Enhanced disinfection leads to reduction of microbial contamination and a decrease in patient colonization and infection

Infect Control Hosp Epidemiol. 2018 Sep;39(9):1118-1121. doi: 10.1017/ice.2018.165. Epub 2018 Jul 31.

Abstract

In this prospective study, we monitored 4 epidemiologically important pathogens (EIPs): methicillin-resistane Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), Clostridium difficile, and multidrug-resistant (MDR) Acinetobacter to assess the effectiveness of 3 enhanced disinfection strategies for terminal room disinfection against standard practice. Our data demonstrated that a decrease in room contamination with EIPs of 94% was associated with a 35% decrease in subsequent patient colonization and/or infection.

Trial registration: ClinicalTrials.gov NCT01579370.

Publication types

  • Multicenter Study
  • Pragmatic Clinical Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acinetobacter / isolation & purification
  • Acinetobacter / radiation effects
  • Clostridioides difficile / isolation & purification
  • Clostridioides difficile / radiation effects
  • Cross Infection / microbiology*
  • Cross Infection / prevention & control*
  • Disinfection / methods*
  • Environmental Microbiology*
  • Humans
  • Methicillin-Resistant Staphylococcus aureus / isolation & purification
  • Methicillin-Resistant Staphylococcus aureus / radiation effects
  • Patients' Rooms / standards*
  • Prospective Studies
  • Ultraviolet Rays
  • United States
  • Vancomycin-Resistant Enterococci / isolation & purification
  • Vancomycin-Resistant Enterococci / radiation effects

Associated data

  • ClinicalTrials.gov/NCT01579370