Newspaper reporting of meticillin-resistant Staphylococcus aureus and ‘the dirty hospital’

Chan, Pan F.; Dipper, Allison; Kelsey, Philipa J.; Harrison, Jackie

doi:10.1016/j.jhin.2010.01.027

Cited by 23 publications

(26 citation statements)

References 4 publications

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“…Some, for example Chan et al (2010) have come to view the whole unfolding of events in the UK in relation to HAIs as serving the interests of all participants involved -the press, political parties and even -perversely -the medical establishment, and that in reality what was being expressed were deeper anxieties about the apparent randomness of HAIs in an era of 'high tech' medicine. Earlier in this review we made mention of how the press in the UK attempted to present the rising incidence of HAIs as peculiarly British.…”

Section: The Continuing Impact Of Haismentioning

confidence: 99%

The uses and abuses of rapid bioluminescence-based ATP assays

Shama

Malik

2013

International Journal of Hygiene and Environmental Health

147

121

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Bioluminescence-based ATP testing of solid surfaces has become well established in the food processing industry as part of general hazard analysis and critical control points (HACCP) measures. The rise in healthcare associated infections (HAIs) at the turn of the century focussed attention on the environment as a potential reservoir of the agents responsible for such infections. In response to the need for objective methods of assessing the efficiency of cleaning in healthcare establishments and for rapid methods for detecting the presence of the pathogens responsible for HAIs, it was proposed that ATP testing of environmental surfaces be introduced. We examine the basis behind the assumptions inherent in these proposals. Intracellular ATP levels are shown to vary between microbial taxa and according to environmental conditions. Good correlations between microbial numbers and ATP levels have been obtained under certain specific conditions, but never within healthcare settings. Notwithstanding, ATP testing may still have a role in providing reassurance that cleaning regimes are being carried out satisfactorily. However, ATP results should not be interpreted as surrogate indicators for the presence of microbial pathogens.

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Section: The Continuing Impact Of Haismentioning

confidence: 99%

The uses and abuses of rapid bioluminescence-based ATP assays

Shama

Malik

2013

International Journal of Hygiene and Environmental Health

147

121

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“…Media interest is not evidencebased driven and healthcare workers and experts have little influence on what is picked up by the press [76]. Unsurprisingly, simple solutions to the MRSA problem in the UK focused almost exclusively on cleaning [77]. Once the information is out, there is no control on what is picked up by media or politicians and the political agenda may not follow evidence-based priorities either.…”

Section: Implementation Of Evidence-based Practicementioning

confidence: 99%

Prevention of catheter-related infection

Zingg

Walder

Pittet

2011

Current Opinion in Infectious Diseases

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The efforts made for CLABSI prevention exemplify not only the complexity of the problem but also the creativity and--most recently--success. Although 'zero' risk may not seem a realistic goal, the number of hospitals approaching this idealistic threshold is growing. The evidence is now clear that CLABSI can be reduced most effectively by 'state-of-the-art' insertion technique and catheter care. The question today is not 'what to do' but 'how to do it'.

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“…This generated much interest in all aspects of pathogen transmission during health care, including pathogen survival and the possibility of environmental reservoirs. Hospital cleaning suddenly became a focus for patients and politicians alike, supported by burgeoning studies confirming the benefits from enhanced cleaning and decontamination during routine and costly outbreak situations (23,29,30). Now, both national agencies and local health boards have revisited housekeeping policies to reflect new awareness of the importance of basic hospital hygiene, along with formal monitoring, feedback to cleaners, and surveillance of key environmental pathogens (31,32).…”

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confidence: 99%

Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination

2014

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SUMMARY There is increasing interest in the role of cleaning for managing hospital-acquired infections (HAI). Pathogens such as vancomycin-resistant enterococci (VRE), methicillin-resistant Staphylococcus aureus (MRSA), multiresistant Gram-negative bacilli, norovirus, and Clostridium difficile persist in the health care environment for days. Both detergent- and disinfectant-based cleaning can help control these pathogens, although difficulties with measuring cleanliness have compromised the quality of published evidence. Traditional cleaning methods are notoriously inefficient for decontamination, and new approaches have been proposed, including disinfectants, steam, automated dispersal systems, and antimicrobial surfaces. These methods are difficult to evaluate for cost-effectiveness because environmental data are not usually modeled against patient outcome. Recent studies have reported the value of physically removing soil using detergent, compared with more expensive (and toxic) disinfectants. Simple cleaning methods should be evaluated against nonmanual disinfection using standardized sampling and surveillance. Given worldwide concern over escalating antimicrobial resistance, it is clear that more studies on health care decontamination are required. Cleaning schedules should be adapted to reflect clinical risk, location, type of site, and hand touch frequency and should be evaluated for cost versus benefit for both routine and outbreak situations. Forthcoming evidence on the role of antimicrobial surfaces could supplement infection prevention strategies for health care environments, including those targeting multidrug-resistant pathogens.

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Newspaper reporting of meticillin-resistant Staphylococcus aureus and ‘the dirty hospital’

Cited by 23 publications

References 4 publications

The uses and abuses of rapid bioluminescence-based ATP assays

The uses and abuses of rapid bioluminescence-based ATP assays

Prevention of catheter-related infection

Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination

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