Wiping out MRSA: effect of introducing a universal disinfection wipe in a large UK teaching hospital
Abstract Background Contamination of the inanimate environment around patients constitutes an important reservoir of MRSA. Here we describe the effect of introducing a universal disinfection wipe in all wards on the rates of MRSA acquisitions and bacteraemias across a large UK teaching hospital. Met...
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| Format: | Article |
| Language: | English |
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BMC
2018-12-01
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| Series: | Antimicrobial Resistance and Infection Control |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13756-018-0445-7 |
| _version_ | 1819112970259529728 |
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| author | Mark I. Garvey Martyn A. C. Wilkinson Craig W. Bradley Kerry L. Holden Elisabeth Holden |
| author_facet | Mark I. Garvey Martyn A. C. Wilkinson Craig W. Bradley Kerry L. Holden Elisabeth Holden |
| author_sort | Mark I. Garvey |
| collection | DOAJ |
| description | Abstract Background Contamination of the inanimate environment around patients constitutes an important reservoir of MRSA. Here we describe the effect of introducing a universal disinfection wipe in all wards on the rates of MRSA acquisitions and bacteraemias across a large UK teaching hospital. Methods A segmented Poisson regression model was used to detect any significant changes in the monthly numbers per 100,000 bed days of MRSA acquisitions and bacteraemias from April 2013 - December 2017 across QEHB. Results From April 2013 to April 2016, cleaning of ward areas and multi-use patient equipment by nursing staff consisted of a two-wipe system. Firstly, a detergent wipe was used, which was followed by a disinfection step using an alcohol wipe. In May 2016, QEHB discontinued the use of a two-wipe system for cleaning and changed to a one wipe system utilising a combined cleaning and disinfection wipe containing a quaternary ammonium compound. The segmented Poisson regression model demonstrated that the rate of MRSA acquisition/100,000 patient bed days was affected by the introduction of the new wiping regime (20.7 to 9.4 per 100,000 patient bed days; p <0.005). Discussion Using a Poisson model we demonstrated that the average hospital acquisition rate of MRSA/100,000 patient bed days reduced by 6.3% per month after the introduction of the new universal wipe. Conclusion We suggest that using a simple one wipe system for nurse cleaning is an effective strategy to reduce the spread and incidence of healthcare associated MRSA. |
| first_indexed | 2024-12-22T04:21:58Z |
| format | Article |
| id | doaj.art-d84090cd1feb42ecab91fd463e999506 |
| institution | Directory Open Access Journal |
| issn | 2047-2994 |
| language | English |
| last_indexed | 2024-12-22T04:21:58Z |
| publishDate | 2018-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Antimicrobial Resistance and Infection Control |
| spelling | doaj.art-d84090cd1feb42ecab91fd463e9995062022-12-21T18:39:15ZengBMCAntimicrobial Resistance and Infection Control2047-29942018-12-01711810.1186/s13756-018-0445-7Wiping out MRSA: effect of introducing a universal disinfection wipe in a large UK teaching hospitalMark I. Garvey0Martyn A. C. Wilkinson1Craig W. Bradley2Kerry L. Holden3Elisabeth Holden4University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital BirminghamUniversity Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital BirminghamGloucestershire Hospital’s NHS Foundation Trust, Gloucester Royal HospitalGloucestershire Hospital’s NHS Foundation Trust, Gloucester Royal HospitalUniversity Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital BirminghamAbstract Background Contamination of the inanimate environment around patients constitutes an important reservoir of MRSA. Here we describe the effect of introducing a universal disinfection wipe in all wards on the rates of MRSA acquisitions and bacteraemias across a large UK teaching hospital. Methods A segmented Poisson regression model was used to detect any significant changes in the monthly numbers per 100,000 bed days of MRSA acquisitions and bacteraemias from April 2013 - December 2017 across QEHB. Results From April 2013 to April 2016, cleaning of ward areas and multi-use patient equipment by nursing staff consisted of a two-wipe system. Firstly, a detergent wipe was used, which was followed by a disinfection step using an alcohol wipe. In May 2016, QEHB discontinued the use of a two-wipe system for cleaning and changed to a one wipe system utilising a combined cleaning and disinfection wipe containing a quaternary ammonium compound. The segmented Poisson regression model demonstrated that the rate of MRSA acquisition/100,000 patient bed days was affected by the introduction of the new wiping regime (20.7 to 9.4 per 100,000 patient bed days; p <0.005). Discussion Using a Poisson model we demonstrated that the average hospital acquisition rate of MRSA/100,000 patient bed days reduced by 6.3% per month after the introduction of the new universal wipe. Conclusion We suggest that using a simple one wipe system for nurse cleaning is an effective strategy to reduce the spread and incidence of healthcare associated MRSA.http://link.springer.com/article/10.1186/s13756-018-0445-7Meticillin-resistant Staphylococcus aureusMRSA bacteraemiasMRSA acquisitionsDisinfection wipes |
| spellingShingle | Mark I. Garvey Martyn A. C. Wilkinson Craig W. Bradley Kerry L. Holden Elisabeth Holden Wiping out MRSA: effect of introducing a universal disinfection wipe in a large UK teaching hospital Antimicrobial Resistance and Infection Control Meticillin-resistant Staphylococcus aureus MRSA bacteraemias MRSA acquisitions Disinfection wipes |
| title | Wiping out MRSA: effect of introducing a universal disinfection wipe in a large UK teaching hospital |
| title_full | Wiping out MRSA: effect of introducing a universal disinfection wipe in a large UK teaching hospital |
| title_fullStr | Wiping out MRSA: effect of introducing a universal disinfection wipe in a large UK teaching hospital |
| title_full_unstemmed | Wiping out MRSA: effect of introducing a universal disinfection wipe in a large UK teaching hospital |
| title_short | Wiping out MRSA: effect of introducing a universal disinfection wipe in a large UK teaching hospital |
| title_sort | wiping out mrsa effect of introducing a universal disinfection wipe in a large uk teaching hospital |
| topic | Meticillin-resistant Staphylococcus aureus MRSA bacteraemias MRSA acquisitions Disinfection wipes |
| url | http://link.springer.com/article/10.1186/s13756-018-0445-7 |
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