Impact of relocation and environmental cleaning on reducing the incidence of healthcare-associated infection in NICU

Li, Qiufang; Xu, Hong; Xiaoping, Ni; Lin, Rong; Jin, Hui; Ling-ya, Wei; Liu, Dan; Shen, Liming; Zha, Jie; Xu, Xin; Wu, Bo

doi:10.1007/s12519-017-0001-1

Cited by 14 publications

(15 citation statements)

References 25 publications

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“…Several studies reported that disposable pre-soaked wipes were more effective than reusable wipes. [23,25] However, other studies suggested that disposable wipes, if not used correctly, may contribute to cross contamination of other environmental surfaces while cleaning. [42,43] Disposable wipes may contribute to transfer of bacteria and spores to other surfaces if they are used incorrectly.…”

Section: Discussionmentioning

confidence: 99%

“…[42,43] Disposable wipes may contribute to transfer of bacteria and spores to other surfaces if they are used incorrectly. [44] Li, Xu [25] and Wong, Huang [23] used a wipe color coding system to categorize which disposable wipes were used on specific surfaces resulting in improved cleanliness. By categorizing wipes into specific areas of the patient environment, cross contamination may be minimized.…”

Section: Discussionmentioning

confidence: 99%

“…In a 5-year study that evaluated the impact of relocation on environmental cleaning and the reduction of hospital acquired infections (HAI) in a NICU, [25] new environmental cleaning protocols were adopted for the new NICU. The study focused on comparing MRSA counts on high-touch objects (HTOs) and incidence density of HAIs between the baseline and intervention periods.…”

Section: Chemical Application Methodsmentioning

confidence: 99%

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Cleaning and disinfecting protocols for hospital environmental surfaces: A systematic review of the literature

Taylor

Harris

2019

JHA

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Background: Healthcare associated infections are a leading cause of illness and death in the United States and across the world. Environmental surfaces are considered non-critical, although recent evidence suggests that the built environment may contribute to the transmission of pathogens. Ineffective cleaning and disinfecting of environmental non-critical surfaces may increase risk of transmitting nosocomial pathogens leading to hospital acquired infections among hospital patients.Objective: This systematic review identifies elements of cleaning and disinfecting protocols, synthesizing the evidence to evaluate cleaning protocols that effectively reduce surface contamination and minimize risk of hospital acquired illness.Methods: A systematic literature review was conducted with a clearly formulated research question and systematic approach to identify publications, select relevant studies, critically appraise the research through analysis of reported data, and reported the results according to the Cochrane methodology.Results: In total, 245 studies were initially identified with 19 studies meeting inclusion criteria. Emerging categories include chemical application methods, chemical application time, cleaning type and frequency, and interventions for training and monitoring.Conclusions: Establishing adequate cleaning protocols for hospital environments is a complex process which requires consideration of multiple components including mechanical action, chemical application materials, types of cleaning, chemical contact times, education and training of EVS staff, cleaning monitoring and feedback, no-contact cleaning methods, and self-disinfecting surfaces. Recommendations for protocol development based on the study results are provided.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Chemical Application Methodsmentioning

confidence: 99%

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Cleaning and disinfecting protocols for hospital environmental surfaces: A systematic review of the literature

Taylor

Harris

2019

JHA

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“…17,18 One study showed that comprehensive measures with environmental cleaning in a NICU environment were effective and significantly reduced the incidence rate of methicillin-resistant Staphylococcus aureus. 19 A systematic review showed some strategies were differential for certain bacteria in ICUs, and when ENC was added to standard care + AMS, there was a significant reduction in the acquisition of MDR-AB. Hence, it is necessary to deeply evaluate the most effective prevention strategies.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

<p>Successful Incidences of Controlling Multidrug-Resistant, Extensively Drug-Resistant, and Nosocomial Infection <em>Acinetobacter baumannii</em> Using Antibiotic Stewardship, Infection Control Programs, and Environmental Cleaning at a Chinese University Hospital</p>

Liu¹,

Liu²,

Li³

2020

IDR

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Objective: We estimated the efficacy of antimicrobial stewardship (AMS), infection control programs (ICP), and environmental cleaning (ENC) for controlling the resistance of Acinetobacter baumannii (AB) and controlling the incidence of multidrug-resistant AB (MDRAB), extensively drug-resistant AB (XDRAB), and nosocomial infection AB in the ICU (NIAB-ICU) at a university hospital. Methods: The intervention included 4-year AMS+ICP and 3-year AMS+ICP+ENC between January 2012 and December 2019. Results: A total of 2636 AB isolates were collected totally, and 64.98% of AB isolates were MDR and 29.97% were XDR. Preintervention and postintervention incidences of MDRAB, XDRAB, and NIAB-ICU by AMS+ICP measures ranged from 84.96% to 71.98%, 41.96% to 33.13%, and 45.6% to 38%, respectively. However, all of them were not statistically changed (P=0.085, 0.072, 0.061, separately). The preintervention and postintervention incidences of MDRAB, XDRAB, and NIAB-ICU by AMS+ICP+ENC measures ranged from 71.98% to 36.55%, 33.13% to 19.88%, and 38% to 22.5%, respectively. Statistically significant declines were observed (P=0.016, 0.041, 0.032, separately). The defined daily doses (DDD) per 1000 patient-days (PD) decreased from 45±3.3 to 30.81±1.5 per 1000 PD across from 2012 to 2019, and a statistical decline was seen (P=0.01). Concurrently, the alcohol-based hand gel (ABHG) consumption per 1000 PD increased from 0.6±0.05 L to 12.5±2.3 L per 1000 PD, and a statistical increase was observed (P=0.0001). A statistically positive correlation was revealed between the DDD and incidence of MDRAB, XDRAB, and NIAB-ICU (r=0.905 and p=0.002; r=0.939 and p=0.001; r=0.956 and p=0.0002; respectively). Simultaneously, a statistically negative correlation was showed between the ABHG and incidence of MDRAB, XDRAB, and NIAB-ICU (r= −0.858 and p=0.006; r=−0.888 and p=0.003; r=−0.882 and p=0.004, separately). Conclusion: The AMS, ICP, and ENC may be one of the most effective and best measures to address the increasing incidence of MDRAB, XDRAB, and NIAB-ICU currently.

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Infection Prevention in the Neonatal Intensive Care Unit

Johnson

Akinboyo

Schaffzin

2021

Clinics in Perinatology

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Impact of relocation and environmental cleaning on reducing the incidence of healthcare-associated infection in NICU

Abstract: The comprehensive measures of relocating the NICU to a new facility design with improved environmental cleaning practice are effective and significantly reduce the incidence of HAIs.

Cited by 14 publications

References 25 publications

Cleaning and disinfecting protocols for hospital environmental surfaces: A systematic review of the literature

Cleaning and disinfecting protocols for hospital environmental surfaces: A systematic review of the literature

<p>Successful Incidences of Controlling Multidrug-Resistant, Extensively Drug-Resistant, and Nosocomial Infection <em>Acinetobacter baumannii</em> Using Antibiotic Stewardship, Infection Control Programs, and Environmental Cleaning at a Chinese University Hospital</p>

Infection Prevention in the Neonatal Intensive Care Unit

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