Sosa-Hernández, Bernardina Matías-Téllez, Yefté Efraín Silva-López, Verónica Alarcón-Hernández, Juan Manuel Bello-López, Mónica Alethia Cureño-Díaz, Gustavo Esteban Lugo-Zamudio Journal of Patient Safety.2021; 17(8): e1889. CrossRef - Food poisoning: an underestimated cause of Boerhaave syndrome
Karl Dichtl, Martin B. Koeppel, Claus-Peter Wallner, Thomas Marx, Johannes Wagener, Ludwig Ney Infection.2020; 48(1): 125. CrossRef - Contamination and Disinfection of Rigid Laryngoscopes: A Literature Review
Sharon Ann Van Wicklin AORN Journal.2019; 110(1): 49. CrossRef - Infection Prevention for the Emergency Department
Stephen Y. Liang, Madison Riethman, Josephine Fox Emergency Medicine Clinics of North America.2018; 36(4): 873. CrossRef
|