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Infection Control Lacking at Ambulatory Surgical Centers

Von: pautrey (pautrey2@gmail.com) [Profil]
Datum: 08.06.2010 22:42
Message-ID: <e6c37bcb-1dca-45d3-9272-b3fa7fdcf7b5@u26g2000yqu.googlegroups.com>
Newsgroup: alt.health
Infection Control Lacking at Ambulatory Surgical Centers
Nancy Fowler Larson

June 8, 2010 — Lapses in infection control are widespread in
ambulatory surgical centers (ASCs), according to an article published
June 9 in the Journal of the American Medical Association.

ASCs offer surgical services to those who require fewer than 24 hours
of care after their procedures, and their use has skyrocketed amid a
growing trend toward outpatient surgery. From 2001 to 2008, the number
of ASCs certified by Medicaid in the United States more than doubled,
and today they number more than 5000. More than 6 million procedures
took place in such centers in 2007, including not only surgeries but
also pain-relief injections, endoscopy, and other nonsurgical

"Despite this shift in health care delivery, attention to infection
control in ASCs might be lacking, as evidenced by the increased
identification of outbreaks of health care–associated infections...and
patient notifications resulting from lapses in infection control in
these and other outpatient settings," write Melissa Schaefer, MD, from
the Centers for Disease Control and Prevention, Atlanta, Georgia, and

The investigators sought to assess infection-control practices in
areas: hand cleanliness, injection safety and medication handling,
equipment reprocessing, environmental cleaning, and handling of
equipment for blood glucose monitoring. They examined 68 ASCs in
Maryland, North Carolina, and Oklahoma between June and October 2008,
using an audit tool created by the Centers for Medicaid and Medicare

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