Prevention of Intravenous Bacterial Injection from Health Care Provider Hands: The Importance of Catheter Design and HandlingRandy W. Loftus, MD, Hetal M. Patel, BS, MLT, Bridget C. Huysman, BA, CST,

David P. Kispert, BA, Matthew D. Koff, MD, MS, John D. Gallagher, MD, Jens T.

Jensen, MS, John Rowlands, MD, Sundara Reddy, MD,

Thomas M. Dodds, MD, Mark P. Yeager, MD, Kathryn L. Ruoff, PhD,

Stephen D. Surgenor, MD, MS, and Jeremiah R. Brown, PhD, MS

Recent studies have documented a need for implementation of infection preven-tion measures in the intraoperative work area due to an association of patient mortality with bacteria contamination of traditional open lumen stopcocks during surgical procedures. In this study, Dr. Loftus, et al of Dartmouth Hitchcock Medical Center, compared the ULTRAPORT™ zer0 stopcock, containing an incorporated swabbable valve, to an open lumen stopcock requiring sterile replacement caps to determine the efficacy of the valve with and without hub disinfection as a barrier to inadvertent bacterial injection. Results: • ULTRAPORT zer0 with hub disinfection had 0% (0/152) instances of contamination. • ULTRAPORT zer0 without hub disinfection had 4% (7/162) instances of contamination. • Traditional open lumen stopcock with sterile replacement cap had 3.2% (5/154) instances of contamination. Key finding of the study: “The ULTRAPORT zer0 stopcock with hub disinfection before injection was associated with a significant reduction in the risk of inadver-tent bacterial injection.” Prior disinfection appears to be the most important fac-tor for reducing the incidence of bacteria injection from the anesthesia provider’s hands and may reduce the chance of catheter related blood stream infections (CRBSIs), when compared to a traditional open lumen stopcock.

Same-Day Total Joints At an ASCVirginia Pickles | Contributing Editor

Patients undergoing surgeries that traditionally require 2, 3 or more days in a hospital are leaving this surgery center, smiling and pain-free, in less than 4 hours.

Compliments of

Reprinted with permission fromOutpatient Surgery Magazine,Volume 14, Number 3, March, 2013

www.jpgn.org

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ORIGINAL ARTICLES: HEPATOLOGY AND NUTRITION

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Single-Nucleotide Polymorphisms of IL-10 and IL-28B as Predictors to the Response of IFN Therapy in HCV Genotype 4–infected Children

Phenotypic Variation and Long-Term Outcome in Children With Congenital Hepatic Fibrosis

ORIGINAL ARTICLES: GASTROENTEROLOGY

Use of the Noninvasive Entero-test in the Detection of Helicobacter pylori in Children in an Endemic Area in Colombia

Oral Prucalopride in Children With Functional Constipation

Fecal S100A12: Identifying Intestinal Distress in VLBW Infants

NASPGHAN CLINICAL REPORT AND ESPGHAN COMMENTARY

Self-Management in Pediatric Infl ammatory Bowel Disease

World Health Organization 2006 Child Growth Standards and World Health Organization 2007 Growth Reference Charts

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4. Detection of S100A12 in stool samples

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3. Release of damage-associated molecularpattern (DAMP) proteins

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Reprinted with permission fromAnesthesia & Analgesia, November 2012