Assessment of microbial contamination in surgical instrument identication tapes and resins

Authors

DOI:

https://doi.org/10.5327/10.5327/Z1414-4425201900010004

Keywords:

Instrumentos cirúrgicos. Esterilização. Centro de material e esterilização. Corpos estranhos. Biofilmes.

Abstract

Objective: To assess the sterility of colored tapes and resins used to identify surgical instruments. Method: We conducted an experimental
laboratory study, which used a sample of 140 different stainless-steel surgical instruments, identified with tape or resin, voluntarily donated by Central
Sterile Services Department to this research. The samples were inoculated directly into trypticase soy broth (TSB) and sodium thioglycolate and incubated
for 14 days. Results: We found positive growth in three tape samples and none in resin samples. Conclusion: Identification tapes harbored microorganisms
in the instruments assessed, possibly protected by biofilm.

Author Biography

Camila Quartim de Moraes Bruna, Escola de Enfermagem da Universidade de São Paulo

Pós-doutoranda USP

References

- Klacik S. Cleaning Instructions for Use: A Central Sterile Service Department Perspective. Biomedical Instrumentation & Technology: Reprocessing. [Internet] 2012 [Access Aug 4, 2017]; 46(12):80-84. Available from: http://www.aami-bit.org/doi/full/10.2345/0899-8205-12.1.80. doi:10.2345/0899-8205-12.1.80

- Duro M. Surgical instrument tracking system advancements and benefits. AORN J. [Internet] 2014 [Access Aug 3, 2017]; 100(1):C7-8. Available from: http://www.aornjournal.org/article/S0001-2092(14)00665-6. doi: 10.1016/S0001-2092(14)00665-6

- Böler L, Daniol M, Wehrle C. Identification of instruments and implants with RFID and Data Matrix codes for the use at the instrument table. Przeglad Elektrotrchniczny. [Internet] 2016 [Access Aug 3, 2017]; 92(11):225-8. Available from: http://pe.org.pl/articles/2016/11/54.pdf. doi: 10.15199/48.2016.11.54

- Szczuka E, Jablonska L, Kaznowski A. Coagulase-negative staphylococci: pathogenesis, occurrence of antibiotic resistance genes and in vitro effects of antimicrobial agents on biofilm-growing bacteria. J Med Microbiol. [Internet] 2016 [Access Aug 4, 2017]; 65(12):1405-13. Available from: http://jmm.microbiologyresearch.org/content/journal/jmm/10.1099/jmm.0.000372#tab. doi: 10.1099/jmm.0.000372

- World Health Organization. (WHO). Global Guidelines for the Prevention of Surgical Site Infection. Geneva: WHO. [Internet] 2016. [Access Aug 4, 2017]; Available from: http://www.who.int/gpsc/ssi-prevention-guidelines/en/

- Bridier A, Sanchez-Vizuete MP, Coq DL, Aymerich S, Meylheuc T, Maillard J, et al. Biofilms of a Bacillus subtilis Hospital Isolate Protect Staphylococcus aureus from Biocide Action. Plos One. [Internet] 2012 [Access Aug 4, 2017]; 7(9):e44506. Available from: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0044506. doi: 10.1371/journal.pone.0044506

- Samit A, Dodson R. Instrument marking tapes: An unnecessary hazard. J. Oral Maxillofac Surg. [Internet] 1983 [Access Aug 4, 2017]; 41:678-88. Available from: http://www.sciencedirect.com/science/article/pii/0278239183900290. doi: 10.1016/0278-2391(83)90029-0

- Kostyal D, Verhage JM, Beezhold DH, Beck WC. Flash sterilization and instrument tape: An experimental study. J Healthcare Mater Manage. [Internet] 1993 [Access Aug 4, 2017]; 11:34-5. Available from: https://www.researchgate.net/publication/13169201_Flash_sterilization_and_instrument_tape-an_experimental_study

- Blevins FT, Salgado J, Wascher DC, Koster F. Septic Arthritis Following Arthroscopic Meniscus Repair: A cluster of three cases. Arthroscopy. [Internet] 1999 [Access Aug 4, 2017]; 15(1):35-40. Available from: http://www.arthroscopyjournal.org/article/S0749-8063(99)00157-7/fulltext. doi: 10.1053/ar.1999.v15.015003

- Parada SA, Grassbaugh JA, DeVine JG, Arrington ED. Instrumentation-specific infection after anterior cruciate ligament reconstruction. Sports Health. [Internet] 2009 [Access Aug 4, 2017]; 1:481-85. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445146/ doi: 10.1177/1941738109347975

- Tosh PK, Disbot M, Duffy JM, Boom ML, Heseltine G, Srinivasan A, et al. Outbreak of Pseudomonas aeruginosa surgical site infections after arthroscopic procedures: Texas, 2009. ICHE. [Internet] 2011 [Access Aug 4, 2017]; 32(12):1179-86. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22080656. doi: 10.1086/662712

- Ipaktchi K, Kolnik A, Messina M, Banegas R, Livermore M, Price C. Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. Patient Safety in Surgery. [Internet] 2013 [Access Aug 4, 2017]; 7(31). Availabable from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3849939/. doi: 10.1186/1754-9493-7-31

- Association of perioperative registered nurses (AORN). Perioperative Standards and Recommended Practices. [Internet] 2017. [Access Aug 3, 2017]. Available from: http://www.aorn.org

- The Joint Commission International. Preventing unintended retained foreign objects. Sentinel Event Alert. [Internet] 2013. [Access Aug 3, 2017]; 17(2013):51. Available from: http://www.jointcommission.org/sea_issue_51/

- Cohen SB, Bartz PJ, Sheil A, Nicolosi A, Woods RK, Earing MG. Myocardial Infarction Due to a Retained Epicardial Pacing Wire. Ann Thorac Surg. [Internet] 2012. [Access Aug 3, 2017]; 94(5):1724-26. Available from: https://www.ncbi.nlm.nih.gov/m/pubmed/23098955/. doi:10.1016/j.athoracsur.2012.04.055

- Association for advancement of medical instrumentation (AAMI). ANSI/AAMI ST79: Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities. Arlington. [Internet] 2013. [Access Aug 3, 2017]. Available from: http://www.aami.org/productspublications/ProductDetail.aspx?ItemNumber=1383

- World Health Organization. (WHO). WHO guidelines for safe surgery: safe surgery saves lives. Geneva: WHO. [Internet] 2016. [Access Aug 4, 2017]; Available from: http://www.who.int/patientsafety/safesurgery/tools_resources/9789241598552/en/

Downloads

Published

2019-04-10

How to Cite

Bruna, C. Q. de M., Almeida, A. G. C. dos S., & Graziano, K. U. (2019). Assessment of microbial contamination in surgical instrument identication tapes and resins. Revista SOBECC, 24(1), 12–16. https://doi.org/10.5327/10.5327/Z1414-4425201900010004

Issue

Vol. 24 No. 1 (2019)

Section

ORIGINAL ARTICLES

License

By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).

The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.

With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.

In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.