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Assessing a Novel Method to Reduce Anesthesia Machine Contamination: A Prospective, Observational Trial
Chuck J Biddle1,2, Beverly George-Gay1, Praveen Prasanna1,2
1Department of Nurse Anesthesia, Virginia Commonwealth University, Richmond, VA, USA.
Background:
Anesthesia machines are known reservoirs of bacterial species, potentially contributing to healthcare associated infections (HAIs). An inexpensive, disposable, nonpermeable, transparent anesthesia machine wrap (AMW) may reduce microbial contamination of the anesthesia machine. This study quantified the density and diversity of bacterial species found on anesthesia machines after terminal cleaning and between cases during actual anesthesia care to assess the impact of the AMW. We hypothesized reduced bioburden with the use of the AMW.
Methods:
In a prospective, experimental research design, the AMW was used in 11 surgical cases (intervention group) and not used in 11 control surgical cases. Cases were consecutively assigned to general surgical operating rooms. Seven frequently touched and difficult to disinfect "hot spots" were cultured on each machine preceding and following each case. The density and diversity of cultured colony forming units (CFUs) between the covered and uncovered machines were compared using Wilcoxon signed-rank test and Student's t-tests.
Results:
There was a statistically significant reduction in CFU density and diversity when the AMW was employed.
Conclusion:
The protective effect of the AMW during regular anesthetic care provides a reliable and low-cost method to minimize the transmission of pathogens across patients and potentially reduces HAIs.
Insights
Anesthesia machine wraps significantly reduced bacterial contamination on anesthesia machines, lowering the risk of healthcare-associated infections (HAIs). This cost-effective method enhances patient safety during anesthesia care.
Area of Science:
- Microbiology
- Infection Control
- Anesthesiology
Background:
- Anesthesia machines harbor bacteria, increasing the risk of healthcare-associated infections (HAIs).
- Anesthesia machine wraps (AMWs) offer a potential solution to reduce microbial contamination.
- This study evaluated the effectiveness of AMWs in clinical settings.
Purpose of the Study:
- To quantify bacterial density and diversity on anesthesia machines.
- To assess the impact of AMWs on microbial contamination between surgical cases.
- To test the hypothesis that AMWs reduce bacterial bioburden.
Main Methods:
- Prospective experimental design comparing AMW use (11 cases) versus no use (11 controls).
- Cultured microbial contamination from seven 'hot spots' on anesthesia machines before and after each case.
- Statistical analysis using Wilcoxon signed-rank and Student's t-tests to compare CFU density and diversity.
Main Results:
- A statistically significant reduction in colony-forming unit (CFU) density was observed with AMW use.
- A significant decrease in bacterial diversity was also noted when AMWs were employed.
- AMWs effectively minimized microbial contamination on frequently touched surfaces.
Conclusions:
- Anesthesia machine wraps provide a reliable, low-cost method to reduce pathogen transmission.
- AMWs can minimize microbial contamination during routine anesthetic care.
- This intervention has the potential to decrease the incidence of HAIs.
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