orm_june-2024 - 7

Sterilization & Infection Prevention
Looking ahead
A lot has changed in healthcare since
the 20th century, but one truth remains:
Patient safety is our definitive aim, and
it's the responsibility of every healthcare
facility to implement the highest level
of risk prevention to prevent HAIs. Surgery
compromises a patient's natural
defense against infection, putting them
at high risk for developing SSIs. We also
know that patients colonized with MRSA
are nine times more likely to develop an
SSI after a surgical procedure. Nasal
decolonization with povidone-iodine offers
a unique solution-a quick and easy
clinician-administered layer of defense
without the risk of antibiotic tolerance.
In the coming decades, we can look
forward to new innovations in infection
prevention. For now, medical professionals
are equipped with the tools
they need to reduce the risk of SSIs and
keep patients safe with the help of nasal
decolonization. ORM
-Marc-Oliver Wright is a former
infection preventionist,
research epidemiologist, and
corporate director of infection
prevention and quality for a
multihospital system. He now serves at
PDI's Clinical Science Liaison for the Central
Region across the Midwest.
References
AORN Guidelines for Perioperative Practice.
AORN. Accessed May 2024.
Calderwood M S, Anderson D J, Bratzler
D W, et al. Strategies to prevent
surgical site infections in acute-care
hospitals: 2022 update. Infection
Control & Hospital Epidemiology.
May 4, 2023.
de Buys M, Moodley K, Cakic J N, et al.
Staphylococcus aureus colonization
and periprosthetic joint infection in
patients undergoing elective total
joint arthroplasty: A narrative review.
EFORT Open Reviews. September 1,
2023.
Huang S S, Septimus E J, Kleinman K,
www.ormanager.com
et al. Nasal iodophor antiseptic vs
nasal mupirocin antibiotic in the
setting of chlorhexidine bathing to
prevent infections in adult ICUs: A
randomized clinical trial. JAMA Network.
October 10, 2023.
Kritek P. Iodine is inferior to mupirocin
for nasal decolonization in the
intensive care unit. NEJM Journal
Watch. October 17, 2023.
Miller M A, Dascal A, Portnoy J, et al.
Development of mupirocin resistance
among methicillin-resistant
Staphylococcus aureus after widespread
use of nasal mupirocin ointment.
Infection Control & Hospital
Epidemiology. December 1996.
Nicolas R, Carricajo A, Morel J, et al.
Evaluation of effectiveness and
compliance with the mupirocin
nasal ointment part of Staphylococcus
aureus decolonization in real
life using UPLC-MS/ms mupirocin
quantification. Journal of Antimicrobial
Chemotherapy. June 2020.
Perl T M, Cullen J J, Wenzel R P, et
al. Intranasal mupirocin to prevent
postoperative Staphylococcus aureus
infections. New England Journal
of Medicine. June 13, 2002.
Strategies to prevent hospital-onset
Staphylococcus aureus bloodstream
infections in acute care facilities.
Centers for Disease Control and Prevention.
Accessed May 2024.
US Ambulatory Surgery Center Market
Size, Share & Trends Analysis
Report By Specialty (Orthopedics,
Otolaryngology), By Ownership (Physician,
Hospital), By Center Type
(Single-Specialty, Multi-Specialty),
By Device Type, By Region, And Segment
Forecasts, 2023-2030. Grand
View Research. October 2023.
Wagner M, Barnes C, O'Farrell E J, et
al. What is the impact of prophylactic
nasal decolonization in prevention
of SSI? American Journal of
Infection Control. August 2020.
Wenzel R P. Surgical site infections
and the microbiome: An updated
perspective. Infection Control &
Hospital Epidemiology. February 21,
2019.
OR Manager | June 2024
7
Nominate a colleague, former boss,
or even yourself for OR Manager of
the Year 2024, Ambulatory Nurse
Leader of the Year 2024, or PACU
Leader of the Year 2024! The awards
are meant to recognize perioperative
leaders who are making strides to
better the experience of patients,
improve operations, drive innovation,
and inspire the next generation of OR
leaders.
Deadline is Friday, July 19, 2024.
Winners will be honored during the
OR Manager Conference in Las Vegas,
NV on Wednesday, October 30, 2024.
Awards
NOMINATIONS
ARE OPEN
https://jamanetwork.com/journals/jama/fullarticle/2810510 https://www.ormanager.com/awards/?utm_medium=announcement&utm_source=print&utm_campaign=2024-awards https://www.jwatch.org/na56654/2023/10/17/iodine-inferior-mupirocin-nasal-decolonization-intensive https://pubmed.ncbi.nlm.nih.gov/8985769/ https://pubmed.ncbi.nlm.nih.gov/32097475/ https://pubmed.ncbi.nlm.nih.gov/12063371/ https://www.cdc.gov/staphylococcus-aureus/hcp/prevent-in-acute-care-facilities/?CDC_AAref_Val=https://www.cdc.gov/hai/prevent/staph-prevention-strategies.html https://www.grandviewresearch.com/industry-analysis/us-ambulatory-surgery-centers-market-report https://www.aorn.org/guidelines-resources/guidelines-for-perioperative-practice https://pubmed.ncbi.nlm.nih.gov/37137483/ https://www.ajicjournal.org/article/S0196-6553(20)30430-2/abstract https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10548302/ https://pubmed.ncbi.nlm.nih.gov/30786943/ https://jamanetwork.com/journals/jama/fullarticle/2810510 http://www.ormanager.com

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