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Open Access 01-12-2017 | Letter

No-touch methods of terminal cleaning in the intensive care unit: results from the first large randomized trial with patient-centred outcomes

Authors: Vincenzo Russotto, Andrea Cortegiani, Pasquale Iozzo, Santi Maurizio Raineri, Cesare Gregoretti, Antonino Giarratano

Published in: Critical Care | Issue 1/2017

Excerpt

Environmental contamination may play a major role in intensive care unit (ICU)-acquired infections, despite current terminal cleaning standards [1]. Anderson et al. [2] recently performed the first large randomized trial investigating a no-touch method of terminal cleaning with a patient-centred outcome, and provided more robust data on the role of environmental contamination for healthcare-associated infections. The authors evaluated three different enhanced terminal disinfection methods (ultraviolet, UV light, UV light plus bleach, and bleach) compared to the reference standard for prevention of transmission of multidrug resistant organisms (MDROs) and Clostridium difficile to patients exposed to a room whose prior occupant was either colonized or infected with a MDRO. …

Russotto V, Cortegiani A, Raineri SM, Giarratano A. Bacterial contamination of inanimate surfaces and equipment in the intensive care unit. J Intensive Care. 2015;3:54.CrossRefPubMedPubMedCentral

Anderson DJ, Chen LF, Weber DJ, Moehring RW, Lewis SS, Triplett PF, Blocker M, Becherer P, Schwab JC, Knelson LP, et al. Enhanced terminal room disinfection and acquisition and infection caused by multidrug-resistant organisms and Clostridium difficile (the Benefits of Enhanced Terminal Room Disinfection study): a cluster-randomised, multicentre, crossover study. Lancet (London, England). 2017;389(10071):805–14.CrossRef

Nerandzic MM, Cadnum JL, Pultz MJ, Donskey CJ. Evaluation of an automated ultraviolet radiation device for decontamination of Clostridium difficile and other healthcare-associated pathogens in hospital rooms. BMC Infect Dis. 2010;10:197.CrossRefPubMedPubMedCentral

Cortegiani A, Russotto V, Graziano G, Geraci D, Saporito L, Cocorullo G, Raineri SM, Mammina C, Giarratano A. Use of Cepheid Xpert Carba-R(R) for rapid detection of carbapenemase-producing bacteria in abdominal septic patients admitted to intensive care unit. PLoS One. 2016;11(8):e0160643.CrossRefPubMedPubMedCentral

Russotto V, Cortegiani A, Raineri SM, Iozzo P, Gregoretti C, Giarratano A. What is the risk of acquiring bacteria from prior intensive care unit bed occupants? Crit Care. 2017;21(1):55.CrossRefPubMedPubMedCentral

Title: No-touch methods of terminal cleaning in the intensive care unit: results from the first large randomized trial with patient-centred outcomes
Authors: Vincenzo Russotto
Andrea Cortegiani
Pasquale Iozzo
Santi Maurizio Raineri
Cesare Gregoretti
Antonino Giarratano
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Critical Care / Issue 1/2017
Electronic ISSN: 1364-8535
DOI: https://doi.org/10.1186/s13054-017-1705-2

At a glance: The STEP trials

Springer Medicine

No-touch methods of terminal cleaning in the intensive care unit: results from the first large randomized trial with patient-centred outcomes

Excerpt

At a glance: The STEP trials

Springer Medicine

Excerpt

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