Modern technologies for improving cleaning and disinfection of environmental surfaces in hospitals
Abstract Experts agree that careful cleaning and disinfection of environmental surfaces are essential elements of effective infection prevention programs. However, traditional manual cleaning and disinfection practices in hospitals are often suboptimal. This is often due in part to a variety of pers...
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| Format: | Article |
| Language: | English |
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BMC
2016-04-01
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| Series: | Antimicrobial Resistance and Infection Control |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13756-016-0111-x |
| _version_ | 1811217114228326400 |
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| author | John M. Boyce |
| author_facet | John M. Boyce |
| author_sort | John M. Boyce |
| collection | DOAJ |
| description | Abstract Experts agree that careful cleaning and disinfection of environmental surfaces are essential elements of effective infection prevention programs. However, traditional manual cleaning and disinfection practices in hospitals are often suboptimal. This is often due in part to a variety of personnel issues that many Environmental Services departments encounter. Failure to follow manufacturer’s recommendations for disinfectant use and lack of antimicrobial activity of some disinfectants against healthcare-associated pathogens may also affect the efficacy of disinfection practices. Improved hydrogen peroxide-based liquid surface disinfectants and a combination product containing peracetic acid and hydrogen peroxide are effective alternatives to disinfectants currently in widespread use, and electrolyzed water (hypochlorous acid) and cold atmospheric pressure plasma show potential for use in hospitals. Creating “self-disinfecting” surfaces by coating medical equipment with metals such as copper or silver, or applying liquid compounds that have persistent antimicrobial activity surfaces are additional strategies that require further investigation. Newer “no-touch” (automated) decontamination technologies include aerosol and vaporized hydrogen peroxide, mobile devices that emit continuous ultraviolet (UV-C) light, a pulsed-xenon UV light system, and use of high-intensity narrow-spectrum (405 nm) light. These “no-touch” technologies have been shown to reduce bacterial contamination of surfaces. A micro-condensation hydrogen peroxide system has been associated in multiple studies with reductions in healthcare-associated colonization or infection, while there is more limited evidence of infection reduction by the pulsed-xenon system. A recently completed prospective, randomized controlled trial of continuous UV-C light should help determine the extent to which this technology can reduce healthcare-associated colonization and infections. In conclusion, continued efforts to improve traditional manual disinfection of surfaces are needed. In addition, Environmental Services departments should consider the use of newer disinfectants and no-touch decontamination technologies to improve disinfection of surfaces in healthcare. |
| first_indexed | 2024-04-12T06:48:42Z |
| format | Article |
| id | doaj.art-fd3b9dcb77a94a67b78a387638373ecc |
| institution | Directory Open Access Journal |
| issn | 2047-2994 |
| language | English |
| last_indexed | 2024-04-12T06:48:42Z |
| publishDate | 2016-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Antimicrobial Resistance and Infection Control |
| spelling | doaj.art-fd3b9dcb77a94a67b78a387638373ecc2022-12-22T03:43:26ZengBMCAntimicrobial Resistance and Infection Control2047-29942016-04-015111010.1186/s13756-016-0111-xModern technologies for improving cleaning and disinfection of environmental surfaces in hospitalsJohn M. Boyce0J.M. Boyce Consulting, LLCAbstract Experts agree that careful cleaning and disinfection of environmental surfaces are essential elements of effective infection prevention programs. However, traditional manual cleaning and disinfection practices in hospitals are often suboptimal. This is often due in part to a variety of personnel issues that many Environmental Services departments encounter. Failure to follow manufacturer’s recommendations for disinfectant use and lack of antimicrobial activity of some disinfectants against healthcare-associated pathogens may also affect the efficacy of disinfection practices. Improved hydrogen peroxide-based liquid surface disinfectants and a combination product containing peracetic acid and hydrogen peroxide are effective alternatives to disinfectants currently in widespread use, and electrolyzed water (hypochlorous acid) and cold atmospheric pressure plasma show potential for use in hospitals. Creating “self-disinfecting” surfaces by coating medical equipment with metals such as copper or silver, or applying liquid compounds that have persistent antimicrobial activity surfaces are additional strategies that require further investigation. Newer “no-touch” (automated) decontamination technologies include aerosol and vaporized hydrogen peroxide, mobile devices that emit continuous ultraviolet (UV-C) light, a pulsed-xenon UV light system, and use of high-intensity narrow-spectrum (405 nm) light. These “no-touch” technologies have been shown to reduce bacterial contamination of surfaces. A micro-condensation hydrogen peroxide system has been associated in multiple studies with reductions in healthcare-associated colonization or infection, while there is more limited evidence of infection reduction by the pulsed-xenon system. A recently completed prospective, randomized controlled trial of continuous UV-C light should help determine the extent to which this technology can reduce healthcare-associated colonization and infections. In conclusion, continued efforts to improve traditional manual disinfection of surfaces are needed. In addition, Environmental Services departments should consider the use of newer disinfectants and no-touch decontamination technologies to improve disinfection of surfaces in healthcare.http://link.springer.com/article/10.1186/s13756-016-0111-xDisinfectionDisinfectantsCleaningUltraviolet lightUV-CHydrogen peroxide vapor |
| spellingShingle | John M. Boyce Modern technologies for improving cleaning and disinfection of environmental surfaces in hospitals Antimicrobial Resistance and Infection Control Disinfection Disinfectants Cleaning Ultraviolet light UV-C Hydrogen peroxide vapor |
| title | Modern technologies for improving cleaning and disinfection of environmental surfaces in hospitals |
| title_full | Modern technologies for improving cleaning and disinfection of environmental surfaces in hospitals |
| title_fullStr | Modern technologies for improving cleaning and disinfection of environmental surfaces in hospitals |
| title_full_unstemmed | Modern technologies for improving cleaning and disinfection of environmental surfaces in hospitals |
| title_short | Modern technologies for improving cleaning and disinfection of environmental surfaces in hospitals |
| title_sort | modern technologies for improving cleaning and disinfection of environmental surfaces in hospitals |
| topic | Disinfection Disinfectants Cleaning Ultraviolet light UV-C Hydrogen peroxide vapor |
| url | http://link.springer.com/article/10.1186/s13756-016-0111-x |
| work_keys_str_mv | AT johnmboyce moderntechnologiesforimprovingcleaninganddisinfectionofenvironmentalsurfacesinhospitals |