What are the current recommendations for using disposable lead wires for postoperative heart patients in the cardiac critical care unit?—DIANE MUZENJA, ARNP-C, Albuquerque, N.M.

An extensive literature review revealed no significant clinically based evidence to support the use or nonuse of disposable lead wires in such patients. One article published was under the disclosure of support by the company that makes the disposable lead wires.

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Hosptials contain many niduses of potential infections leading to nosocomial infections. The practice of general cleaning of all equipment used by patients and staff is paramount.

The question of whether or not to use disposable lead wires should be made by each critical care unit after considering benefit, infection rate, sources, cost, and the hospital’s approval.—Debra Kleinschmidt, PhD, PA (141-6)