A trial of pulsed xenon ultraviolet disinfection to reduce Clostridioides difficile infection
| Autor: | Larry Nation, Carla Folkert, Michel Benz, Priya Sampathkumar, Jean E. Barth, Kathryn W. Zaveleta, Catherine L. Mielke Ms, Allison Hesse |
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| Rok vydání: | 2018 |
| Předmět: |
Bone marrow transplant
Xenon Non-Randomized Controlled Trials as Topic Epidemiology Ultraviolet Rays Teaching hospital Midwestern United States 03 medical and health sciences 0302 clinical medicine Environmental cleaning Medicine Humans 030212 general & internal medicine Terminal cleaning Uv disinfection Hospitals Teaching Patient discharge 0303 health sciences Cross Infection 030306 microbiology business.industry Clostridioides difficile Health Policy Public Health Environmental and Occupational Health Housekeeping Hospital Clostridium difficile Disinfection Infectious Diseases Anesthesia Clostridium Infections business Clostridioides |
| Zdroj: | American journal of infection control. 47(4) |
| ISSN: | 1527-3296 |
| Popis: | Background An intervention was designed to test whether the addition of an ultraviolet (UV) disinfection step after terminal cleaning would be helpful in reducing Clostridium difficile infection (CDI) rates in a real-world situation. Methods This study was a quasi-experimental design using 3 units as intervention units for the intervention and 3 similar units as control units. Intervention units 2 hematology and bone marrow transplant units and one medical-surgical unit at a large teaching hospital in the Midwest. UV disinfection was added after patient discharge and terminal cleaning in the intervention units. Results At baseline, CDI rates in the intervention and control arms were similar. During the 6 months of UV disinfection, the CDI rate in the intervention units decreased to 11.2 per 10,000 patient days, compared with 28.7 per 10,000 patient days in the control units (P = .03). In addition, the intervention units also saw a reduction in vancomycin-resistant enterococci acquisition. Conclusions The addition of UV disinfection to the terminal cleaning resulted in a reduction in CDI that has been sustained over several months 2 years. |
| Databáze: | OpenAIRE |
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