AIRR - ANZCA Institutional Research Repository
Skip navigation
Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorMerry, Alan F.en_US
dc.contributor.authorGargiulo, Derryn A.en_US
dc.contributor.authorBissett, Ianen_US
dc.contributor.authorCumin, Daviden_US
dc.contributor.authorEnglish, Kerryen_US
dc.contributor.authorFrampton, Christopheren_US
dc.contributor.authorHamblin, Richarden_US
dc.contributor.authorHannam, Jacquelineen_US
dc.contributor.authorMoore, Matthewen_US
dc.contributor.authorReid, Papaarangien_US
dc.contributor.authorRoberts, Sallyen_US
dc.contributor.authorTaylor, Elsaen_US
dc.contributor.authorMitchell Simon J.en_US
dc.contributor.authorABC Study Groupen_US
dc.description.abstractBACKGROUND: Postoperative infection is a serious problem in New Zealand and internationally with considerable human and financial costs. Also, in New Zealand, certain factors that contribute to postoperative infection are more common in Māori and Pacific populations. To date, most efforts to reduce postoperative infection have focussed on surgical aspects of care and on antibiotic prophylaxis, but recent research shows that anaesthesia providers may also have an impact on infection transmission. These providers sometimes exhibit imperfect hand hygiene and frequently transfer the blood or saliva of their patients to their work environment. In addition, intravenous medications may become contaminated whilst being drawn up and administered to patients. Working with relevant practitioners and other experts, we have developed an evidence-informed bundle to improve key aseptic practices by anaesthetists with the aim of reducing postoperative infection. The key elements of the bundle are the filtering of compatible drugs, context-relevant hand hygiene practices and enhanced maintenance of clean work surfaces. METHODS: We will seek support for implementation of the bundle from senior anaesthesia and hospital leadership and departmental "champions". Anaesthetic teams and recovery room staff will be educated about the bundle and its potential benefits through presentations, written material and illustrative videos. We will implement the bundle in operating rooms where hip or knee arthroplasty or cardiac surgery procedures are undertaken in a five-site, stepped wedge, cluster randomised, quality improvement design. We will compare outcomes between approximately 5000 cases before and 5000 cases after implementation of our bundle. Outcome data will be collected from existing national and hospital databases. Our primary outcome will be days alive and out of hospital to 90 days, which is expected to reflect all serious postoperative infections. Our secondary outcome will be the rate of surgical site infection. Aseptic practice will be observed in sampled cases in each cluster before and after implementation of the bundle. DISCUSSION: If effective, our bundle may offer a practical clinical intervention to reduce postoperative infection and its associated substantial human and financial costs.en_US
dc.subjectcluster randomiseden_US
dc.subjectpatient safetyen_US
dc.subjectpostoperative infectionen_US
dc.subjectstepped wedgeen_US
dc.titleThe effect of implementing an aseptic practice bundle for anaesthetists to reduce postoperative infections, the Anaesthetists Be Cleaner (ABC) study: protocol for a stepped wedge, cluster randomised, multi-site trialen_US
dc.typeJournal Articleen_US
dc.description.affiliatesDepartment of Anaesthesiology, School of Medicine, University of Aucklanden_US
dc.type.studyortrialMulticentre Studiesen_US
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
Appears in Collections:Scholarly and Clinical
Show simple item record

Google ScholarTM



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.