Importance of the environment in meticillin-resistant Staphylococcus aureus acquisition: the case for hospital cleaning

Dancer, S.J.

doi:10.1016/s1473-3099(07)70241-4

Cited by 442 publications

(329 citation statements)

References 135 publications

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“…When volunteers touched bed rails and over-the-bed tables in unoccupied rooms that had been given a final cleaning, as opposed to a daily one, 7% contaminated their hands with S. aureus (13) .…”

Section: Discussionmentioning

confidence: 99%

“…Sites that are frequently touched by hands are thought to present the greatest risk for patients, for instance, those surfaces situated right beside a patient (12)(13)(14) . The responsibility for cleaning near-patient sites commonly and frequently touched by hands does not always rest with the ward cleaners, however, since beds, drip stands, lockers and over-the-bed tables are more commonly cleaned by nurses (13)(14) .…”

mentioning

confidence: 99%

“…The responsibility for cleaning near-patient sites commonly and frequently touched by hands does not always rest with the ward cleaners, however, since beds, drip stands, lockers and over-the-bed tables are more commonly cleaned by nurses (13)(14) . Nurses are also responsible for the decontamination of more delicate clinical equipment.…”

mentioning

confidence: 99%

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Condition of cleanliness of surfaces close to patients in an intensive care unit

Ferreira

Andrade

Rigotti

et al. 2011

Rev. Latino-Am. Enfermagem

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Surface cleaning is a well-known control procedure against the dissemination of microorganisms in the hospital environment. This prospective study, carried out in an intensive care unit over the course of 14 days, describes the cleaning/disinfection conditions of four surfaces near patients. In total, 100 assessments of the surfaces were carried out after they were cleaned. Three methods were used to evaluate cleanliness: a visual inspection, an adenosine triphosphate (ATP) bioluminescence assay and testing for the presence of A inspeção visual não se mostrou medida confiável para avaliar a limpeza das superfícies.Os resultados demonstram que a rotina de limpeza adotada precisa ser revista. no se mostró una medida confiable para evaluar la limpieza de las superficies. Los resultados demostraron que la actual rutina de limpieza precisa ser modificada.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Condition of cleanliness of surfaces close to patients in an intensive care unit

Ferreira

Andrade

Rigotti

et al. 2011

Rev. Latino-Am. Enfermagem

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“…We assume a combination of indirect patient-to-patient transmission and spread through the colonization of health care workers as previously described [7], which may have been supported by insufficient adherence to standard hygiene procedures and the ability of MRSA to persist for long periods on contaminated surfaces [8][9]. Fortunately, no patient other than the index case suffered a serious infection due to MRSA.…”

Section: Discussionmentioning

confidence: 99%

“…We assume that gastrointestinal colonization in neonates contributes significantly to the overall risk of environmental contamination, particularly if standard hygiene procedures and routine surface disinfection are not strictly followed [8][9]. The approach to administer vancomycin to GI-positive patients [15] has been disappointing in our patients.…”

Section: Discussionmentioning

confidence: 99%

Successful management of an MRSA outbreak in a neonatal intensive care unit

Heinrich¹,

Müeller²,

Bartmann³

et al. 2011

Eur J Clin Microbiol Infect Dis

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Abstract:We report an MRSA outbreak in our 25 bed tertiary neonatal intensive care unit (NICU), which was successfully contained. Patients and Methods: retrospective review of patient files, microbiology records and meeting protocols. Results: During the seven months of outbreak, 27 patients and 7 health care workers (HCWs) had positive cultures for MRSA. The outbreak was caused by the epidemic Rhine-Hessen strain, cultured isolates were monoclonal. After a sharp increase of the number of new MRSA-cases the installation of an outbreak management team (OMT) and implementation of comprehensive measures (extensive screening and decolonization strategy including orally applied vancomycin, isolation wards, intensive disinfection regimen) successfully terminated the outbreak within one month. Ten (53%) of 19 patients with completed follow up and all of the HCWs were decolonized successfully. Gastrointestinal colonization was present in 15 of 27 (56%) neonates, and was associated with poor decolonization success (30% vs. 78% in absence of gastrointestinal colonization); Conclusion: A comprehensive outbreak management can terminate an outbreak in a NICU setting within a short time. Thorough screening of nares, throat and especially stool is necessary for correct cohorting. Gastrointestinal decolonization in neonates seems difficult.

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Association of Environmental Contamination in the Home With the Risk for Recurrent Community-Associated, Methicillin-ResistantStaphylococcus aureusInfection

et al. 2016

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Importance of the environment in meticillin-resistant Staphylococcus aureus acquisition: the case for hospital cleaning

Cited by 442 publications

References 135 publications

Condition of cleanliness of surfaces close to patients in an intensive care unit

Condition of cleanliness of surfaces close to patients in an intensive care unit

Successful management of an MRSA outbreak in a neonatal intensive care unit

Association of Environmental Contamination in the Home With the Risk for Recurrent Community-Associated, Methicillin-ResistantStaphylococcus aureusInfection

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