“…There is a higher risk of acquiring a HCAI if the previous room occupant had such an infection (Shaughnessy et al ., 2011). Pathogens can survive on surfaces for prolonged periods of time depending on the organism and environmental conditions (Kramer et al ., 2006; Neely and Maley, 2000; Wagenvoort et al ., 2011) and can be transmitted to hands from the environment (Bhalla et al ., 2004). Enhanced environmental cleaning has been shown to reduce rates of infection (Dancer et al ., 2009; Kochar et al ., 2009; Carling et al ., 2010; Kleypas et al .…”