The use of antimicrobial-impregnated fabrics in health services: an integrative review

Schneider, Guilherme; Bim, Felipe Lazarini; Sousa, Álvaro Francisco Lopes de; Watanabe, Evandro; Andrade, Denise de; Fronteira, Inês

doi:10.1590/1518-8345.4668.3416

Cited by 14 publications

(12 citation statements)

References 29 publications

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“…Thus, the importance of HAI prevention in pediatric hospitalization units in the current global context of the new coronavirus pandemic is highlighted, considering, as already explained in the literature, its ability for transmission through indirect contact with surfaces in the environment or with objects used in the infected person and the susceptibility of infection by the virus in all age groups. 31 , 34 …”

Section: Discussionmentioning

confidence: 99%

“…30 Thus, the importance of HAI prevention in pediatric hospitalization units in the current global context of the new coronavirus pandemic is highlighted, considering, as already explained in the literature, its ability for transmission through indirect contact with surfaces in the environment or with objects used in the infected person and the susceptibility of infection by the virus in all age groups. 31,34 As for the limitations of this study, the analysis and assessment of the effectiveness of SCD is only verified in one health institution and in a limited period of time. The difficulty comparing the data with other studies is also related to the type of methods used to analyze the surfaces, the C&D protocols, and the products used in other health services.…”

Section: Discussionmentioning

confidence: 99%

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Monitoring of surface cleaning and disinfection in a Brazilian pediatric unit

Bernardes

Santos

Angeloni

et al. 2023

Therapeutic Advances in Infection

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Background: Understanding the correlation between the methods of monitoring surface cleaning and disinfection (SCD) is fundamental for better infection control. Purpose: This study aims to correlate the SCD monitoring methods in a Brazilian pediatric unit. This is an exploratory, longitudinal, and correlational study. Methods: The study was conducted in a pediatric hospitalization unit of a medium-sized hospital from December 2020 to March 2021. Four high-contact surfaces were analyzed before and after the cleaning and disinfection process by means of visual inspection, quantification of adenosine triphosphate (ATP), and colony-forming unit (CFU) count. The study consisted of three stages: stage I involving situational diagnosis of the SCD process; stage II referring to the implementation of the Surface Cleaning and Disinfection Standardization Program (SCDSP); and stage III involving long-term assessment after implementing the program. A total of 192 assessments were performed in each stage, totaling 576 in the three study stages. Conclusions: A significant correlation was found between the ATP quantification methods and microbial count in the bed railing ( p = 0.009) and companion’s armchair ( p = 0.018) surfaces. In both cases, Spearman’s correlation coefficients were positive, indicating a positive correlation between ATP and microbial count scores, that is, the higher the ATP values (in RLUs), the greater the microbial counts (in CFUs/cm2). The analysis of the ROC curves suggests that the surfaces presenting ATP below 108 RLUs can be considered approved. The ATP method yielded 78.6% sensitivity; in turn, microbial count presented a sensitivity of 85.7%. It is important to use different methods to monitor the cleaning and disinfection of surfaces, as each one has different sensitivity and specificity.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Monitoring of surface cleaning and disinfection in a Brazilian pediatric unit

Bernardes

Santos

Angeloni

et al. 2023

Therapeutic Advances in Infection

Self Cite

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“…More recently, an extensive review of the related literature concluded that antimicrobial coatings applied to bed and bath linens and patient clothing showed some promise in reducing microbes on these surfaces, although no definitive efficacy was detected in reducing microbes when applied to healthcare workers' uniforms (Schneider et al, 2021). A gap in the literature exists when explaining why antimicrobial coatings on fabrics are effective in in vitro (laboratory) environments but are not effective in in vivo (hospital) environments, which we address in this study.…”

Section: Introductionmentioning

confidence: 99%

In Vitro and In Vivo Testing of Microbe Growth on Antimicrobial Nursing Scrubs

Thornburg,

Nguy,

Mortland

et al. 2024

Clin Nurs Res

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Around 5% to 10% of hospitalized patients develop a hospital-acquired infection (HAI). Scrubs are a potential vector of HAIs. To compare the antimicrobial characteristics of scrubs with and without an antimicrobial fabric coating, as tested in the laboratory (in vitro) and hospital (in vivo) environments. Two protocols were conducted to address the purpose. The in vitro protocol was a laboratory study that involved observing the microbe growth after inoculating coated and uncoated scrub fabric swatches with S. aureus and then processing them in moist and dry environments. The in vivo protocol was a clinical trial that measured microbe growth on coated and uncoated scrubs prior to and following nursing staff completing a 12-hr shift on an acute care unit, as measured by colony forming units (CFUs). For high-humidity environments, the in vitro study indicated that swatches treated with an antimicrobial coating exhibited minimal microbe growth, while untreated swatches exhibited significant microbe growth. For low-humidity environments, coated and uncoated swatches were all found to exhibit minimal microbe growth. In the in vivo study, the CFUs increased on scrubs worn by nurses over a 12-hr shift with no significant difference in CFUs for coated and uncoated scrubs. For bacteria in a warm and moist environment, the antimicrobial coating was found to be important for inhibiting growth. For bacteria in a warm and dry environment, both coated and uncoated fabrics performed similarly as measured at 24 hr, with minimal bacterial growth observed. In a hospital environment, microbe growth was observed, but no significant difference was detected when comparing coated and uncoated scrubs. This may have been due to the short time between exposure and culturing the scrubs for analysis immediately at the end of the shift not allowing for enough time to kill or inhibit growth. Contact time between the bacteria and scrub fabric (coated or uncoated) in the in vivo study more directly correlated with the 0-hr observations for the in vitro study, suggesting that the ineffectiveness of the treated scrubs in the clinical results may be due in part to short residence times before collection.

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“…This proactive monitoring enables early detection of health issues and a timely intervention. Nevertheless, the looming perils of infectious diseases have accentuated the beneficial influence of antibacterial textiles in mitigating the proliferation of such outbreaks . However, the proliferation of bacterial contaminants may potentially undermine wearable textiles’ efficacy.…”

Section: Introductionmentioning

confidence: 99%

Highly Durable Antibacterial Textiles: Cross-Linked Protonated Polyaniline-Polyacrylic Acid with Prolonged Electrical Stability

Aizamddin,

Zainal Ariffin,

Nor Amdan

et al. 2024

ACS Omega

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This study addressed the limited antibacterial durability of textile materials, which has suppressed their applications in preventing infectious disease transmission. A class of highly durable antibacterial textiles was developed by incorporating protonated polyaniline (PANI) textile with poly-(acrylic acid) (PAA) as the functional binder via cross-linking polymerization. The resulting PAA−PANI textile exhibits exceptional electrical conductivity, reaching 8.33 ± 0.04 × 10 −3 S/cm when cross-linked with 30% PAA. Remarkably, this textile maintains its electrical stability at 10 −3 S/cm even after 50 washing cycles, demonstrating unparalleled durability. Furthermore, the PANI−PAA textile showcases remarkable antibacterial efficacy, with 95.48% efficiency against Pseudomonas aeruginosa and 92.35% efficiency against Staphylococcus aureus bacteria, even after 50 washing cycles. Comparatively, the PAA−PANI textile outperforms its PANI counterpart by achieving an astounding 80% scavenging activity rate, whereas the latter only displayed a rate of 3.22%. This result suggests a solid integration of PAA−PANI into the textile, leading to sustainable antioxidant release. The successful cross-linking of PAA−PANI in textiles holds significant implications for various industries, offering a foundation for the development of wearable textiles with unprecedented antibacterial durability and electrical stability. This breakthrough opens new avenues for combating infectious diseases and enhancing the performance of wearable technologies.

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The use of antimicrobial-impregnated fabrics in health services: an integrative review

Cited by 14 publications

References 29 publications

Monitoring of surface cleaning and disinfection in a Brazilian pediatric unit

Monitoring of surface cleaning and disinfection in a Brazilian pediatric unit

In Vitro and In Vivo Testing of Microbe Growth on Antimicrobial Nursing Scrubs

Highly Durable Antibacterial Textiles: Cross-Linked Protonated Polyaniline-Polyacrylic Acid with Prolonged Electrical Stability

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