The role of environmental cleaning in the control of hospital-acquired infection

The Journal of Hospital Infection
Stephanie J Dancer

Abstract

Increasing numbers of hospital-acquired infections have generated much attention over the last decade. The public has linked the so-called 'superbugs' with their experience of dirty hospitals but the precise role of environmental cleaning in the control of these organisms remains unknown. Until cleaning becomes an evidence-based science, with established methods for assessment, the importance of a clean environment is likely to remain speculative. This review will examine the links between the hospital environment and various pathogens, including meticillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, norovirus, Clostridium difficile and acinetobacter. These organisms may be able to survive in healthcare environments but there is evidence to support their vulnerability to the cleaning process. Removal with, or without, disinfectants, appears to be associated with reduced infection rates for patients. Unfortunately, cleaning is often delivered as part of an overall infection control package in response to an outbreak and the importance of cleaning as a single intervention remains controversial. Recent work has shown that hand-touch sites are habitually contaminated by hospital pathogens, which are then deli...Continue Reading

References

Sep 1, 1989·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·S I Getchell-WhiteD H Gröschel
Aug 1, 1994·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·H SeifertG Pulverer
Mar 26, 1998·The Journal of Hospital Infection·D BlytheAngela Galloway
Nov 27, 1998·The Journal of Hospital Infection·M A NobleM Gribble
Oct 19, 1999·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·A N NeelyG D Warden
Nov 5, 1999·The Journal of Hospital Infection·Stephanie J Dancer
Jun 2, 2000·The Journal of Hospital Infection·C GriffithM Lewis
Jul 18, 2000·The Journal of Hospital Infection·J H WagenvoortR J Penders
Oct 26, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J L MayfieldL M Mundy
Sep 25, 2001·The Journal of Hospital Infection·A RamplingA J Cornaby
Mar 21, 2002·JAMA : the Journal of the American Medical Association·Amy J RayCurtis J Donskey
Oct 31, 2002·Epidemiology and Infection·M R EvansD Westmoreland
Nov 10, 2005·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Henry M WuKelly Henning
Dec 16, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Arnaud de LassenceDidier Dreyfuss
Jan 5, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Philip CarlingDeborah Highlander
Feb 4, 2006·Journal of Clinical Microbiology·Chris I GallimoreJim J Gray
Feb 9, 2006·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Katherine J HardyPeter M Hawkey
May 3, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Mary K HaydenRobert A Weinstein
Oct 13, 2006·Archives of Internal Medicine·Susan S HuangRichard Platt
Nov 11, 2006·Critical Care Medicine·Stéphane HugonnetDidier Pittet
May 30, 2007·Archives of Internal Medicine·Erik R DubberkeVictoria J Fraser
Jan 9, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Mary K HaydenRobert A Weinstein
Feb 9, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Dawn M SievertJeffrey C Hageman
May 13, 2008·The Journal of Hospital Infection·T LewisM Weinbren
Jun 10, 2008·American Journal of Infection Control·Liza F WhiteJohn McDonald
Jul 16, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Eric R GoodmanSusan S Huang
Sep 30, 2008·International Journal of Environmental Health Research·Stephanie J DancerChris Robertson
Oct 14, 2008·The Journal of Hospital Infection·A Al-Hamad, S Maxwell
Jun 10, 2009·BMC Medicine·Stephanie J DancerChris Robertson

Citations

Feb 21, 2013·Medizinische Klinik, Intensivmedizin und Notfallmedizin·A KossowF Kipp
Nov 2, 2012·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·A Simon, B Christiansen
Apr 19, 2011·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Stephanie J Dancer
Sep 11, 2012·Australian Health Review : a Publication of the Australian Hospital Association·Stella C Stevens, Claire L M Scott
Aug 27, 2013·Journal of Occupational and Environmental Hygiene·John J LoweAngela L Hewlett
Jun 19, 2013·Microbial Drug Resistance : MDR : Mechanisms, Epidemiology, and Disease·Jean-Yves MaillardJohn Threlfall
Jul 23, 2013·The Journal of Antimicrobial Chemotherapy·Ana C AbreuManuel Simões
May 11, 2012·Journal of the Royal Society, Interface·Ian M HallStéphane Hugonnet
Aug 31, 2010·Applied and Environmental Microbiology·Trevor D LawleyGordon Dougan
Nov 26, 2010·Applied and Environmental Microbiology·Kerry R Leedom LarsonTara C Smith
Jun 18, 2010·Journal of Clinical Microbiology·Verónica CostantiniJan Vinjé
Oct 4, 2013·Antimicrobial Resistance and Infection Control·Graham M SnyderSharon B Wright
Jan 25, 2012·Clinical Medicine : Journal of the Royal College of Physicians of London·Simon Hill
May 28, 2014·Materials Science & Engineering. C, Materials for Biological Applications·Lu HuangWei He
Sep 19, 2014·Antimicrobial Resistance and Infection Control·Ethan E MannShravanthi T Reddy
Jun 28, 2014·American Journal of Infection Control·Laura GordonVirginia Roth
Nov 4, 2011·Immunopharmacology and Immunotoxicology·Emilio Jirillo, Joris Roulleau
Oct 2, 2013·The Journal of Hospital Infection·J RandleK R Hardie
Jul 3, 2013·American Journal of Infection Control·Brett G MitchellNicholas Graves
May 3, 2013·American Journal of Infection Control·William A Rutala, David J Weber
May 3, 2013·American Journal of Infection Control·Philip Carling
Jan 5, 2013·Journal of Infection and Public Health·Yogesh ChanderR J Russell
Dec 15, 2012·Annales de dermatologie et de vénéréologie·C SlekovecD Talon
Dec 4, 2012·American Journal of Infection Control·Paula StrassleAnthony D Harris
Aug 3, 2012·American Journal of Infection Control·Andrea JenningsLucy Jury
Jun 29, 2012·The Journal of Hospital Infection·J O'Gorman, H Humphreys
Apr 14, 2015·Trends in Microbiology·Justin KnoxFranklin D Lowy
Mar 16, 2012·American Journal of Infection Control·Liyan SongChuanwu Xi

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