The Role of Patient Care Items as a Fomite in Healthcare-Associated Outbreaks and Infection Prevention

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
Hajime KanamoriD J Weber

Abstract

Patient-care items can serve as a source or reservoir for healthcare-associated pathogens in hospitals. We reviewed healthcare- associated outbreaks from medical equipment and provide infection prevention recommendations. Multiple healthcare-associated outbreaks via a contaminated patient-care item were identified, including infections with multidrug-resistant organisms. The type of patient care items implicated as a fomite causing healthcare-associated infections (HAIs) has changed over time. Patient populations at risk were most commonly critically ill patients in adult and neonatal intensive care units. Most fomite related healthcare-associated outbreaks were due to inappropriate disinfection practices. Repeated healthcare-associated outbreaks via medical equipment highlight the need for infectious disease professionals to understand that fomites/medical devices may be a source of HAIs. The introduction of new and more complex medical devices will likely increase the risk that such devices serve as a source of HAIs. Assuring appropriate cleaning and disinfection or sterilization of medical equipment is necessary to prevent future fomite-associated outbreaks.

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Citations

May 8, 2018·Antimicrobial Agents and Chemotherapy·Hajime KanamoriDavid J Weber
Jan 29, 2018·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·John M Boyce
Oct 1, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Manish ThakurCurtis J Donskey
Aug 3, 2019·Critical Care Nurse·May Mei-Sheng Riley
Jul 21, 2020·BioMed Research International·Thierry HabyarimanaCallixte Yadufashije
Sep 29, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Hajime KanamoriWilliam A Rutala

Jan 5, 2021·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
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Mar 2, 2021·Veterinary Medicine and Science·Marie VerkolaAnnamari Heikinheimo
May 12, 2021·Antimicrobial Resistance and Infection Control·Wing-Kee YiekAlma Tostmann
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Oct 27, 2021·Critical Reviews in Microbiology·Wolfgang BäumlerWulf Schneider-Brachert
Nov 4, 2021·Anesthesiology·Michael MazzeffiClare Rock

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