Specialized cleaning associated with antimicrobial coatings for reduction of hospital-acquired infection: opinion of the COST Action Network AMiCI (CA15114).

Autor: Dunne SS; Centre for Interventions in Infection, Inflammation and Immunity (4i) and Graduate Entry Medical School, University of Limerick, Limerick, Ireland., Ahonen M; Faculty of Technology, Satakunta University of Applied Sciences, Rauma, Finland., Modic M; Department of Surface Engineering and Optoelectronics, Jozef Stefan Institute, Ljubljana, Slovenia., Crijns FRL; Department of Bèta Sciences and Technology, Zuyd University of Applied Sciences, Heerlen, The Netherlands., Keinänen-Toivola MM; Faculty of Technology, Satakunta University of Applied Sciences, Rauma, Finland., Meinke R; Department of Infection Control and Prevention, University Hospital Schleswig-Holstein, Lübeck, Germany., Keevil CW; Centre for Biological Sciences, Faculty of Natural and Environmental Sciences, University of Southampton, Southampton, UK., Gray J; Birmingham Children's Hospital, Birmingham, UK., O'Connell NH; Centre for Interventions in Infection, Inflammation and Immunity (4i) and Graduate Entry Medical School, University of Limerick, Limerick, Ireland; Clinical Microbiology, University Hospital Limerick, Dooradoyle, Limerick, Ireland., Dunne CP; Centre for Interventions in Infection, Inflammation and Immunity (4i) and Graduate Entry Medical School, University of Limerick, Limerick, Ireland. Electronic address: colum.dunne@ul.ie.
Jazyk: angličtina
Zdroj: The Journal of hospital infection [J Hosp Infect] 2018 Jul; Vol. 99 (3), pp. 250-255. Date of Electronic Publication: 2018 Mar 14.
DOI: 10.1016/j.jhin.2018.03.006
Abstrakt: Recognized issues with poor hand hygiene compliance among healthcare workers and reports of recontamination of previously chemically disinfected surfaces through hand contact emphasize the need for novel hygiene methods in addition to those currently available. One such approach involves antimicrobial (nano) coatings (AMCs), whereby integrated active ingredients are responsible for elimination of micro-organisms that come into contact with treated surfaces. While widely studied under laboratory conditions with promising results, studies under real-life healthcare conditions are scarce. The views of 75 contributors from 30 European countries were collated regarding specialized cleaning associated with AMCs for reduction of healthcare-associated infection. There was unanimous agreement that generation of scientific guidelines for cleaning of AMCs, using traditional or new processes, is needed. Specific topics included: understanding mechanisms of action of cleaning materials and their physical interactions with conventional coatings and AMCs; that assessments mimic the life cycle of coatings to determine the impact of repetitive cleaning and other aspects of ageing (e.g. exposure to sunlight); determining concentrations of AMC-derived biocides in effluents; and development of effective de-activation and sterilization treatments for cleaning effluents. Further, the consensus opinion was that, prior to widespread implementation of AMCs, there is a need for clarification of the varying responsibilities of involved clinical, healthcare management, cleaning services and environmental safety stakeholders.
(Copyright © 2018 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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