Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:


Researchers observe major hand hygiene problems in operating rooms


An observational study by Sahlgrenska Academy researchers at a large Swedish hospital found 2,393 opportunities for hand disinfection and/or aseptic techniques. Doctors and nurses missed 90% of the opportunities.

A new study at Sahlgrenska Academy, University of Gothenburg, is attracting a great deal of attention in the healthcare and research community. The study shows that the use of hand disinfection and aseptic techniques during risk-prone invasive procedures is very low.

Direct observations
Performed at a large Swedish hospital, the study is the first of its kind in northern Europe. Direct observations were made of risk-prone invasive procedures in connection with intubation and local anesthesia, as well as insertion of catheters in the bloodstream and urinary tract.

Caregivers failed to avail themselves of more than 90% of the opportunities for using alcohol-based hand rub and aseptic techniques.

"An operating room is radically different from other clinical settings in that anesthesia-related tasks are so frequent," says Dr. Anette Erichsen Andersson, a researcher at Sahlgrenska Academy. "We counted an average of 30 opportunities, many of which were missed, for aseptic techniques every 24 minutes."

Risk of infections
Problems with aseptic techniques and insufficient teamwork led to a substantial increase in situations where hand disinfection should have been used. The results also demonstrate that protective gloves are worn in an unsystematic manner that heightens the risk of hospital-acquired infections.

"Gloves often take the place of hand disinfection and are reused for a number of different tasks," Dr. Andersson says. "Bacteria may be transmitted from the airways to the bloodstream as a result, increasing the risk of infection."

The underlying reason unknown
The study did not examine the underlying reasons for inadequate use of aseptic techniques. One explanation may be that neither hygiene nor prevention of infection is a mandatory subject at medical school or during specialist training for doctors and nurses.

"There is little doubt that all doctors and nurses are familiar with the benefits of hand rub," Dr. Andersson says. “But simply possessing that knowledge is not good enough in the demanding setting of an operating room whose interdisciplinary teams rarely if ever have the chance to practice new working methods together, either in training or clinical situations.

"Awareness that you need to employ aseptic techniques must be supplemented by specific skills that work under complex, risky circumstances. The potential for interdisciplinary learning is enormous, and additional research is needed to maximize the prospects for safe, aseptic care in the operating room.”

The observations were not made during emergency surgery.

The article "Hygiene and Aseptic Techniques during Routine Anesthetic Care—Observations in the Operating Room" appeared in Antimicrobial Resistance and Infection Control in March.

Feel free to contact:
Annette Erichsen Andersson, RN, PhD, Research Fellow at the Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg
Phone: +46 737 25 04 58

The purpose of aseptic techniques is to keep medical instruments clean and/or sterile. The goal is to minimize the number of bacteria when inserting peripheral venous or arterial catheters and performing other invasive procedures in order to reduce the risk of infection. Doctors and nurses who disinfect their hands before and after each task also reduce the risk of hospital-acquired infections due to microorganisms and resistant bacteria.

Weitere Informationen:

Henrik Axlid | idw - Informationsdienst Wissenschaft

More articles from Studies and Analyses:

nachricht Rutgers-led innovation could spur faster, cheaper, nano-based manufacturing
14.02.2018 | Rutgers University

nachricht New study from the University of Halle: How climate change alters plant growth
12.01.2018 | Martin-Luther-Universität Halle-Wittenberg

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Mars' oceans formed early, possibly aided by massive volcanic eruptions

Oceans formed before Tharsis and evolved together, shaping climate history of Mars

A new scenario seeking to explain how Mars' putative oceans came and went over the last 4 billion years implies that the oceans formed several hundred million...

Im Focus: Tiny implants for cells are functional in vivo

For the first time, an interdisciplinary team from the University of Basel has succeeded in integrating artificial organelles into the cells of live zebrafish embryos. This innovative approach using artificial organelles as cellular implants offers new potential in treating a range of diseases, as the authors report in an article published in Nature Communications.

In the cells of higher organisms, organelles such as the nucleus or mitochondria perform a range of complex functions necessary for life. In the networks of...

Im Focus: Locomotion control with photopigments

Researchers from Göttingen University discover additional function of opsins

Animal photoreceptors capture light with photopigments. Researchers from the University of Göttingen have now discovered that these photopigments fulfill an...

Im Focus: Surveying the Arctic: Tracking down carbon particles

Researchers embark on aerial campaign over Northeast Greenland

On 15 March, the AWI research aeroplane Polar 5 will depart for Greenland. Concentrating on the furthest northeast region of the island, an international team...

Im Focus: Unique Insights into the Antarctic Ice Shelf System

Data collected on ocean-ice interactions in the little-researched regions of the far south

The world’s second-largest ice shelf was the destination for a Polarstern expedition that ended in Punta Arenas, Chile on 14th March 2018. Oceanographers from...

All Focus news of the innovation-report >>>



Industry & Economy
Event News

Virtual reality conference comes to Reutlingen

19.03.2018 | Event News

Ultrafast Wireless and Chip Design at the DATE Conference in Dresden

16.03.2018 | Event News

International Tinnitus Conference of the Tinnitus Research Initiative in Regensburg

13.03.2018 | Event News

Latest News

Physicists made crystal lattice from polaritons

20.03.2018 | Physics and Astronomy

Mars' oceans formed early, possibly aided by massive volcanic eruptions

20.03.2018 | Physics and Astronomy

Thawing permafrost produces more methane than expected

20.03.2018 | Earth Sciences

Science & Research
Overview of more VideoLinks >>>