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Infection prevention in the operating room anesthesia work area

  • L. Silvia Munoz-Price (a1), Andrew Bowdle (a2), B. Lynn Johnston (a3), Gonzalo Bearman (a4), Bernard C. Camins (a5), E. Patchen Dellinger (a2), Marjorie A. Geisz-Everson (a6), Galit Holzmann-Pazgal (a7), Rekha Murthy (a8), David Pegues (a9), Richard C. Prielipp (a10), Zachary A. Rubin (a11), Joshua Schaffzin (a12), Deborah Yokoe (a13) and David J. Birnbach (a14)...
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Abstract

Copyright

Corresponding author

Author for correspondence: L. Silvia Muñoz-Price, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226. E-mail: smunozprice@mcw.edu

Footnotes

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Cite this article: Munoz-Price LS, et al. (2019). Infection prevention in the operating room anesthesia work area. Infection Control & Hospital Epidemiology 2019, 40, 1–17. doi: 10.1017/ice.2018.303

Footnotes

References

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1. SHEA. The Society for Healthcare Epidemiology of America (SHEA) Handbook for SHEA-Sponsored Guidelines and Expert Guidance Documents, 2017. http://www.shea-online.org/images/docs/2017_Handbook.pdf. Published 2017. Accessed January 2017.
2. Biddle, C, Shah, J. Quantification of anesthesia providers’ hand hygiene in a busy metropolitan operating room: what would Semmelweis think? Am J Infect Control 2012;40:756759.
3. Munoz-Price, LS, Riley, B, Banks, S, Eber, S, Arheart, K, Lubarsky, DA, et al. Frequency of interactions and hand disinfections among anesthesiologists while providing anesthesia care in the operating room: induction versus maintenance. Infect Control Hosp Epidemiol 2014;35:10561059.
4. Munoz-Price, LS, Patel, Z, Banks, S, Arheart, K, Eber, S, Lubarsky, DA, et al. Randomized crossover study evaluating the effect of a hand sanitizer dispenser on the frequency of hand hygiene among anesthesiology staff in the operating room. Infect Control Hosp Epidemiol 2014;35:717720.
5. Petty, WC. Closing the hand hygiene gap in the postanesthesia care unit: a body-worn alcohol-based dispenser. J Perianesth Nurs 2013;28:8793.
6. Koff, MD, Loftus, RW, Burchman, CC, et al. Reduction in intraoperative bacterial contamination of peripheral intravenous tubing through the use of a novel device. Anesthesiology 2009;110:978985.
7. Koff, MD, Brown, JR, Marshall, EJ, et al. Frequency of hand decontamination of intraoperative providers and reduction of postoperative healthcare-associated infections: a randomized clinical trial of a novel hand hygiene system. Infect Control Hosp Epidemiol 2016;37:888895.
8. Birnbach, DJ, Rosen, LF, Fitzpatrick, M, Carling, P, Arheart, KL, Munoz-Price, LS. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. Anesth Analg 2015;120:848852.
9. Birnbach, DJ, Rosen, LF, Fitzpatrick, M, Carling, P, Arheart, KL, Munoz-Price, LS. A new approach to pathogen containment in the operating room: sheathing the laryngoscope after intubation. Anesth Analg 2015;121:12091214.
10. Gadalla, F, Fong, J. Improved infection control in the operating room. Anesthesiology 1990;73:1295.
11. National Fire Protection Association. NFPA 101: Life Safety Code. NFPA catalog website. https://catalog.nfpa.org/NFPA-101-C3317.aspx. Published 2012. Accessed October 24, 2018.
12. Boyce, JM, Pearson, ML. Low frequency of fires from alcohol-based hand rub dispensers in healthcare facilities. Infect Control Hosp Epidemiol 2003;24:618619.
13. Kramer, A, Kampf, G. Hand rub-associated fire incidents during 25,038 hospital-years in Germany. Infect Control Hosp Epidemiol 2007;28:745746.
14. Guidance on personal protective equipment (PPE) to be used by healthcare workers during management of patients with confirmed ebola or persons under investigation (PUIs) for Ebola who are clinically unstable or have bleeding, vomiting, or diarrhea in US hospitals, including procedures for donning and doffing PPE 2015. Centers for Disease Control and Prevention website. https://www.cdc.gov/vhf/ebola/healthcare-us/ppe/guidance.html. Published 2015. Accessed October 25, 2018.
15. Gao, P, Horvatin, M, Niezgoda, G, Weible, R, Shaffer, R. Effect of multiple alcohol-based hand rub applications on the tensile properties of thirteen brands of medical exam nitrile and latex gloves. J Occup Environ Hyg 2016;13:905914.
16. Lowman, W, Venter, L, Scribante, J. Bacterial contamination of re-usable laryngoscope blades during the course of daily anaesthetic practice. S Afr Med J 2013;103:386389.
17. Muscarella, LF. Reassessment of the risk of healthcare-acquired infection during rigid laryngoscopy. J Hosp Infect 2008;68:101107.
18. Inadequate reprocessing of semicritical instruments: recommendations for reprocessing of rigid laryngoscopes. California Department of Health and Human Services website. www.cdph.ca.gov/pubsforms/guidelines/documents/inadequatereprocessingofrigidlaryngoscopes.pdf. Published 2007. Accessed October 25, 2018.
19. Howell, V, Thoppil, A, Young, H, Sharma, S, Blunt, M, Young, P. Chlorhexidine to maintain cleanliness of laryngoscope handles: an audit and laboratory study. Eur J Anaesthesiol 2013;30:216221.
20. Maslyk, PA, Nafziger, DA, Burns, SM, Bowers, PR. Microbial growth on the anesthesia machine. AANA J 2002;70:5356.
21. Baillie, JK, Sultan, P, Graveling, E, Forrest, C, Lafong, C. Contamination of anaesthetic machines with pathogenic organisms. Anaesthesia 2007;62:12571261.
22. Loftus, RW, Koff, MD, Burchman, CC, et al. Transmission of pathogenic bacterial organisms in the anesthesia work area. Anesthesiology 2008;109:399407.
23. Loftus, RW, Koff, MD, Brown, JR, et al. The epidemiology of Staphylococcus aureus transmission in the anesthesia work area. Anesth Analg 2015;120:807818.
24. Loftus, RW, Brown, JR, Patel, HM, et al. Transmission dynamics of gram-negative bacterial pathogens in the anesthesia work area. Anesth Analg 2015;120:819826.
25. Loftus, RW, Koff, MD, Brown, JR, et al. The dynamics of Enterococcus transmission from bacterial reservoirs commonly encountered by anesthesia providers. Anesth Analg 2015;120:827836.
26. Yokoe, DS, Anderson, DJ, Berenholtz, SM, et al. A compendium of strategies to prevent healthcare-associated infections in acute care hospitals: 2014 updates. Infect Control Hosp Epidemiol 2014;35:967977.
27. Moureau, NL, Flynn, J. Disinfection of needleless connector hubs: clinical evidence systematic review. Nurs Res Pract 2015:796762.
28. United States Pharmacopeia (USP) and the National Formulary (NF). General Chapter <797> Pharmaceutical Compounding. Sterile Preparations. USP website. http://www.usp.org/compounding/general-chapter-797. Published 2008. Accessed October 24, 2018.
29. Gargiulo, DA, Sheridan, J, Webster, CS, et al. Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs. BMJ Qual Saf 2012;21:826834.
30. Hemingway, CJ, Malhotra, S, Almeida, M, Azadian, B, Yentis, SM. The effect of alcohol swabs and filter straws on reducing contamination of glass ampoules used for neuroaxial injections. Anaesthesia 2007;62:286288.
31. O’Grady, NP, Alexander, M, Burns, LA, et al. Summary of recommendations: Guidelines for the Prevention of Intravascular Catheter-related Infections. Clin Infect Dis 2011;52:10871099.
32. Hall, JR. Blood contamination of anesthesia equipment and monitoring equipment. Anesth Analg 1994;78:11361139.
33. Loftus, RW, Brown, JR, Koff, MD, et al. Multiple reservoirs contribute to intraoperative bacterial transmission. Anesth Analg 2012;114:12361248.
34. Loftus, RW, Koff, MD, Birnbach, DJ. The dynamics and implications of bacterial transmission events arising from the anesthesia work area. Anesth Analg 2015;120:853860.
35. Fukada, T, Iwakiri, H, Ozaki, M. Anaesthetists’ role in computer keyboard contamination in an operating room. J Hosp Infect 2008;70:148153.
36. Link, T, Kleiner, C, Mancuso, MP, Dziadkowiec, O, Halverson-Carpenter, K. Determining high touch areas in the operating room with levels of contamination. Am J Infect Control 2016;44:13501355.
37. United States Pharmacopeia (USP). Proposed Revision to General Chapter 797: Pharmaceutical Compounding—Sterile Preparations 2018. July 27 proposed revision for public comment. USP website. http://www.usp.org/compounding/797-download. Updated July 27, 2018. Accessed October 24, 2018.
38. Fukada, T, Ozaki, M. Microbial growth in propofol formulations with disodium edetate and the influence of venous access system dead space. Anaesthesia 2007;62:575580.
39. Austin, PD, Hand, KS, Elia, M. Systematic review and meta-analysis of the risk of microbial contamination of parenteral doses prepared under aseptic techniques in clinical and pharmaceutical environments: an update. J Hosp Infect 2015;91:306318.
40. Jelacic, S, Bowdle, A, Nair, BG, Kusulos, D, Bower, L, Togashi, K. A system for anesthesia drug administration using barcode technology: the Codonics Safe Label System and Smart Anesthesia Manager. Anesth Analg 2015;121:410421.
41. Haas, RE, Beitz, E, Reed, A, et al. No bacterial growth found in spiked intravenous fluids over an 8-hour period. Am J Infect Control 2017;45:448450.
42. Siegel, JD, Rhinehart, E, Jackson, M, Chiarello, L, Committee HCICPA. 2007 Guideline for isolation precautions: preventing transmission of infectious agents in health care settings. Am J Infect Control 2007;35:S65S164.
43. Safe injection practices to prevent transmission to patients. Centers for Disease Control and Prevention website. www.cdc.gov/injectionsafety/ip07_standardprecaution.html. Published 2011. Accessed October 24, 2018.
44. Dolan, SA, Felizardo, G, Barnes, S, et al. APIC position paper: safe injection, infusion, and medication vial practices in health care. Am J Infect Control 2010;38:167172.
45. Commission, J. Preventing infection from the misuse of vials. Sentinel Event Alert 2014:16.
46. AANA. Safe Injection Guidelines for Needle and Syringe Use. 2014.
47. Stackhouse, R, Beers, R, Brown, D, et al. Recommendations for Infection Control for the Practice of Anesthesiology, 3rd ed. www.asahq.org/standards-and-guidelines/resources-from-asa-committees#ic
48. Association of Anaesthetists of Great Britain and Ireland (AAGBI). Infection Control in Anaesthesia. Anaesthesia 2008;63:10271036.
49. Greeley, RD, Semple, S, Thompson, ND, et al. Hepatitis B outbreak associated with a hematology-oncology office practice in New Jersey, 2009. Am J Infect Control 2011;39:663670.
50. CDC. Acute hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic—Nevada, 2007. MMWR Morb Mortal Wkly Rep 2008;57:513517.
51. Wong, MR, Del Rosso, P, Heine, L, et al. An outbreak of Klebsiella pneumoniae and Enterobacter aerogenes bacteremia after interventional pain management procedures, New York City, 2008. Reg Anesth Pain Med 2010;35:496499.
52. Pan, A, Dolcetti, L, Barosi, C, et al. An outbreak of Serratia marcescens bloodstream infections associated with misuse of drug vials in a surgical ward. Infect Control Hosp Epidemiol 2006;27:7982.
53. Gutelius, B, Perz, JF, Parker, MM, Hallack, R, Stricof, R, Clement, EJ, et al. Multiple clusters of hepatitis virus infections associated with anesthesia for outpatient endoscopy procedures. Gastroenterology 2010;139:163170.
54. Branch-Elliman, W, Robillard, E, McCarthy, G, Gupta, K. Direct feedback with the ATP luminometer as a process improvement tool for terminal cleaning of patient rooms. Am J Infect Control 2014;42:195197.
55. Germain, JM, Carbonne, A, Thiers, V, et al. Patient-to-patient transmission of hepatitis C virus through the use of multidose vials during general anesthesia. Infect Control Hosp Epidemiol 2005;26:789792.
56. Katzenstein, TL, Jørgensen, LB, Permin, H, et al. Nosocomial HIV-transmission in an outpatient clinic detected by epidemiological and phylogenetic analyses. AIDS 1999;13:17371744.
57. Samandari, T, Malakmadze, N, Balter, S, et al. A large outbreak of hepatitis B virus infections associated with frequent injections at a physician’s office. Infect Control Hosp Epidemiol 2005;26:745750.
58. Lagging, LM, Aneman, C, Nenonen, N, et al. Nosocomial transmission of HCV in a cardiology ward during the window phase of infection: an epidemiological and molecular investigation. Scand J Infect Dis 2002;34:580582.
59. Moore, ZS, Schaefer, MK, Hoffmann, KK, et al. Transmission of hepatitis C virus during myocardial perfusion imaging in an outpatient clinic. Am J Cardiol 2011;108:126132.
60. Krause, G, Trepka, MJ, Whisenhunt, RS, Katz, D, Nainan, O, Wiersma, ST, et al. Nosocomial transmission of hepatitis C virus associated with the use of multidose saline vials. Infect Control Hosp Epidemiol 2003;24:122127.
61. Hodgson, ES, Ruis-Frutos, C. A case report of contaminated operating theatre multipurpose equipment: a potential hazard for health care workers. Ann Occup Hyg 1991;35:341346.
62. Rowlands, J, Yeager, MP, Beach, M, Patel, HM, Huysman, BC, Loftus, RW. Video observation to map hand contact and bacterial transmission in operating rooms. Am J Infect Control 2014;42:698701.
63. Birnbach, DJ, Rosen, LF, Fitzpatrick, M, Carling, P, Munoz-Price, LS. The use of a novel technology to study dynamics of pathogen transmission in the operating room. Anesth Analg 2015;120:844847.
64. Borer, A, Gilad, J, Meydan, N, et al. Impact of active monitoring of infection control practices on deep sternal infection after open-heart surgery. Ann Thorac Surg 2001;72:515520.
65. Chen, LF, Vander Weg, MW, Hofmann, DA, Reisinger, HS. The Hawthorne effect in infection prevention and epidemiology. Infect Control Hosp Epidemiol 2015;36:14441450.
66. Srigley, JA, Furness, CD, Baker, GR, Gardam, M. Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. BMJ Qual Saf 2014;23:974980.
67. Rampersad, SE, Martin, LD, Geiduschek, JM, Weiss, GK, Bates, SW. Video observation of anesthesia practice: a useful and reliable tool for quality improvement initiatives. Paediatr Anaesth 2013;23:627633.
68. Martin, LD, Rampersad, SE, Geiduschek, JM, Zerr, DM, Weiss, GK. Modification of anesthesia practice reduces catheter-associated bloodstream infections: a quality improvement initiative. Paediatr Anaesth 2013;23:588596.
69. Friedman, Z, Katznelson, R, Devito, I, Siddiqui, M, Chan, V. Objective assessment of manual skills and proficiency in performing epidural anesthesia—video-assisted validation. Reg Anesth Pain Med 2006;31:304310.
70. Linam, WM, Margolis, PA, Atherton, H, Connelly, BL. Quality-improvement initiative sustains improvement in pediatric health care worker hand hygiene. Pediatrics 2011;128:e689e698.
71. Weinger, MB, Englund, CE. Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. Anesthesiology 1990;73:9951021.
72. Cabana, MD, Rand, CS, Powe, NR, et al. Why don’t physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999;282:14581465.
73. Beatty, PC, Beatty, SF. Anaesthetists’ intentions to violate safety guidelines. Anaesthesia 2004;59:528540.
74. Pennathur, PR, Thompson, D, Abernathy, JH, et al. Technologies in the wild (TiW): human factors implications for patient safety in the cardiovascular operating room. Ergonomics 2013;56:205219.
75. Carthey, J, Walker, S, Deelchand, V, Vincent, C, Griffiths, WH. Breaking the rules: understanding non-compliance with policies and guidelines. BMJ 2011;343:d5283.
76. Hysong, SJ, Kell, HJ, Petersen, LA, Campbell, BA, Trautner, BW. Theory-based and evidence-based design of audit and feedback programmes: examples from two clinical intervention studies. BMJ Qual Saf 2017;26:323334.
77. Dolan, SA, Heath, J, Potter-Bynoe, G, Stackhouse, RA. Infection prevention in anesthesia practice: a tool to assess risk and compliance. Am J Infect Control 2013;41:10771082.
78. Derickson, R, Fishman, J, Osatuke, K, Teclaw, R, Ramsel, D. Psychological safety and error reporting within Veterans Health Administration hospitals. J Patient Saf 2015;11:6066.
79. Gurses, AP, Seidl, KL, Vaidya, V, et al. Systems ambiguity and guideline compliance: a qualitative study of how intensive care units follow evidence-based guidelines to reduce healthcare-associated infections. Qual Saf Health Care 2008;17:351359.
80. Russell, CD, Young, I, Leung, V, Morris, K. Healthcare workers’ decision-making about transmission-based infection control precautions is improved by a guidance summary card. J Hosp Infect 2015;90:235239.
81. Denton, A, Topping, A, Humphreys, P. Evolution of an audit and monitoring tool into an infection prevention and control process. J Hosp Infect 2016;94:3240.
82. Lim, G, Krohner, RG, Metro, DG, Rosario, BL, Jeong, JH, Sakai, T. Low-fidelity haptic simulation versus mental imagery training for epidural anesthesia technical achievement in novice anesthesiology residents: a randomized comparative study. Anesth Analg 2016;122:15161523.
83. Forrest, FC, Taylor, MA, Postlethwaite, K, Aspinall, R. Use of a high-fidelity simulator to develop testing of the technical performance of novice anaesthetists. Br J Anaesth 2002;88:338344.
84. Burtscher, MJ, Manser, T, Kolbe, M, et al. Adaptation in anaesthesia team coordination in response to a simulated critical event and its relationship to clinical performance. Br J Anaesth 2011;106:801806.
85. Edwards, VR. Preventing and managing healthcare-associated infections: linking collective leadership, good management, good data, expertise, and culture change. J Hosp Infect 2016;94:3031.
86. Cunningham, D, Brilli, RJ, McClead, RE, Davis, JT. the safety stand-down: a technique for improving and sustaining hand hygiene compliance among health care personnel. J Patient Saf J Patient Saf 2018;14:107111.
87. Brewster, L, Tarrant, C, Dixon-Woods, M. Qualitative study of views and experiences of performance management for healthcare-associated infections. J Hosp Infect 2016;94:4147.
88. Armellino, D, Hussain, E, Schilling, ME, et al. Using high-technology to enforce low-technology safety measures: the use of third-party remote video auditing and real-time feedback in healthcare. Clin Infect Dis 2012;54:17.
89. Ford, S, Birmingham, E, King, A, Lim, J, Ansermino, JM. At-a-glance monitoring: covert observations of anesthesiologists in the operating room. Anesth Analg 2010;111:653658.
90. Srigley, JA, Gardam, M, Fernie, G, Lightfoot, D, Lebovic, G, Muller, MP. Hand hygiene monitoring technology: a systematic review of efficacy. J Hosp Infect 2015;89:5160.
91. Rodriguez-Aldrete, D, Sivanesan, E, Banks, S, et al. Recurrent visual electronic hand hygiene reminders in the anesthesia work area. Infect Control Hosp Epidemiol 2016;37:872874.
92. Eckstein, BC, Adams, DA, Eckstein, EC, et al. Reduction of Clostridium difficile and vancomycin-resistant Enterococcus contamination of environmental surfaces after an intervention to improve cleaning methods. BMC Infect Dis 2007;7:61.
93. Goodman, ER, Platt, R, Bass, R, Onderdonk, AB, Yokoe, DS, Huang, SS. Impact of an environmental cleaning intervention on the presence of methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci on surfaces in intensive care unit rooms. Infect Control Hosp Epidemiol 2008;29:593599.
94. Carling, PC, Parry, MM, Rupp, ME, et al. Improving cleaning of the environment surrounding patients in 36 acute care hospitals. Infect Control Hosp Epidemiol 2008;29:10351041.
95. Carling, PC, Parry, MF, Bruno-Murtha, LA, Dick, B. Improving environmental hygiene in 27 intensive care units to decrease multidrug-resistant bacterial transmission. Crit Care Med 2010;38:10541059.
96. Munoz-Price, LS, Birnbach, DJ, Lubarsky, DA, et al. Decreasing operating room environmental pathogen contamination through improved cleaning practice. Infect Control Hosp Epidemiol 2012;33:897904.
97. Sitzlar, B, Deshpande, A, Fertelli, D, Kundrapu, S, Sethi, AK, Donskey, CJ. An environmental disinfection odyssey: evaluation of sequential interventions to improve disinfection of Clostridium difficile isolation rooms. Infect Control Hosp Epidemiol 2013;34:459465.
98. Guerrero, DM, Carling, PC, Jury, LA, Ponnada, S, Nerandzic, MM, Donskey, CJ. Beyond the Hawthorne effect: reduction of Clostridium difficile environmental contamination through active intervention to improve cleaning practices. Infect Control Hosp Epidemiol 2013;34:524526.
99. Trajtman, AN, Manickam, K, Macrae, M, Bruning, NS, Alfa, MJ. Continuing performance feedback and use of the ultraviolet visible marker to assess cleaning compliance in the healthcare environment. J Hosp Infect 2013;84:166172.
100. Kundrapu, S, Sunkesula, V, Sitzlar, BM, Fertelli, D, Deshpande, A, Donskey, CJ. More cleaning, less screening: evaluation of the time required for monitoring versus performing environmental cleaning. Infect Control Hosp Epidemiol 2014;35:202204.
101. Carling, PC, Huang, SS. Improving healthcare environmental cleaning and disinfection: current and evolving issues. Infect Control Hosp Epidemiol 2013;34:507513.
102. Matlow, AG, Wray, R, Richardson, SE. Attitudes and beliefs, not just knowledge, influence the effectiveness of environmental cleaning by environmental service workers. Am J Infect Control 2012;40:260262.
103. Miller, DM, Youkhana, I, Karunaratne, WU, Pearce, A. Presence of protein deposits on ‘cleaned’ re-usable anaesthetic equipment. Anaesthesia 2001;56:10691072.
104. Biddle, C, Robinson, K, Pike, B, Kammerman, M, Gay, B, Verhulst, B. Quantifying the rambunctious journey of the anesthesia provider’s hands during simulated, routine care. Am J Infect Control 2016;44:873878.
105. Loftus, RW, Patel, HM, Huysman, BC, et al. Prevention of intravenous bacterial injection from health care provider hands: the importance of catheter design and handling. Anesth Analg 2012;115:11091119.
106. Cole, DC, Baslanti, TO, Gravenstein, NL, Gravenstein, N. Leaving more than your fingerprint on the intravenous line: a prospective study on propofol anesthesia and implications of stopcock contamination. Anesth Analg 2015;120:861867.
107. Mahida, N, Levi, K, Kearns, A, Snape, S, Moppett, I. Investigating the impact of clinical anaesthetic practice on bacterial contamination of intravenous fluids and drugs. J Hosp Infect 2015;90:7074.
108. Henry, B, Plante-Jenkins, C, Ostrowska, K. An outbreak of Serratia marcescens associated with the anesthetic agent propofol. Am J Infect Control 2001;29:312315.
109. Hilliard, JG, Cambronne, ED, Kirsch, JR, Aziz, MF. Barrier protection capacity of flip-top pharmaceutical vials. J Clin Anesth 2013;25:177180.
110. Ryan, AJ, Webster, CS, Merry, AF, Grieve, DJ. A national survey of infection control practice by New Zealand anaesthetists. Anaesth Intensive Care 2006;34:6874.
111. Munoz-Price, LS, Birnbach, DJ. Hand hygiene and anesthesiology. Int Anesthesiol Clin 2013;51:7992.
112. WHO. World Health Organization Guidelines on Hand Hygiene in Healthcare. Geneva, Switzerland: WHO Press; 2009.
113. Scheithauer, S, Rosarius, A, Rex, S, et al. Improving hand hygiene compliance in the anesthesia working room work area: more than just more hand rubs. Am J Infect Control 2013;41:10011006.
114. Sahni, N, Biswal, M, Gandhi, K, Yaddanapudi, S. Quantification of hand hygiene compliance in anesthesia providers at a tertiary care center in northern India. Am J Infect Control 2015;43:11341136.
115. Paulson, DS, Fendler, EJ, Dolan, MJ, Williams, RA. A close look at alcohol gel as an antimicrobial sanitizing agent. Am J Infect Control 1999;27:332338.
116. Koff, MD, Corwin, HL, Beach, ML, Surgenor, SD, Loftus, RW. Reduction in ventilator associated pneumonia in a mixed intensive care unit after initiation of a novel hand hygiene program. J Crit Care 2011;26:489495.
117. Munoz-Price, LS, Lubarsky, DA, Arheart, KL, et al. Interactions between anesthesiologists and the environment while providing anesthesia care in the operating room. Am J Infect Control 2013;41:922924.
118. Reynolds, H, Dulhunty, J, Tower, M, Taraporewalla, K, Rickard, C. A snapshot of guideline compliance reveals room for improvement: a survey of peripheral arterial catheter practices in Australian operating theatres. J Adv Nurs 2013;69:15841594.
119. Loftus, RW, Brindeiro, BS, Kispert, DP, et al. Reduction in intraoperative bacterial contamination of peripheral intravenous tubing through the use of a passive catheter care system. Anesth Analg 2012;115:13151323.
120. Association of periOperative Registered Nurses. Guideline for Environmental Cleaning. AORN Guidelines for Perioperative Practice . Denver: AORN; 2018. Pp. 728.
121. Clark, C, Taenzer, A, Charette, K, Whitty, M. Decreasing contamination of the anesthesia environment. Am J Infect Control 2014;42:12231225.
122. Gonzalez, EA, Nandy, P, Lucas, AD, Hitchins, VM. Ability of cleaning-disinfecting wipes to remove bacteria from medical device surfaces. Am J Infect Control 2015;43:13311335.
123. Rutala, WA, Weber, DJ. Disinfectants used for environmental disinfection and new room decontamination technology. Am J Infect Control 2013;41:S36S41.
124. Jones, BL, Gorman, LJ, Simpson, J, et al. An outbreak of Serratia marcescens in two neonatal intensive care units. J Hosp Infect 2000;46:314319.
125. Cullen, MM, Trail, A, Robinson, M, Keaney, M, Chadwick, PR. Serratia marcescens outbreak in a neonatal intensive care unit prompting review of decontamination of laryngoscopes. J Hosp Infect 2005;59:6870.
126. Phillips, RA, Monaghan, WP. Incidence of visible and occult blood on laryngoscope blades and handles. AANA J. 1997;65241–35246.
127. Negri de Sousa, AC, Vilas Boas, VA, Levy, CE, Pedreira, de Freitas, MI. Laryngoscopes: evaluation of microbial load of blades. Am J Infect Control 2016;44:294298.
128. Call, TR, Auerbach, FJ, Riddell, SW, et al. Nosocomial contamination of laryngoscope handles: challenging current guidelines. Anesth Analg 2009;109:479483.
129. Williams, D, Dingley, J, Jones, C, Berry, N. Contamination of laryngoscope handles. J Hosp Infect 2010;74:123128.
130. Bhatt, JM, Peterson, EM, Verma, SP. Microbiological sampling of the forgotten components of a flexible fiberoptic laryngoscope: what lessons can we learn? Otolaryngol Head Neck Surg 2014;150:235236.
131. Hill, AF, Butterworth, RJ, Joiner, S, et al. Investigation of variant Creutzfeldt-Jakob disease and other human prion diseases with tonsil biopsy samples. Lancet 1999;353:183189.
132. Hirsch, N, Beckett, A, Collinge, J, Scaravilli, F, Tabrizi, S, Berry, S. Lymphocyte contamination of laryngoscope blades—a possible vector for transmission of variant Creutzfeldt-Jakob disease. Anaesthesia 2005;60:664667.
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Supplementary materials

Munoz-Price et al. supplementary material
Munoz-Price et al. supplementary material 1

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