Article ; Online: Prevalence of bacterial burden on macroscopic contaminants of orthopaedic surgical instruments following sterilization.
The Journal of hospital infection
2022 Volume 130, Page(s) 52–55
Abstract: Background: Macroscopic contamination of orthopaedic instruments with particulates, including cortical bone and polymethyl methacrylate (PMMA) bone cement, that have previously undergone pre-operative sterilization is frequently encountered peri- or ... ...
Abstract | Background: Macroscopic contamination of orthopaedic instruments with particulates, including cortical bone and polymethyl methacrylate (PMMA) bone cement, that have previously undergone pre-operative sterilization is frequently encountered peri- or intraoperatively, calling into question the sterility of such instruments. Aim: To determine if macroscopic contaminants of orthopaedic surgical instrumentation maintain a bacterial burden following sterile processing, and to determine the most commonly contaminated instruments and the most common contaminants. Methods: Macroscopic contaminants in orthopaedic instrument trays were collected prospectively at a single tertiary referral centre over a 6-month period from August 2021 to May 2022. When identified, these specimens were swabbed and plated on sheep blood agar. All specimens were incubated at 37 °C for 14 days, and inspected visually for colony formation. When bacterial colony formation was identified, samples were sent for species identification. Results: In total, 33 contaminants were tested, and only one contaminant was found to be growing bacterial colonies (Corynebacterium sp.). The items most commonly found to have macroscopic contamination were surgical trays (N=9) and cannulated drills (N=7). The identifiable contaminants were bone (N=10), PMMA bone cement (N=4) and hair (N=4). Eleven macroscopic contaminants were not identifiable. Conclusion: This study found that 97% of macroscopic orthopaedic surgical instrument contaminants that underwent sterile processing did not possess a bacterial burden. Contaminants discovered during a procedure are likely to be sterile, and do not pose a substantially increased risk of infection to a patient. |
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MeSH term(s) | Animals ; Sheep ; Orthopedics/methods ; Polymethyl Methacrylate ; Bone Cements ; Prevalence ; Sterilization/methods ; Surgical Instruments/microbiology ; Bacteria |
Chemical Substances | Polymethyl Methacrylate (9011-14-7) ; Bone Cements |
Language | English |
Publishing date | 2022-09-08 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 779366-2 |
ISSN | 1532-2939 ; 0195-6701 |
ISSN (online) | 1532-2939 |
ISSN | 0195-6701 |
DOI | 10.1016/j.jhin.2022.08.010 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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