Is Three Cloths for Each Patient Zone More Effective than One Cloth to Remove Multidrug-Resistant Organisms on High-touch Surfaces in General Intensive Care Unit?
BACKGROUND: To investigated the microbiologic effectiveness of sequential enhanced cleaning measures by culturing high-touch surfaces in a general intensive care unit (GICU).METHODS: A prospective controlled, quasi-experimental study was conducted during a 17-month period in the 25-bed GICU.The study comprised a baseline period (period 1) and 4 sequential tiered interventions periods.Cultures of environmental samples from high-touch surfaces were performed.RESULTS: Compared to period 1, the mean percentages of Multidrug-Resistant Organisms(MDROs) positive cultures from high-touch surfaces was reduced by 41.0% (prevalence ratio (OR) =0.59, P<0.001), 70.8% (OR=0.29, P<0.001), 82.6% (OR=0.17, P<0.001) and70.8% (OR=0.29, P<0.0001) inperiod2, 3, 4 and 5 respectively.Relative to one cloth for a patient zone, wiping each patient zone with three cloths resulted in a statistically significant 41.6% (OR=0.56, P=0.018) and 50.5% (OR=0.58, P=-0.001) decrease in the prevalence of MDROs positive cultures with or without fluorescent markers and ATP assay.CONCLUSIONS: Enhanced cleaning reduced environmental contamination and using three cleaning cloths for one patient zone was more effective in ensuring effective cleaning of high-touch surfaces when compared to one cleaning cloth.
Environmental cleaning: Multidrug-resistant organisms Microfiber cloth Intensive care unit
Tieer Gan Hong Xu Jiannong Wu Yuexian Zhu Lanfang Wang Hui Jin Lingya Wei Linhai Shen Xiaoping Ni Junmin Cao
Department of Hospital Infection Control, the First Affiliated Hospital of Zhejiang Chinese Medicine Department of Disinfection Surveillance and Vector Control, Center for Disease Control of Hangzhou, General Intensive Care Unit, the First Affiliated Hospital of Zhejiang Chinese Medicine University,
国内会议
世界中联医院感染管理专业委员会成立大会暨首届中医院感染管理国际论坛
北京
英文
75-91
2016-07-07（万方平台首次上网日期，不代表论文的发表时间）