The value of ready-to-use disinfectant wipes: Compliance, employee time, and costs

Wiemken, Timothy; Curran, D. R.; Pacholski, Emily; Kelley, Robert; Abdelfattah, Rehab; Carrico, Ruth; Ramirez, Julio A.

doi:10.1016/j.ajic.2013.09.031

Cited by 23 publications

(17 citation statements)

References 3 publications

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“…Studies examining chemical disinfectants reported mixed findings, including reductions in VRE (51) and C. difficile rates (16, 20, 21, 54) with the use of bleach-based disinfectants; decreased C. difficile spore levels with the use of accelerated hydrogen peroxide (48); and ineffectiveness of a chlorine-based product in reducing C. difficile contamination and infection rates (14). Six studies integrating various wipes (such as hydrogen peroxide) into preventive strategies (15, 17, 25–28) reported positive outcomes, including sustained reductions in C. difficile infection rates (15, 27). Seventeen studies implementing no-touch methods (such as ultraviolet [UV] light and hydrogen peroxide vapor) reported positive findings (11, 13, 19, 29 –31, 39, 40, 42, 44 –46, 50, 52, 53, 56), and 3 of these studies specifically found reduced infection rates (29 –31).…”

Section: Resultsmentioning

confidence: 99%

Cleaning Hospital Room Surfaces to Prevent Health Care–Associated Infections

et al. 2015

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The cleaning of hard surfaces in hospital rooms is critical for reducing health care–associated infections. This review describes the evidence examining current methods of cleaning, disinfecting, and monitoring cleanliness of patient rooms, as well as contextual factors that may affect implementation and effectiveness. Key informants were interviewed, and a systematic search for publications since 1990 was done with the use of several bibliographic and gray literature resources. Studies examining surface contamination, colonization, or infection with Clostridium difficile, methicillin-resistant Staphylococcus aureus, or vancomycinresistant enterococci were included. Eighty studies were identified—76 primary studies and 4 systematic reviews. Forty-nine studies examined cleaning methods, 14 evaluated monitoring strategies, and 17 addressed challenges or facilitators to implementation. Only 5 studies were randomized, controlled trials, and surface contamination was the most commonly assessed outcome. Comparative effectiveness studies of disinfecting methods and monitoring strategies were uncommon. Future research should evaluate and compare newly emerging strategies, such as self-disinfecting coatings for disinfecting and adenosine triphosphate and ultraviolet/fluorescent surface markers for monitoring. Studies should also assess patient-centered outcomes, such as infection, when possible. Other challenges include identifying high-touch surfaces that confer the greatest risk for pathogen transmission; developing standard thresholds for defining cleanliness; and using methods to adjust for confounders, such as hand hygiene, when examining the effect of disinfecting methods.

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Section: Resultsmentioning

confidence: 99%

Cleaning Hospital Room Surfaces to Prevent Health Care–Associated Infections

et al. 2015

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“…In addition to these manually applied chemicals is the use of "no-touch" modalities for hospital room disinfection, including application of ultraviolet light (UV-C) [9][10][11] or fogging with hydrogen peroxide vapor or mist. [12][13][14] These processes can be used only for terminal disinfection when patient rooms are empty and must be preceded by adequate room cleaning. Another strategy is the adoption of "self disinfecting" surfaces that are impregnated or coated with copper, silver, germicides, or other antimicrobial-releasing agents.…”

Section: Disinfection Strategiesmentioning

confidence: 99%

Prevention of healthcare associated infections

Damani¹

2019

Manual of Infection Prevention and Control

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This chapter provides the most up-to-date advice on infection prevention and control (IPC) of the four most common healthcare-associated infections (HAIs). These are: surgical site infections; infection associated with peripheral IV line/cannula and central line-associated bloodstream infections (CLABSIs); catheter-associated urinary tract infections (CAUTI); and hospital-acquired and ventilator-acquired pneumonias (VAP). The chapter examines and summarizes various key elements and discusses implementation of HAI care bundles and high impact interventions which are necessary to reduce these infections.

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“…In contrast, wipe cleaning of touched surfaces may be performed by HCWs during care delivery, such that the frequency of this activity is higher than whole room cleaning. Targeted wipe cleaning is a relatively new idea, but wipes have found to reduce bacterial loads on environmental surfaces [12, 13] and to be easy to use [14]. We considered both types of cleaning activities to involve the use of approved disinfectants that are effective against MRSA.…”

Section: Introductionmentioning

confidence: 99%

Exploring surface cleaning strategies in hospital to prevent contact transmission of methicillin-resistant Staphylococcus aureus

Lei

Jones

2017

BMC Infect Dis

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BackgroundCleaning of environmental surfaces in hospitals is important for the control of methicillin-resistant Staphylococcus aureus (MRSA) and other hospital-acquired infections transmitted by the contact route. Guidance regarding the best approaches for cleaning, however, is limited.MethodsIn this study, a mathematical model based on ordinary differential equations was constructed to study MRSA concentration dynamics on high-touch and low-touch surfaces, and on the hands and noses of two patients (in two hospitals rooms) and a health care worker in a hypothetical hospital environment. Two cleaning interventions – whole room cleaning and wipe cleaning of touched surfaces – were considered. The performance of the cleaning interventions was indicated by a reduction in MRSA on the nose of a susceptible patient, relative to no intervention.ResultsWhole room cleaning just before first patient care activities of the day was more effective than whole room cleaning at other times, but even with 100% efficiency, whole room cleaning only reduced the number of MRSA transmitted to the susceptible patient by 54%. Frequent wipe cleaning of touched surfaces was shown to be more effective that whole room cleaning because surfaces are rapidly re-contaminated with MRSA after cleaning. Wipe cleaning high-touch surfaces was more effective than wipe cleaning low-touch surfaces for the same frequency of cleaning. For low wipe cleaning frequency (≤3 times per hour), high-touch surfaces should be targeted, but for high wipe cleaning frequency (>3 times per hour), cleaning should target high- and low-touch surfaces in proportion to the surface touch frequency. This study reproduces the observations from a field study of room cleaning, which provides support for the validity of our findings.ConclusionsDaily whole room cleaning, even with 100% cleaning efficiency, provides limited reduction in the number of MRSA transmitted to susceptible patients via the contact route; and should be supplemented with frequent targeted cleaning of high-touch surfaces, such as by a wipe or cloth containing disinfectant.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-016-2120-z) contains supplementary material, which is available to authorized users.

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The value of ready-to-use disinfectant wipes: Compliance, employee time, and costs

Cited by 23 publications

References 3 publications

Cleaning Hospital Room Surfaces to Prevent Health Care–Associated Infections

Cleaning Hospital Room Surfaces to Prevent Health Care–Associated Infections

Prevention of healthcare associated infections

Exploring surface cleaning strategies in hospital to prevent contact transmission of methicillin-resistant Staphylococcus aureus

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