Healthcare Hygiene magazine October 2019 | Page 33
to transfer contamination to clean surfaces. Predictably,
such microbial transfer was the highest with the control
wipe wetted with a buffer.
The platform and the disk retrieval system are simple,
generic in design, and capable of handling most types of
HITES as well as all major classes of human pathogens
known to spread via HITES.
The findings reported here further reinforce the appli-
cability of the platform in assessing disinfecting wipes in
a field-relevant manner. The platform can not only test
prewetted wipes but also spray-and-wipe systems. Teflon
was chosen to make the platform for its high heat- and
chemical-resistance as well as easy cleanability between uses.
With additional experimentation using a wider variety
of pathogens and wipe technologies, the system has the
potential to become an international standard, such as that
for ASTM International (www.astm.org).
Acknowledgements
This study was supported in part with funding from the
Healthcare Surfaces Institute (https://www.healthcare-
surfacesinstitute.org).
Syed A. Sattar, PhD, is professor emeritus of microbiology
at the University of Ottawa, Ottawa, ON, Canada, and
affiliated with CREM Co Labs of Mississauga, ON, Canada.
Bahram Zargar, PhD, and Saeideh Naderi, PhD, are affiliated
with CREM Co Labs.
References:
ASTM International (2011). Standard quantitative disk carrier test
method for determining the bactericidal, virucidal, fungicidal, mycobacte-
ricidal & sporicidal activities of liquid chemicals (E-2197-11). ASTM, West
Conshohocken, Penn.
Carling PC. (2016). Optimizing Health Care Environmental Hygiene,
Infect Dis Clin North Am. Sept; 30(3):639-660.
Howard A, O’Donoghue M, Feeney A and Sleator RD. (2012). Acine-
tobacter baumannii, an emerging opportunistic pathogen. Virulence. 3(3):
243-250.
Ramm L, Siani H, Wesgate R, Maillard J-Y. (2015). Pathogen transfer
and high variability in pathogen removal by detergent wipes. Am J Infect
Control. 43(7):724-728.
Sattar SA and Maillard J.-Y. (2013). The crucial role of wiping in
decontamination of high-touch environmental surfaces: review of current
status and directions for the future, Am J Infect Control. May; 41(5
Suppl):S97-104.
Sattar SA. (2010). Promises & pitfalls of recent advances in chemical
means of preventing the spread of nosocomial infections by environmen-
tal surfaces. Am J Infect Control 38: S34-S40.
Springthorpe VS and Sattar SA. (2007). Application of a quantitative
carrier test to evaluate microbicides against mycobacteria. J. AOAC Int.
90:817-824.
Weber DJ, Anderson D, Rutala WA. (2013). The role of the surface
environment in healthcare-associated infections. Curr Opin Infect Dis.
26(4):338-344.
Certification continued from page 30
programs, and resources as well as a certification process
that will provide manufacturers with a certificate of validation
from the Healthcare Surfaces Institute.
Goals and objectives for this program include but are
not limited to:
• Development of consistent test methods that
includes compatibility testing of all categories of
EPA registered disinfectants as well as no touch dis-
infection such a UV and hydrogen peroxide vapor
• The identification of the top four microbes for all
testing with option for addition microbial testing.
The goal is to have consistent measurable data and
information
• Testing of products as assemblies – Many products
are made using multiple types of surface materials
and or textiles. When combined on one product
the ability to efficiently and effectively disinfect all
materials can be compromised causing degradation
of surface materials.
• Evaluation of surfaces at a micro level. Damage is
often unseen, creating microbial reservoirs that
support the growth and proliferation of microbes
• Evaluation of IFUs to ensure they provide guidance
and recommendations pertinent to active health-
care environments and that support infection
prevention processes and protocols.
www.healthcarehygienemagazine.com • october 2019
Product manufacturers can expect support with
product development that includes clarity about testing
requirements and recommendations, as well as healthcare
professional support for the creation of IFUs that support
infection prevention process and protocol.
The Healthcare Surfaces Institute continues to grow and
evolve. Most importantly, the members are committed to
good science and helping standard organizations develop
the best requirements for certification that will drive
truly value-based purchasing options for healthcare. We
are currently working with healthcare professionals and
HSI manufacturing partners to begin the development
of this certification program if you are interested in
becoming a partner and working with us, visit https://
www.healthcaresurfacesinstitute.org.
Linda Lybert is president of Healthcare Surface Consult-
ing and the founder/executive director of the Healthcare
Surfaces Institute.
Caroline Etland, PhD, MSN, is currently an associate
professor at the University of San Diego Hahn School of
Nursing, and a clinical nurse specialist at Sharp HealthCare.
She also serves as a board member of the Healthcare
Surfaces Institute.
Ellen Turner, a member of the board of the Healthcare
Surfaces Institute, reviewed this article.
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