Healthcare Hygiene magazine January 2020 | Page 29
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Huslage K, et al. A quantitative approach to defining “high-touch”
surfaces in hospitals. Infect Control Hosp Epidemiol, 31 (2010), pp. 850-853.
Weber DJ, et al. The role of the surface environment in healthcare-asso-
ciated infections. Curr Opin Infect Dis. 2013; 26:338-44.
Otter JA, et al. The role played by contaminated surfaces in the transmission
of nosocomial pathogens. Infect Control Hosp Epidemiol. 2011; 32:687-99.
Prevention/Epidemiology
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Deshpande A, et al. Are hospital floors an underappreciated reservoir
for transmission of healthcare-associated pathogens. Am J Infect Cont,
2017; 45: 336-338.
Havill NL, et al. Cleanliness of portable medical equipment disinfected
Recommended reading:
Prevention
References:
by nursing staff. Am J Infect Control, 39; Pp. 602-604. 2011.
Jinadatha C, et al. Interaction of healthcare worker hands and portable
medical equipment: a sequence analysis to show potential transmission
opportunities. BMC Infectious Diseases. 2017;17:800.
Kanamori H, et al. The Role of Patient Care Items as a Fomite in
Healthcare-Associated Outbreaks and Infection Prevention. Clin Infect Dis.
Vol. 65, No. 8, Pp. 1412-1419. October 2017.
Koganti, et. al. Evaluation of hospital floors as a potential source of
pathogen dissemination using a nonpathogenic virus as a surrogate marker.
Infect Cont & Hosp Epidemiol, 2016: 37 (11): 1374-1377.
Kraay ANM, et al. Fomite-mediated transmission as a sufficient pathway:
a comparative analysis across three viral pathogens. BMC Infect Dis. 18:
540. Oct. 29, 2018.
Messina G, et al. How many bacteria live on the keyboard of your
computer? Am J Infect Control. 39(7):616-8. Sept. 2011.
Simmonds R, et al. Mobile phones as fomites for potential pathogens in
hospitals: microbiome analysis reveals hidden contaminants. J Hosp Infect.
Oct. 1, 2019.
Suwantarat N, et al. Quantitative assessment of interactions between
hospitalized patients and portable medical equipment and other fomites.
Am J Infect Control. Vol. 45, No. 11. Pages 1276-1278. November 2017.
Xiao S, et al. The dynamic fomite transmission of Methicillin-resistant
Staphylococcus aureus in hospitals and the possible improved intervention
methods. Building and Environment 161:106246. July 2019.
healthcare-associated infections (HAIs). Suwantarat, et al.
(2017) demonstrated that hospitalized patients frequently
interact with shared equipment, and these items were often
contaminated, and they emphasize that there is a need for
protocols to ensure routine cleaning of shared portable
equipment. As the researchers acknowledge, “Efforts to
improve environmental disinfection in healthcare facilities
typically focus primarily on surfaces in patient rooms that
are frequently touched by healthcare workers and patients
(bed rails, bedside tables). Portable equipment that is shared
among patients (e.g., medication carts, vital signs equipment,
wheelchairs, electrocardiogram machines) can also be
a potential source of pathogen transmission. Therefore,
current guidelines recommend that medical equipment that
contacts intact skin is cleaned and decontaminated after each
patient use. In clinical practice, nursing staff and ancillary
staff are often given responsibility for cleaning portable
equipment because they use such equipment while working
with patients. However, Havill, et al. (2011) reported that
portable equipment was often not cleaned according to
written protocols between each patient use.”
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