Environmental contamination with highly resistant microorganisms after relocating to a new hospital building with 100% single-occupancy rooms: A prospective observational before-and-after study with a three-year follow-up

Schoor, Adriënne S. van der; Severin, Juliëtte A.; Klaassen, Corné H. W.; Gommers, Diederik; Bruno, Marco J.; Hendriks, Johanna M.; holt, Anne F. Voor in ‘t; Vos, Margreet C.

doi:10.1016/j.ijheh.2022.114106

Cited by 8 publications

(12 citation statements)

References 39 publications

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“…Van der Schoor and colleagues from our center studied the effect of the transition to solely SPRs on infection control. They found a significant reduction of environmental contamination with highly resistant microorganisms (HRMO) after the relocation [ 17 ]. A significant decrease in acquisition of Extended-spectrum beta-lactamase-producing Enterobacterales (a well-known cause of healthcare-associated infections) after the relocation could not be shown, given the low prevalence before and after the relocation, but the researchers noted a significant decrease in the number of intra-hospital patient transfers [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Nurses’ perceptions of the transition to 100% single-occupancy patient rooms in a university hospital in the Netherlands: an uncontrolled before and after study

Pruijsten,

Ista,

Maben

et al. 2024

BMC Nurs

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Background To improve patients’ privacy, comfort and infection control, newly built hospitals increasingly offer 100% single-occupancy patient rooms. Our study examines how nurses perceived the transition from a hospital with multi-bedded patient rooms to one with solely single-occupancy patient rooms designed according to principles of a healing environment. Methods In a single-centre, before-after survey study, nurses completed a questionnaire of 21 items in three domains: perceived patient safety and monitoring, nurses’ working conditions and patient environment. Before-measurements (n = 217) were compared with two after-measurements in the new hospital, respectively after one (n = 483) and two years (n = 191). Results Nurses considered the single rooms in the new hospital worse for visibility and monitoring but this had improved somewhat after two years. In either setting, the majority perceived working conditions (walking distances and designated rest area) as unfavourable. The patient environment in the new hospital was generally perceived as much better than in the former hospital. Conclusion The transition to solely single-occupancy patient rooms was largely considered positive by nurses in terms of patient environment. However, monitoring of patients and working conditions remain a concern. When designing new hospitals, attention should be paid to optimal working conditions for nurses. To improve monitoring of patients, we recommend the use of remote-sensoring.

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Section: Discussionmentioning

confidence: 99%

Nurses’ perceptions of the transition to 100% single-occupancy patient rooms in a university hospital in the Netherlands: an uncontrolled before and after study

Pruijsten,

Ista,

Maben

et al. 2024

BMC Nurs

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“…This observational study was part of the MOVE study, which was designed to determine the effect of the relocation to a hospital with 100% single-occupancy rooms on microbial safety [ 10 , 11 ]. For this study, patients were sampled at admission and discharge to determine the presence of MSSA and MDRO between January 1, 2018 and August 31, 2019 (Fig.…”

Section: Methodsmentioning

confidence: 99%

“…Environmental samples were taken 17 times at different intervals from April 2018 till May 2021, in both the old and the new hospital building (Fig. 1 ) [ 11 ]. In the old building, samples were taken two times, in the new building, samples were taken 15 times, from two weeks before to 36 months after relocation (Fig.…”

Section: Methodsmentioning

confidence: 99%

“…In the old building, samples were taken two times, in the new building, samples were taken 15 times, from two weeks before to 36 months after relocation (Fig. 1 ) [ 11 ]. At one time 14 sites were sampled per (bath)room and 40 (bath)rooms in the old and 42 in the new building were sampled.…”

Section: Methodsmentioning

confidence: 99%

“…In the new building, 23 rooms were sampled on surgical and medical departments, four isolation rooms with an ante, three haematological rooms with an ante, 10 ICU rooms, and 10 bathrooms. The bathrooms belonged to eight sampled rooms on the surgical and medical departments, one isolation room and one haematological room [ 11 ]. Different locations in patient rooms and bathrooms were sampled, such as the nightstand, the sink, and the shower chair (Supplementary file 1 ) [ 11 ].…”

Section: Methodsmentioning

confidence: 99%

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Dynamics of Staphylococcus aureus in patients and the hospital environment in a tertiary care hospital in the Netherlands

van der Schoor,

Voor in ’t holt,

Zandijk

et al. 2023

Antimicrob Resist Infect Control

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Background The dynamics of Staphylococcus aureus in patients and the hospital environment are relatively unknown. We studied these dynamics in a tertiary care hospital in the Netherlands. Methods Nasal samples were taken from adult patients at admission and discharge. Isolates cultured from clinical samples taken before and during hospitalization from these patients were included. Environmental samples of patient rooms were taken over a three-year period. Finally, isolates from clinical samples from patients with an epidemiological link to S. aureus positive rooms were included. Staphylococcal protein A (spa) typing was performed. Results Nasal samples were taken from 673 patients. One hundred eighteen (17.5%) were positive at admission and discharge, 15 (2.2%) patients acquired S. aureus during hospitalization. Nineteen patients had a positive clinical sample during hospitalization, 15.9% of the S. aureus were considered as from an exogenous source. One hundred and forty (2.8%) environmental samples were S. aureus positive. No persistent contamination of surfaces was observed. Isolates were highly diverse: spa typing was performed for 893 isolates, identifying 278 different spa types, 161 of these spa types were observed only once. Conclusion Limited transmission could be identified between patients and the hospital environment, and from patient-to-patient. Exogenous acquisition was assumed to occur in 15% of clinical samples. Environmental contamination was infrequent, temporarily, and coincided with the strain from the patient admitted to the room at that time. MRSA was rare and not found in the environment.

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Does the removal of isolation for VRE-infected patients change the incidence of health care–associated VRE?: A systematic review and meta-analysis

Pan,

Zhang,

Song

et al. 2024

American Journal of Infection Control

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Environmental contamination with highly resistant microorganisms after relocating to a new hospital building with 100% single-occupancy rooms: A prospective observational before-and-after study with a three-year follow-up

Cited by 8 publications

References 39 publications

Nurses’ perceptions of the transition to 100% single-occupancy patient rooms in a university hospital in the Netherlands: an uncontrolled before and after study

Nurses’ perceptions of the transition to 100% single-occupancy patient rooms in a university hospital in the Netherlands: an uncontrolled before and after study

Dynamics of Staphylococcus aureus in patients and the hospital environment in a tertiary care hospital in the Netherlands

Does the removal of isolation for VRE-infected patients change the incidence of health care–associated VRE?: A systematic review and meta-analysis

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