Potential Nosocomial Infection Prevention Via Modification of Anesthesia Intraoperative Aseptic Practice - Full Text View

Sponsors and Collaborators:	Dartmouth-Hitchcock Medical Center Dartmouth-Hitchcock Quality Improvement Foundation (Research Funding) Harbor Medical Inc.
Information provided by:	Dartmouth-Hitchcock Medical Center
ClinicalTrials.gov Identifier:	NCT00617006

Purpose

We hypothesized that by improving hand hygiene compliance in the operative environment, we would reduce horizontal transmission of pathogenic bacteria to surgical patients.

Condition
Nosocomial Infections

MedlinePlus related topics: Anesthesia Germs and Hygiene

U.S. FDA Resources

Study Type:	Observational
Study Design:	Ecologic or Community, Prospective
Official Title:	Before and After Study Evaluating Deployment of the Sprixx GJ Personal Hand Hygiene Device in the Intra-Operative Environment

Further study details as provided by Dartmouth-Hitchcock Medical Center:

Primary Outcome Measures:

The presence of a positive culture on the previously sterile patient stopcock set, and the presence of multidrug resistant bacteria [ Time Frame: Beginning and end of surgical case ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:

Reduction of bacterial contamination on predetermined sites on the anesthesia machine [ Time Frame: Beginning and End of Surgical Case ] [ Designated as safety issue: Yes ]
Decreased length of stay [ Time Frame: Postoperatively ] [ Designated as safety issue: Yes ]
Nosocomial infection rates [ Time Frame: within 30 days postoperatively ] [ Designated as safety issue: Yes ]
Mortality [ Time Frame: Within 30 days postoperatively ] [ Designated as safety issue: Yes ]

Biospecimen Retention: Samples Without DNA

Biospecimen Description:

Environmental Bacterial Samples of Workspace

Enrollment:	114
Study Start Date:	July 2007
Study Completion Date:	October 2007
Primary Completion Date:	August 2007 (Final data collection date for primary outcome measure)

Groups/Cohorts
Before (Control) Study group representative of standard practice
After(Treatment) After treatment group with the personal hand hygiene device ie. Device Group.

Detailed Description:

We performed an observational study evaluating provider adherence to these techniques. We then sought to increase hand hygiene compliance through the use of a point of care alcohol based hand hygiene device. We hypothesized that increased hand hygiene compliance would reduce bacterial contamination of the anesthesia workspace and peripheral intravenous tubing, and ultimately reducing overall morbidity and mortality secondary to a reduction in nosocomial infection rates.

Eligibility

Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No
Sampling Method:	Probability Sample

Study Population

Operating Rooms were randomized and patients in these rooms were enrolled for the study.

Criteria

Inclusion Criteria:

Patients present in operating rooms randomized to study.

Exclusion Criteria:

Patients that were already enrolled in study and return to the operating room.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00617006

Locations

United States, New Hampshire
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, United States, 03756

Sponsors and Collaborators

Dartmouth-Hitchcock Medical Center

Dartmouth-Hitchcock Quality Improvement Foundation (Research Funding)

Harbor Medical Inc.

Investigators

Principal Investigator:

Matthew D Koff, M.D. M.S.

Dartmouth-Hitchocck Medical Center

More Information

No publications provided by Dartmouth-Hitchcock Medical Center

Additional publications automatically indexed to this study by National Clinical Trials Identifier (NCT ID):

Koff MD, Loftus RW, Burchman CC, Schwartzman JD, Read ME, Henry ES, Beach ML. Reduction in intraoperative bacterial contamination of peripheral intravenous tubing through the use of a novel device. Anesthesiology. 2009 May;110(5):978-85.

Responsible Party:	Dartmouth-Hitchcock Medical Center ( Matthew D. Koff M.D. M.S./Assistant Professor Anesthesiology and Critical Care Medicine )
Study ID Numbers:	CPHS# 20655
Study First Received:	February 5, 2008
Last Updated:	February 14, 2008
ClinicalTrials.gov Identifier:	NCT00617006 History of Changes
Health Authority:	United States: Institutional Review Board

Keywords provided by Dartmouth-Hitchcock Medical Center:

Anesthesia Workspace
Hospital Acquired Infections
Hand Hygiene
Alcohol Based Cleanser
Bacterial Contamination

Study placed in the following topic categories:

Anesthetics
Cross Infection
Ethanol

Additional relevant MeSH terms:

Communicable Diseases
Infection
Cross Infection

ClinicalTrials.gov processed this record on May 07, 2009