The Resource Environmental cleaning for the prevention of healthcare-associated infections, prepared for Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services ; prepared by ECRI Institute--Penn Medicine Evidence-Based Practice Center, Plymouth Meeting, PA ; investigators, Brian F. Leas, Nancy Sullivan, Jennifer H. Han, David A. Pegues, Janice L. Kaczmarek, Craig A. Umscheid

Environmental cleaning for the prevention of healthcare-associated infections, prepared for Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services ; prepared by ECRI Institute--Penn Medicine Evidence-Based Practice Center, Plymouth Meeting, PA ; investigators, Brian F. Leas, Nancy Sullivan, Jennifer H. Han, David A. Pegues, Janice L. Kaczmarek, Craig A. Umscheid

Label
Environmental cleaning for the prevention of healthcare-associated infections
Title
Environmental cleaning for the prevention of healthcare-associated infections
Statement of responsibility
prepared for Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services ; prepared by ECRI Institute--Penn Medicine Evidence-Based Practice Center, Plymouth Meeting, PA ; investigators, Brian F. Leas, Nancy Sullivan, Jennifer H. Han, David A. Pegues, Janice L. Kaczmarek, Craig A. Umscheid
Creator
Contributor
Author
Issuing body
Sponsoring body
Subject
Genre
Language
eng
Summary
BACKGROUND: The cleaning of hard surfaces in hospital rooms is essential for reducing the risk of healthcare-associated infections. Many methods are available for cleaning and monitoring cleanliness, but their comparative effectiveness is not well understood. PURPOSE: This Technical Brief summarizes the evidence base addressing environmental cleaning of high-touch surfaces in hospital rooms and highlights future research directions. METHODS: A systematic search for published and gray literature since 1990 was performed using PubMed, EMBASE, CINAHL, the Cochrane Library, and other resources. Clinical studies examining the cleaning and disinfection of high-touch surfaces in adult inpatient hospital rooms were included. Primary outcomes of interest were patient infection, colonization, or surface contamination with Clostridium difficile, methicillin-resistant Staphylococcus aureus, or vancomycin-resistant enterococci. Additionally, 12 Key Informants were interviewed, representing environmental services management, hospital infection control, and clinical infectious diseases. FINDINGS: Eighty studies were included. Forty-nine studies examined cleaning modalities, including chemical agents, self-disinfecting surfaces, and no-touch technologies. Fourteen studies evaluated monitoring strategies, including visual inspection, microbiological cultures, assays, and ultraviolet light. Seventeen studies addressed challenges or facilitators to implementation. Sixty-five studies used nonrandomized concurrent or historical controls. The outcome of surface contamination was reported in 57 studies; infection rates were reported in 25. CONCLUSIONS: Comparative-effectiveness studies directly comparing disinfection modalities and monitoring strategies are limited. Future research should examine and compare newly emerging strategies, such as peracetic acid, hydrogen peroxide wipes, enhanced coatings, and microfiber cloths as cleaning strategies, and adenosine triphosphate and ultraviolet light technologies as monitoring strategies. Patient colonization and infection rates should be included as outcomes when possible. Other challenges to be addressed include identification of surfaces posing the greatest risk of pathogen transmission, developing standard thresholds for defining cleanliness, and using methods to adjust for confounders such as hand-hygiene practices when examining the impact of disinfection modalities
Member of
Cataloging source
NLM
http://library.link/vocab/creatorName
Leas, Brian F
Government publication
federal national government publication
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
  • technical reports
NLM call number
WX 167
http://library.link/vocab/relatedWorkOrContributorName
  • United States
  • ECRI Institute-Penn Medicine Evidence-based Practice Center
  • Effective Health Care Program (U.S.)
Series statement
  • Technical brief
  • AHRQ publication
Series volume
  • no. 22
  • no. 15-EHC020-EF
http://library.link/vocab/subjectName
  • Infection Control
  • Equipment and Supplies, Hospital
  • Cross Infection
  • Equipment Contamination
  • Comparative Effectiveness Research
  • United States
  • United States
Label
Environmental cleaning for the prevention of healthcare-associated infections, prepared for Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services ; prepared by ECRI Institute--Penn Medicine Evidence-Based Practice Center, Plymouth Meeting, PA ; investigators, Brian F. Leas, Nancy Sullivan, Jennifer H. Han, David A. Pegues, Janice L. Kaczmarek, Craig A. Umscheid
Instantiates
Publication
Copyright
Note
  • Title from PDF title page
  • "August 2015."
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
928987793
Extent
1 online resource (various pagings)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations.
Specific material designation
remote
System control number
(OCoLC)928987793
Label
Environmental cleaning for the prevention of healthcare-associated infections, prepared for Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services ; prepared by ECRI Institute--Penn Medicine Evidence-Based Practice Center, Plymouth Meeting, PA ; investigators, Brian F. Leas, Nancy Sullivan, Jennifer H. Han, David A. Pegues, Janice L. Kaczmarek, Craig A. Umscheid
Publication
Copyright
Note
  • Title from PDF title page
  • "August 2015."
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
928987793
Extent
1 online resource (various pagings)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations.
Specific material designation
remote
System control number
(OCoLC)928987793

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