AORN J. 2022 Apr;115(4):310-324. doi: 10.1002/aorn.13643.
Personnel follow hospital policies and regulatory guidelines to prevent surgical site infections. However, a potentially contaminated item may be overlooked-the linen. When perioperative team members transport patients to the OR, the linen on the beds and transport carts can contain a variety of microorganisms. Textile surfaces can serve as reservoirs for microorganisms that can be transferred to health care providers, patients, and the environment. These pathogens may then infect patients, particularly those who are immunocompromised or have direct portals of entry (eg, catheters, incision sites). This article provides an overview of how microorganisms that cause health care-associated infections can survive and thrive on hospital linen and related equipment; discusses the linen laundering, transport, and storage processes and best practices; and discusses antimicrobial interventions-including a silver-ion laundering additive that was added as an infection prevention measure to the laundry production cycle at a medical center's contracted laundry facility.
人员遵循医院政策和监管指南以预防手术部位感染。然而，一个潜在的污染物品可能会被忽视——布单。当围手术期团队成员将患者转运到手术室时，病床和转运车上的布单可能会含有各种微生物。纺织表面可以作为微生物的储库，这些微生物可以转移到医疗保健提供者、患者和环境中。这些病原体可能会感染患者，特别是那些免疫功能低下或有直接入口（例如，导管、切口部位）的患者。本文概述了导致医院获得性感染的微生物如何在医院布单和相关设备上存活和繁殖；讨论了布单的洗涤、运输和储存流程和最佳实践；并讨论了抗菌干预措施，包括一种银离子洗涤添加剂，该添加剂已作为感染预防措施添加到医疗中心合同洗涤设施的洗涤生产周期中。
