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(PDF) Use of condoms as blade covers during laryngoscopy, a method to reduce possible cross infection among patients | Kar-lok Wong and Edmund So - Academia.edu

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As laryngoscopy is often required during endotracheal intubation, proper cleaning and sterilization of the laryngoscope blade is crucial to prevent crosscontamination among patients. Methods: We tested the effectiveness of latex condom using as a laryngoscope blade cover during endotracheal intubation. Both control (no condom) and study group blades were rinsed with sterile saline after intubation. The rinse was sent for bacteria culture, and appearance of bacterial colonization was counted as positive. A water leak test (WLT) was performed on used condoms to verify their integrity. Results: There were total 162 laryngoscopes studied with 83 (51.2%) scopes in the study group and 79 (48.8%) in the control group. Rate of positive bacterial culture were 13.3% and 88.6% in the study and control group, respectively. Although WLT (C) rate of 41% was found in the study group, a high negative culture rate (71.6%) was also noted among the WLT (C) group. Conclusions: Condom when using as a blade cover during laryngoscopy is a simple, inexpansive and effective way in reducing cross contamination among patients.","publication_date":"2006,,","publication_name":"Journal of Infection","grobid_abstract_attachment_id":"39773303"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Use of condoms as blade covers during laryngoscopy, a method to reduce possible cross infection among patients","broadcastable":true,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [37822776,37925459]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "control"; window.loswp.useOptimizedScribd4genScript = false; window.loswp.appleClientId = 'edu.academia.applesignon';</script><script defer="" 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href="https://cmu-tw.academia.edu/EdmundSo"><img alt="Profile image of Edmund So" class="ds-work-card--author-avatar" src="https://0.academia-photos.com/37925459/76338520/64861536/s65_edmund.so.jpg" />Edmund So</a></div><p class="ds-work-card--detail ds2-5-body-sm">2006, Journal of Infection</p><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;continue-reading-button--work-card&quot;,&quot;attachmentId&quot;:39773303,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:&quot;https://www.academia.edu/17906351/Use_of_condoms_as_blade_covers_during_laryngoscopy_a_method_to_reduce_possible_cross_infection_among_patients&quot;}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" 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href="https://independent.academia.edu/VanessaVilasBoas3">Vanessa Vilas-Boas</a></div><p class="ds-related-work--metadata ds2-5-body-xs">American Journal of Infection Control, 2016</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Laryngoscopes: Evaluation of microbial load of blades&quot;,&quot;attachmentId&quot;:105812014,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/106841378/Laryngoscopes_Evaluation_of_microbial_load_of_blades&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/106841378/Laryngoscopes_Evaluation_of_microbial_load_of_blades"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="40535770" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/40535770/Bacterial_Contamination_of_the_Laryngoscope_Blades_After_4_Hibiscrub_and_70_Alcohol_Decontamination_Under_Plastic_Bag_Covering">Bacterial Contamination of the Laryngoscope Blades After 4% Hibiscrub and 70% Alcohol Decontamination Under Plastic Bag Covering</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="4163897" href="https://kku.academia.edu/PolpunBoonmak">Polpun Boonmak</a></div><p 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href="https://www.academia.edu/40535770/Bacterial_Contamination_of_the_Laryngoscope_Blades_After_4_Hibiscrub_and_70_Alcohol_Decontamination_Under_Plastic_Bag_Covering"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="71045556" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/71045556/A_Study_of_Bacterial_Flora_Present_on_Disinfected_Crash_Cart_Laryngoscopes">A Study of Bacterial Flora Present on Disinfected Crash Cart Laryngoscopes</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="13473331" href="https://independent.academia.edu/KevinNelson2">Horizon Research Publishing(HRPUB) Kevin Nelson</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Universal Journal of Public Health, 2021</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: Laryngoscope is an instrument to facilitate placement of endotracheal tube which finds its use both in OTs and in crash carts for emergency resuscitation of patients. The blade of the instrument comes in contact with the mucosal surface during this procedure. Yet, there is an absence of clear cut guidelines for disinfection of different parts (blade and handle) of this instrument. Materials and methods: This observational prospective study was conducted over a period of 5 months on previously used and disinfected laryngoscopes placed in the crash carts of various areas (emergency, ICUs) of our hospital. Swabs were collected from three different parts of each laryngoscope: surface of the blade (A), front part of the handle top (B), and front part of the handle&#39;s knurled surface (C). Bacterial growth and identification were noted using standard microbiological techniques. Data were entered and analyzed using standard MS Excel sheet. Results: In the study, 213 samples (71 each from A, B, C sites) were obtained from laryngoscopes from various areas of the hospital of which 32.4% were contaminated. The highest percentage of contaminated laryngoscopes belonged to Emergency department, a known high throughput area. Swabs from blades were positive in 16.9% (12/71) cases, from light in 14.08% (10/71) cases and from handle in 18.3% (13/71) cases. Among the organisms isolated, Coagulase negative Staphylococcus was the commonest (37.1%) followed by MSSA (22.9%) and MRSA (20%) from various sites of the laryngoscopes. Conclusion: A sensitization towards proper cleaning of laryngoscopes from crash carts is a must. Centralized disinfection services of all the parts of this instrument are a must for ensuring proper sterility.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;A Study of Bacterial Flora Present on Disinfected Crash Cart Laryngoscopes&quot;,&quot;attachmentId&quot;:80554588,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/71045556/A_Study_of_Bacterial_Flora_Present_on_Disinfected_Crash_Cart_Laryngoscopes&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/71045556/A_Study_of_Bacterial_Flora_Present_on_Disinfected_Crash_Cart_Laryngoscopes"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="62049515" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/62049515/Experimental_Study_to_Develop_a_Method_for_Improving_Sample_Collection_to_Monitor_Laryngoscopes_after_Reprocessing">Experimental Study to Develop a Method for Improving Sample Collection to Monitor Laryngoscopes after Reprocessing</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="31850906" href="https://unito.academia.edu/CarlaZotti">Carla Zotti</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Clinical Endoscopy</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Experimental Study to Develop a Method for Improving Sample Collection to Monitor Laryngoscopes after Reprocessing&quot;,&quot;attachmentId&quot;:74917085,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/62049515/Experimental_Study_to_Develop_a_Method_for_Improving_Sample_Collection_to_Monitor_Laryngoscopes_after_Reprocessing&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/62049515/Experimental_Study_to_Develop_a_Method_for_Improving_Sample_Collection_to_Monitor_Laryngoscopes_after_Reprocessing"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="22284875" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/22284875/Incidence_of_visible_and_occult_blood_on_laryngoscope_blades_and_handles">Incidence of visible and occult blood on laryngoscope blades and handles</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="43579818" href="https://independent.academia.edu/PatrickMonaghan4">Patrick Monaghan</a></div><p class="ds-related-work--metadata ds2-5-body-xs">AANA journal</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Incidence of visible and occult blood on laryngoscope blades and handles&quot;,&quot;attachmentId&quot;:42931574,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/22284875/Incidence_of_visible_and_occult_blood_on_laryngoscope_blades_and_handles&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/22284875/Incidence_of_visible_and_occult_blood_on_laryngoscope_blades_and_handles"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="74373039" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/74373039/The_Frequency_of_Bacterial_Infection_After_Tracheal_Intubation_of_Patients_Visiting_Hospitals_Affiliated_to_Jahrom_University_of_Medical_Sciences">The Frequency of Bacterial Infection After Tracheal Intubation of Patients Visiting Hospitals Affiliated to Jahrom University of Medical Sciences</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="66978361" href="https://independent.academia.edu/saeedsobhanian">saeed sobhanian</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2017</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: Complications associated with the use of tracheal tubes include those during the intubations, following the placement, and after patient&amp;#39;s extubation. Accurate and constant control during intubation can reduce these complications. Today, standard sterilization methods of laryngoscope blades are emphasized not to be able to deactivate all existing pathogens. Therefore, laryngoscope is one of potential intermediates of infection transmission among the patients. This article aimed to study the frequency of bacterial infection after intubation of patients visiting the hospitals affiliated to Jahrom University of Medical Science, Iran. Methods: This is a cross-sectional descriptive study. A total of 162 surgical candidates were enrolled as the sample using the convenience sampling method. The patients who developed infections after 24-72 hours from the surgery were selected as the sample by infectious disease specialist. Samples were taken using sterilized swabs from mucu...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;The Frequency of Bacterial Infection After Tracheal Intubation of Patients Visiting Hospitals Affiliated to Jahrom University of Medical Sciences&quot;,&quot;attachmentId&quot;:82549285,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/74373039/The_Frequency_of_Bacterial_Infection_After_Tracheal_Intubation_of_Patients_Visiting_Hospitals_Affiliated_to_Jahrom_University_of_Medical_Sciences&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/74373039/The_Frequency_of_Bacterial_Infection_After_Tracheal_Intubation_of_Patients_Visiting_Hospitals_Affiliated_to_Jahrom_University_of_Medical_Sciences"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="67670944" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/67670944/Prevention_of_patient_bacterial_contamination_of_anaesthesia_circle_systems_A_clinical_study_of_the_contamination_risk_and_performance_of_different_heat_and_moisture_">Prevention of patient bacterial contamination of anaesthesia‐circle‐systems: A clinical study of the contamination risk and performance of different heat and moisture …</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="44069395" href="https://independent.academia.edu/KZ%C3%BCchner">K. Züchner</a></div><p class="ds-related-work--metadata ds2-5-body-xs">European journal of …, 1997</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Prevention of patient bacterial contamination of anaesthesia‐circle‐systems: A clinical study of the contamination risk and performance of different heat and moisture …&quot;,&quot;attachmentId&quot;:78406681,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/67670944/Prevention_of_patient_bacterial_contamination_of_anaesthesia_circle_systems_A_clinical_study_of_the_contamination_risk_and_performance_of_different_heat_and_moisture_&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/67670944/Prevention_of_patient_bacterial_contamination_of_anaesthesia_circle_systems_A_clinical_study_of_the_contamination_risk_and_performance_of_different_heat_and_moisture_"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="19499896" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/19499896/The_Intubating_Laryngeal_Mask_Airway_as_a_guide_to_fibreoscopy">The Intubating Laryngeal Mask Airway as a guide to fibreoscopy</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="39776686" href="https://independent.academia.edu/ChandyVerghese">Chandy Verghese</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Anaesthesia, 2008</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;The Intubating Laryngeal Mask Airway as a guide to fibreoscopy&quot;,&quot;attachmentId&quot;:40654740,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/19499896/The_Intubating_Laryngeal_Mask_Airway_as_a_guide_to_fibreoscopy&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/19499896/The_Intubating_Laryngeal_Mask_Airway_as_a_guide_to_fibreoscopy"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;continue-reading-button--sticky-ctas&quot;,&quot;attachmentId&quot;:39773303,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;download-pdf-button--sticky-ctas&quot;,&quot;attachmentId&quot;:39773303,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_39773303" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. 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Journal of the Society for Simulation in Healthcare, 2016</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Comparison of 4 Laryngoscopes in 2 Difficult Airway Scenarios&quot;,&quot;attachmentId&quot;:108265614,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/110452187/Comparison_of_4_Laryngoscopes_in_2_Difficult_Airway_Scenarios&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-related-work-grid-card-view-pdf" href="https://www.academia.edu/110452187/Comparison_of_4_Laryngoscopes_in_2_Difficult_Airway_Scenarios"><span 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