Could Training Programs Eliminate Hospital Environmental Surfaces Contamination with Multidrug Resistant Bacteria

Abstract

Hospital environment could be a risk for transmission of nosocomial infections. Objectives: This study aimed to evaluate the effect of training program on the elimination of microbial contamination of hospital environmental surfaces, devices and health care workers (HCWs) hands. Methodology: Two phases interventional study was conducted for basal evaluation and training of HCWs and housekeepers on standard precautions with evaluation of environmental surfaces, devices and hands contamination at basal level before as well as after routine cleaning and hand hygiene, also after implantation of a training program. Results: Significant reduction of environmental surfaces and devices contamination was detected after educational intervention at all departments (p-value >0.001). The most common isolate was S. aureus in operating rooms, orthopedic, and general surgery departments (44.4%, 26.9%, and 22.2% respectively), E.coli was the most common isolate in urology department (21.8%). Bed ledges/ bed arms samples showed the highest contamination level (39%) while curtain edges showed the least contamination site (4.2%). Nurses had the lowest frequency of hand contamination (30%) followed by physicians, the highest hand contamination recorded for housekeepers (50%). E.coli isolated from 47.4% of hands. The most isolated Multidrug Resistant Bacteria was MRSA (54.3%) followed by ESBLs producing E.coli (38.7%). After education there were significant improvements in practice observed for all subjects (p-value< 0.05) and environmental contamination decreased to zero level. Conclusion: Intervention with a training program has a positive impact on elimination of hospital environment contamination

The Role of Educational Program in Eliminating Infection Potential Hazards inside Gynecology and Obstetrics Clinic in Alexandria

“…From all previous results we found that the education program in phase II succeeded partially in achieving a statistically significant reduction (p ≤ 0.05 at all sites) in contamination level for all samples' sites. This was in agreement with Bassyouni et al (8) , who also found a statistically significant reduction of contamination level after education at all departments included in their study. Also, Hefzy et al (8) found a significant improvement after educational intervention on contamination level in outpatient clinics.…”

“…This was in agreement with Bassyouni et al (8) , who also found a statistically significant reduction of contamination level after education at all departments included in their study. Also, Hefzy et al (8) found a significant improvement after educational intervention on contamination level in outpatient clinics. also is consistent with Santos et al (12) , who found a positive impact for educational intervention on surfaces cleaning and disinfection.…”

“…In 2019, Bassyouni et al (8) reported that 54.3% (19/35) of all S. aureus isolates from operating room and surgical wards (urology-orthopedicgeneral surgerygynecology) surfaces showed resistance to methicillin, 38.7% (12/31) of E.coli isolates were MDR, 20% of both P. aeruginosa (2/10) and Acinetobacter baumannii (1/5) isolates were MDR.…”

“…Many reported outbreaks have been linked to outpatient clinics and most of them are caused by nonadherence to recommended infection control measures and the main mode of transmission was health care personnel (HCP), contaminated environment, contaminated equipment, consequently ongoing education and training of HCP on infection control practices and hygiene and environmental cleaning are critical. These outbreaks reports have described transmission of gram-negative and gram-positive bacteria, mycobacteria, viruses, and parasites (8) .…”

Assessment of a Dialysis Unit Compliance with the Guidelines for Environmental Infection Control Procedures in One of the Biggest Health Insurance Hospitals in Egypt

“…The clear non-compliance with the international ( 14) as well as Egyptian guidelines (33) for infection control regarding oors, machines, linen, and highly contacted surfaces by patients as doorknobs and window knobs has led to an ineffective reduction in the bacterial counts in the swabbed areas indicating the need for proper inspection and assurance of strict compliance with these regulations in the unit (27,34,35).…”