Evaluation of Bacterial Flora Among Operation Theatre Staff at a Tertiary Care Hospital - An Observational Prospective Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 361
- Primary Endpoint
- Bacterial load on OT dress among OT staff
Study Overview
Brief Summary
Health care associated infection (HCAI) is a serious health hazard as it leads to increased morbidity and mortality of patients, length of hospital stay and costs associated with increased hospital stay.
A total of 361 subjects divided into four groups were included in this study. The first group comprised of 179 doctors, the second had 31 nurses, third group had 110 OT Technicians and the fourth group included 41 subjects which included housekeeping staff and cleaners. Swabs were collected from OT staff at the time of entry and at exit from the OT. Places of swabs taken were: A) Web space, B) OT dress and C) Anterior nares.
Detailed Description
Introduction
Health care associated infection (HCAI) is a serious health hazard as it leads to increased morbidity and mortality of patients, length of hospital stay and costs associated with increased hospital stay. Infections from OT is well known and is well established which are often referred to as "hot zones" for emergence & spread of microbial resistance. Contamination in an operation theatre is an important cause of HCAIs and is the third leading cause of HCAIs.
This was a prospective observational study conducted in the operation theatre of a tertiary hospital once a month randomly from April 2014 - April 2016. All Operation theatre (OT) staff were included in the study. All the patients in OT and samples from the OT air & equipment were excluded from the study. A total of 361 subjects divided into four groups were included in this study. The first group comprised of 179 doctors, the second had 31 nurses, third group had 110 OT Technicians and the fourth group included 41 subjects which included housekeeping staff and cleaners. Swabs were collected from OT staff at the time of entry and at exit from the OT. Places of swabs taken were: A) Web space, B) OT dress and C) Anterior nares.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •All Operation Theatre staff -
Exclusion Criteria
- •Patients in Operation Theatre, Operating room air & equipment
Outcomes
Primary Outcomes
Bacterial load on OT dress among OT staff
Time Frame: 2 years
Swabs will be taken from OT dress while donning them and before going out of OT at the end of the day and cultured to look for growth
To identify the nasal carriers of organisms among OT staff
Time Frame: 2 years
Swabs will be taken from anterior nares while entering OT at the end of the day while leaving OT and cultured to look for growth
Bacterial flora harboured at Web spaces among OT staff
Time Frame: 2 years
Swabs will be taken from web spaces before entering Operation Theatre and while going out of OT at the end of the day and cultured to look for growth of Bacteria
Secondary Outcomes
No secondary outcomes reported
Investigators
Metta Jayachandra Reddy
Assistant Professor, Dept of Surgery, KAMSRC, Hyderabad, India
Kamineni Academy of Medical Sciences and Research Centre