The role of the surface environment in healthcare-associated infections

Weber, David J.; Anderson, Deverick J.; Rutala, William A.

doi:10.1097/qco.0b013e3283630f04

Cited by 423 publications

(307 citation statements)

References 43 publications

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“…has an increased likelihood of developing colonization or infection with that pathogen due to inadequate decontamination of surfaces. 5,[327][328][329] In healthcare facilities that deliver care to people with CF, contamination of dry environmental surfaces with CF pathogens was low, but contamination of the hands of people with CF was higher. 128 In a Liverpool CF center, contamination of inanimate surfaces was transient and negative after patient discharge and routine cleaning.…”

Section: Iiid2 Healthcare Sources: Water Surfaces Equipment Airmentioning

confidence: 99%

Infection Prevention and Control Guideline for Cystic Fibrosis: 2013 Update

Saiman

Siegel

LiPuma

et al. 2014

Infect. Control Hosp. Epidemiol.

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339

378

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The 2013 Infection Prevention and Control (IP&C) Guideline for Cystic Fibrosis (CF) was commissioned by the CF Foundation as an update of the 2003 Infection Control Guideline for CF. During the past decade, new knowledge and new challenges provided the following rationale to develop updated IP&C strategies for this unique population:1. The need to integrate relevant recommendations from evidence-based guidelines published since 2003 into IP&C practices for CF. These included guidelines from the Centers for Disease Control and Prevention (CDC)/Healthcare Infection Control Practices Advisory Committee (HICPAC), the World Health Organization (WHO), and key professional societies, including the Infectious Diseases Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA). During the past decade, new evidence has led to a renewed emphasis on source containment of potential pathogens and the role played by the contaminated healthcare environment in the transmission of infectious agents. Furthermore, an increased understanding of the importance of the application of implementation science, monitoring adherence, and feedback principles has been shown to increase the effectiveness of IP&C guideline recommendations.2. Experience with emerging pathogens in the non-CF population has expanded our understanding of droplet transmission of respiratory pathogens and can inform IP&C strategies for CF. These pathogens include severe acute respiratory syndrome coronavirus and the 2009 influenza A H1N1. Lessons learned about preventing transmission of methicillin-resistant Staphylococcus aureus (MRSA) and multidrug-resistant gram-negative pathogens in non-CF patient populations also can inform IP&C strategies for CF.

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Section: Iiid2 Healthcare Sources: Water Surfaces Equipment Airmentioning

confidence: 99%

Infection Prevention and Control Guideline for Cystic Fibrosis: 2013 Update

Saiman

Siegel

LiPuma

et al. 2014

Infect. Control Hosp. Epidemiol.

Self Cite

339

378

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“…We also showed a disinfection process for specific microorganisms, where protocols aimed at minimizing or even eliminating bacteria such as Clostridium difficile [17,23], methicillin-resistant Staphylococcus aureus [17][18][19]25] vancomycin-resistant Enterococcus [17,22] of which are often associated with hospital infections, with increased environmental resistance, have a more reserved prognosis and a difficult treatment [2,3].…”

Section: Discussionmentioning

confidence: 99%

“…Studies indicate that the hospital environment plays an important role in the transmission of several pathogens, including methicillin-resistant Staphylococcus aureus, Vancomycin-resistant Enterococcus faecalis, Clostridium difficile, Acinetobacter baumannii, among other important agents causing human infections [2,3]. In addition, agents that cause hospital infections are related to resistance to antibacterial treatments, resulting in higher mortality rates associated with hospital infections [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

“…However, some limitations are associated with these measures, such as the adherence of the executors and professionals of the area [12], to efficient methods that can contemplate the adequate process of hospital disinfection [13]. Considering these limitations some reports demonstrate efforts, where through different methods seek excellence in hospital disinfection [1,2]. However, with these possibilities for variations in the effectiveness of disinfection processes, new approaches must be undertaken to understand the best applications, as well as to indicate new strategies that can reduce this serious public health problem of the 21st century.…”

Section: Introductionmentioning

confidence: 99%

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Disinfectant Use in the Hospital Environment for Microorganisms Control

Oliveira¹,

Araújo²,

Garcia³

et al. 2017

J Bacteriol Parasitol

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Studies indicate that the hospital has an important role in transmission of various pathogens. To minimize the spread of these microorganisms in hospitals, they proposed various forms of disinfection, however diversity and effectiveness of these methods are varied. Thus, this study aimed to understand the associations and approaches that have been reported in recent years on microorganisms control by disinfectants in the hospital environment, thus enabling the search for new strategies and/or implementation of conducts already performed in other hospitals. In this article they performed a systematic review on the topic, in accordance with the preferred reporting items for systematic reviews and meta-analyzes-PRISMA. Articles were selected published between the years 2012-2016 present in the PubMed database. The data demonstrate that reviews many conventional methods may be flawed (10%), or may not be able to reduce the number of microorganisms (30%). The most frequently related microorganisms were Clostridium difficile (20%), methicillin-resistant Staphylococcus aureus (40%), or Enterococcus resistant to vancomycin (20%). There was no evidence statistical differences for a tendency to exchange the conventional methods, however the management was highlighted by 50% of the disinfection process. But our approach has enabled better understanding of mechanisms linked to environmental disinfection process of pathogenic microorganisms, thus pointing to coherent strategies in disinfection processes, which have benefits with the reduction of major causative agents of nosocomial infections and thus with decreasing nosocomial diseases.

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“…The presence of Acinetobacter baumannii, Bacillus spp., Escherichia coli and Staphylococcus aureus in various units reflects hygiene inadequacies in the hospital. Thus, improvements to the cleaning practices and disinfection of hospital surfaces are essential (Weber et al, 2013). Use of 1% hypochlorite is recommended for this purpose (Subbalakshmi, 2018).…”

Section: Distribution Of Distribution Of Nfgnbmentioning

confidence: 99%

Hospital Acquired Infection: Bacteriological Profile of Species from Environmental Surfaces of Cotonou 5 Hospital in South Benin (West Africa)

Afle¹,

Agbankpé²,

Johnson³

et al. 2018

Int.J.Curr.Microbiol.App.Sci

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Journal homepage: http://www.ijcmas.com Hospital environment is sometimes the reservoir of pathogens that can be passed on to patients in different ways. The emergence of multi-resistant bacteria aggravates this situation, especially in a context of very limited therapeutic options. The objective of this study was to identify the bacterial species present on the environmental surfaces of the Cotonou 5 Hospital in order to control the contamination and the spread of pathogens. This aim was achieved by examining 165 samples, 135 (81.82%) of which had positive bacterial culture. The frequency of isolation was predominant in the intensive care unit (95%), emergency department (95%) and paediatrics (85%). In addition 49.77% of the positive bacterial cultures were Gram-positive and 50.20% were Gram-negative bacteria. Acinetobacter baumannii, Bacillus spp., Escherichia coli and Staphylococcus aureus were identified in all surveyed hospital units. Among the Gram-negative isolates, Enterobacteriaceae were more abundant (31.19%), followed by Non-fermenting gramnegative bacilli (16.75%). This study revealed that different bacterial species were present on the hospital surfaces of the Cotonou 5 Hospital. It is a reflection of the level of implementation of hospital hygiene rules and the risk of the resulting healthcare-associated infections. However, the spread of pathogenic strains can be controlled by appropriate hospital hygiene measures.

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The role of the surface environment in healthcare-associated infections

Cited by 423 publications

References 43 publications

Infection Prevention and Control Guideline for Cystic Fibrosis: 2013 Update

Infection Prevention and Control Guideline for Cystic Fibrosis: 2013 Update

Disinfectant Use in the Hospital Environment for Microorganisms Control

Hospital Acquired Infection: Bacteriological Profile of Species from Environmental Surfaces of Cotonou 5 Hospital in South Benin (West Africa)

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