Environmental Cleaning Intervention and Risk of Acquiring Multidrug-Resistant Organisms From Prior Room Occupants

Datta, Rupak; Platt, Richard; Yokoe, Deborah S.; Huang, Susan S.

doi:10.1001/archinternmed.2011.64

Cited by 189 publications

(141 citation statements)

References 12 publications

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“…Although the study was quasi-experimental, environmental monitoring showed decreased contamination of room surfaces with MRSA and VRE after initiating the enhanced cleaning (27% versus 45% of cleaned rooms from baseline). Over the same period, patient acquisition of MRSA was reduced by 49% (and that of VRE by 29%) following the augmented cleaning package (P Ͻ 0.001 for both) (51).…”

Section: Mrsamentioning

confidence: 95%

“…with MRSA or VRE (51). The new regimen included a bucket method for soaking cleaning cloths and feedback to cleaners using fluorescent markers.…”

Section: Mrsamentioning

confidence: 99%

“…There is evidence that more conscientious cleaning can control VRE (3,51,57). A sentinel study in 2006 demonstrated the impact of improved cleaning on VRE transmission in a medical ICU, first as a single intervention and then alongside a hand hygiene initiative (58).…”

Section: Vrementioning

confidence: 99%

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Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination

2014

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SUMMARY There is increasing interest in the role of cleaning for managing hospital-acquired infections (HAI). Pathogens such as vancomycin-resistant enterococci (VRE), methicillin-resistant Staphylococcus aureus (MRSA), multiresistant Gram-negative bacilli, norovirus, and Clostridium difficile persist in the health care environment for days. Both detergent- and disinfectant-based cleaning can help control these pathogens, although difficulties with measuring cleanliness have compromised the quality of published evidence. Traditional cleaning methods are notoriously inefficient for decontamination, and new approaches have been proposed, including disinfectants, steam, automated dispersal systems, and antimicrobial surfaces. These methods are difficult to evaluate for cost-effectiveness because environmental data are not usually modeled against patient outcome. Recent studies have reported the value of physically removing soil using detergent, compared with more expensive (and toxic) disinfectants. Simple cleaning methods should be evaluated against nonmanual disinfection using standardized sampling and surveillance. Given worldwide concern over escalating antimicrobial resistance, it is clear that more studies on health care decontamination are required. Cleaning schedules should be adapted to reflect clinical risk, location, type of site, and hand touch frequency and should be evaluated for cost versus benefit for both routine and outbreak situations. Forthcoming evidence on the role of antimicrobial surfaces could supplement infection prevention strategies for health care environments, including those targeting multidrug-resistant pathogens.

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Section: Mrsamentioning

confidence: 95%

“…with MRSA or VRE (51). The new regimen included a bucket method for soaking cleaning cloths and feedback to cleaners using fluorescent markers.…”

Section: Mrsamentioning

confidence: 99%

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Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination

2014

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“…Between 20-30% of these infections are thought to be preventable with appropriate control programmes (3). Consequently, the effective removal of pathogens from critical patient care surfaces is crucial (4). Many healthcare providers use nonwoven wipes in combination with a biocidal liquid as part of a disinfection and decontamination regimen for solid surfaces (5,6).…”

Section: Introductionmentioning

confidence: 99%

Factors affecting removal of bacterial pathogens from healthcare surfaces during dynamic wiping

Edwards

Best

Goswami

et al. 2018

Textile Research Journal

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“…Apesar de não estar claro o papel do ambiente na aquisição de potenciais patógenos, diversos micro-organismos de relevância epidemiológica têm sido isolados de diferentes locais no ambiente hospitalar. Acredita-se que uma vez contaminadas, estas superfícies podem favorecer a disseminação de bactérias (1)(2)(3)(4)(5)(6)(7) . As medidas de higiene ambiental em estabelecimentos de saúde são consideradas parte primordial das múltiplas estratégias necessárias para a prevenção e o controle das IRAS.…”

Section: Introductionunclassified

Adenosina trifosfato bioluminescência para avaliação da limpeza de superfícies: uma revisão integrativa

Oliveira

Viana

2014

Rev. Bras. Enferm.

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RESUMOObjetivo: Identificar na literatura indicações e controvérsias do ATP bioluminescência para avaliação da efetividade da limpeza de superfícies em estabelecimentos de saúde. Método: Revisão integrativa da literatura, entre 2000 e 2012, nas bases de dados MEDLINE, LILACS, Science Direct, SCOPUS e Isi Web of Knowledge. Resultados: Selecionou-se para esta revisão 15 artigos. O ATP bioluminescência foi apontado como importante recurso educacional e método complementar à inspeção visual e às análises microbiológicas na avaliação da efetividade da limpeza. A impossibilidade de indicar a contaminação da superfície por micro-organismos viáveis, a interferência por substâncias químicas e a dificuldade de interpretação dos resultados constituem as principais controvérsias para o uso deste nos serviços de saúde. Conclusão: Apesar de constituir importante recurso na avaliação da limpeza de superfícies, mais estudos são necessários para incorporação efetiva do método nos serviços de saúde. Descritores: Trifosfato de Adenosina; Serviço Hospitalar de Limpeza; Contaminação. RESUMENObjetivo: Identificar en la literatura las indicaciones y controversias sobre el uso de la bioluminiscencia ATP para evaluar la eficacia de la limpieza de superficies en los servicios de salud. Método: Revisión integrativa de la literatura, entre 2000 y 2012, en las siguientes bases de datos: MEDLINE, LILACS, Science Direct, SCOPUS e ISI Web of Knowledge. Resultados: Se seleccionaron para esta revisión 15 artículos. La bioluminiscencia del ATP se considera un importante recurso educativo y método complementario a la inspección visual y la análisis microbiológica de la evaluación de la efectividad de la limpieza. La imposibilidad de indicar contaminación de la superficie por los microorganismos, la interferencia por los productos químicos y la dificultad de interpretar los resultados constituyen las principales controversias en la utilización de ATP en los servicios de salud. Conclusión: Aunque esto es un elemento importante en la evaluación de limpieza de superficies, se necesitan más estudios para incorporación eficaz del método en los servicios de salud. Palabras clave:

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Environmental Cleaning Intervention and Risk of Acquiring Multidrug-Resistant Organisms From Prior Room Occupants

Cited by 189 publications

References 12 publications

Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination

Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination

Factors affecting removal of bacterial pathogens from healthcare surfaces during dynamic wiping

Adenosina trifosfato bioluminescência para avaliação da limpeza de superfícies: uma revisão integrativa

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