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Enhanced disinfection leads to reduction of microbial contamination and a decrease in patient colonization and infection

Published online by Cambridge University Press:  31 July 2018

William A. Rutala ,
Hajime Kanamori ,
Maria F. Gergen ,
Lauren P. Knelson ,
Emily E. Sickbert-Bennett ,
Luke F. Chen ,
Deverick J. Anderson ,
Daniel J. Sexton ,
David J. Weber  and
and the CDC Prevention Epicenters Program
William A. Rutala*
Affiliation:
Hospital Epidemiology, University of North Carolina Health Care, Chapel Hill, North Carolina, United States Division of Infectious Diseases, UNC School of Medicine, Chapel Hill, North Carolina, United States
Hajime Kanamori
Affiliation:
Division of Infectious Diseases, UNC School of Medicine, Chapel Hill, North Carolina, United States Infection Control and Laboratory Diagnostics, Internal Medicine, Tohoku University, Sendai, Japan
Maria F. Gergen
Affiliation:
Hospital Epidemiology, University of North Carolina Health Care, Chapel Hill, North Carolina, United States
Lauren P. Knelson
Affiliation:
Division of Infectious Diseases, Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University Medical Center, Durham, North Carolina, United States
Emily E. Sickbert-Bennett
Affiliation:
Hospital Epidemiology, University of North Carolina Health Care, Chapel Hill, North Carolina, United States Division of Infectious Diseases, UNC School of Medicine, Chapel Hill, North Carolina, United States
Luke F. Chen
Affiliation:
Division of Infectious Diseases, Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University Medical Center, Durham, North Carolina, United States
Deverick J. Anderson
Affiliation:
Division of Infectious Diseases, Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University Medical Center, Durham, North Carolina, United States
Daniel J. Sexton
Affiliation:
Division of Infectious Diseases, Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University Medical Center, Durham, North Carolina, United States
David J. Weber
Affiliation:
Hospital Epidemiology, University of North Carolina Health Care, Chapel Hill, North Carolina, United States Division of Infectious Diseases, UNC School of Medicine, Chapel Hill, North Carolina, United States
*
Author for correspondence: William A. Rutala, PhD, MPH, CIC, Division of Infectious Diseases, UNC School of Medicine, Bioinformatics Building, CB#7030, 130 Mason Farm Road, Chapel Hill, NC 27514-7030. E-mail: brutala@med.unc.edu
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Abstract

In this prospective study, we monitored 4 epidemiologically important pathogens (EIPs): methicillin-resistane Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), Clostridium difficile, and multidrug-resistant (MDR) Acinetobacter to assess the effectiveness of 3 enhanced disinfection strategies for terminal room disinfection against standard practice. Our data demonstrated that a decrease in room contamination with EIPs of 94% was associated with a 35% decrease in subsequent patient colonization and/or infection.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 39 , Issue 9 , September 2018 , pp. 1118 - 1121
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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Footnotes

Cite this article: Rutala WA, et al. (2018). Enhanced disinfection leads to reduction of microbial contamination and a decrease in patient colonization and infection. Infection Control & Hospital Epidemiology. 2018, 39, 1118–1121. doi: 10.1017/ice.2018.165

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