Abstract
| Lingua originale | English |
|---|---|
| Numero di pagine | 7 |
| Rivista | BioMed Research International |
| Stato di pubblicazione | Published - 2017 |
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All Science Journal Classification (ASJC) codes
- Biochemistry, Genetics and Molecular Biology(all)
- Immunology and Microbiology(all)
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What Healthcare Workers Should Know about Environmental Bacterial Contamination in the Intensive Care Unit. / Fasciana, Teresa Maria Assunta; Raineri, Santi Maurizio; Cortegiani, Andrea; Giarratano, Antonino; Gregoretti, Cesare; Giammanco, Anna; Iozzo, Pasquale; Russotto, Vincenzo.
In: BioMed Research International, 2017.Risultato della ricerca: Article
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TY - JOUR
T1 - What Healthcare Workers Should Know about Environmental Bacterial Contamination in the Intensive Care Unit
AU - Fasciana, Teresa Maria Assunta
AU - Raineri, Santi Maurizio
AU - Cortegiani, Andrea
AU - Giarratano, Antonino
AU - Gregoretti, Cesare
AU - Giammanco, Anna
AU - Iozzo, Pasquale
AU - Russotto, Vincenzo
PY - 2017
Y1 - 2017
N2 - Intensive care unit- (ICU-) acquired infections are a major health problem worldwide. Inanimate surfaces and equipment contamination may play a role in cross-transmission of pathogens and subsequent patient colonization or infection. Bacteria contaminate inanimate surfaces and equipment of the patient zone and healthcare area, generating a reservoir of potential pathogens, including multidrug resistant species. Traditional terminal cleaning methods have limitations. Indeed patients who receive a bed from prior patient carrying bacteria are exposed to an increased risk (odds ratio 2.13, 95% confidence intervals 1.62–2.81) of being colonized and potentially infected by the same bacterial species of the previous patient. Biofilm formation, even on dry surfaces, may play a role in reducing the efficacy of terminal cleaning procedures since it enables bacteria to survivein the environment for a long period and provides increased resistance to commonly used disinfectants. No-touch methods (e.g., UV-light, hydrogen peroxide vapour) are under investigation and further studies with patient-centred outcomes are needed, before considering them the standard of terminal cleaning in ICUs. Healthcare workers should be aware of the role of environmental contamination in the ICU and consider it in the broader perspective of infection control measures and stewardship initiatives.
AB - Intensive care unit- (ICU-) acquired infections are a major health problem worldwide. Inanimate surfaces and equipment contamination may play a role in cross-transmission of pathogens and subsequent patient colonization or infection. Bacteria contaminate inanimate surfaces and equipment of the patient zone and healthcare area, generating a reservoir of potential pathogens, including multidrug resistant species. Traditional terminal cleaning methods have limitations. Indeed patients who receive a bed from prior patient carrying bacteria are exposed to an increased risk (odds ratio 2.13, 95% confidence intervals 1.62–2.81) of being colonized and potentially infected by the same bacterial species of the previous patient. Biofilm formation, even on dry surfaces, may play a role in reducing the efficacy of terminal cleaning procedures since it enables bacteria to survivein the environment for a long period and provides increased resistance to commonly used disinfectants. No-touch methods (e.g., UV-light, hydrogen peroxide vapour) are under investigation and further studies with patient-centred outcomes are needed, before considering them the standard of terminal cleaning in ICUs. Healthcare workers should be aware of the role of environmental contamination in the ICU and consider it in the broader perspective of infection control measures and stewardship initiatives.
UR - http://hdl.handle.net/10447/244632
M3 - Article
JO - BioMed Research International
JF - BioMed Research International
SN - 2314-6133
ER -