Contamination of equipment and surfaces in the operating room anesthesia workspace: a cross-sectional study

Sao Paulo Med J. 2024 Feb 23;142(4):e2023177. doi: 10.1590/1516-3180.2023.0177.R1.291123. eCollection 2024.

Abstract

Background: Contamination of the breathing circuit and medication preparation surface of an anesthesia machine can increase the risk of cross-infection.

Objective: To evaluate the contamination of the anesthetic medication preparation surface, respiratory circuits, and devices used in general anesthesia with assisted mechanical ventilation.

Design and setting: Cross-sectional, quantitative study conducted at the surgical center of a philanthropic hospital, of medium complexity located in the municipality of Três Lagoas, in the eastern region of the State of Mato Grosso do Sul.

Methods: Eighty-two microbiological samples were collected from the breathing circuits. After repeating the samples in different culture media, 328 analyses were performed.

Results: A higher occurrence of E. coli, Enterobacter spp., Pseudomonas spp., Staphylococcus aureus, and Streptococcus pneumoniae (P < 0.001) were observed. Variations were observed depending on the culture medium and sample collection site.

Conclusion: The study findings underscore the inadequate disinfection of the inspiratory and expiratory branches, highlighting the importance of stringent cleaning and disinfection of high-touch surfaces.

MeSH terms

  • Anesthesia*
  • Anesthesiology*
  • Cross-Sectional Studies
  • Escherichia coli
  • Humans
  • Operating Rooms