Evaluating the effectiveness of ultraviolet-C lamps for reducing keyboard contamination in the intensive care unit: A longitudinal analysis

作者: Andrew Gostine , David Gostine , Cristina Donohue , Luke Carlstrom

DOI: 10.1016/J.AJIC.2016.06.012

关键词:

摘要: Background Ultraviolet (UV) spectrum light for decontamination of patient care areas is an effective way to reduce transmission infectious pathogens. Our purpose was investigate the efficacy automated UV-C device eliminate bioburden on hospital computer keyboards. Methods The study took place at academic in Chicago, Illinois. Baseline cultures were obtained from keyboards intensive units. Automated lamps installed over and mice those computers. tested varying cycle lengths determine shortest cycles. Delay after use prior initiation varied minimize interruptions. Finally, 218 postinstallation samples analyzed. Results Of 203 baseline samples, 193 (95.1%) positive bacteria, with a median 120 colony forming units (CFU) per keyboard. There numerous bacteria linked health care–associated infections (HAIs), including Staphylococcus , Streptococcus Enterococcus Pseudomonas Pasteurella Klebsiella Acinetobacter Enterobacter . keyboards, 25 (12.3%) had gram-negative species. 205 (94%) sterile. 13 that showed bacterial growth, 6 produced single CFU. Comparison pre- post-UV CFU values (120 0, respectively) revealed >99% reduction bacteria. Conclusions UV lamp effectively decontaminates minimal interruption low exposure. Further studies are required HAI these devices.

参考文章(29)
S. Nseir, C. Blazejewski, R. Lubret, F. Wallet, R. Courcol, A. Durocher, Risk of acquiring multidrug-resistant Gram-negative bacilli from prior room occupants in the intensive care unit Clinical Microbiology and Infection. ,vol. 17, pp. 1201- 1208 ,(2011) , 10.1111/J.1469-0691.2010.03420.X
Axel Kramer, Ingeborg Schwebke, Günter Kampf, How long do nosocomial pathogens persist on inanimate surfaces? A systematic review BMC Infectious Diseases. ,vol. 6, pp. 130- 130 ,(2006) , 10.1186/1471-2334-6-130
Philippe Hartemann, Peter Oltmanns, Manfred Rotter, Jürgen Gebel, Martin Exner, Jean-Yves Maillard, Gary French, Axel Kramer, Hans-Günther Sonntag, Peter Goroncy-Bermes, Stefanie Gemein, Ursel Heudorf, Bärbel Christiansen, Yves Chartier, The role of surface disinfection in infection prevention. GMS Hygiene and Infection Control. ,vol. 8, ,(2013) , 10.3205/DGKH000210
Janet P. Haas, Jonathan Menz, Stephen Dusza, Marisa A. Montecalvo, Implementation and impact of ultraviolet environmental disinfection in an acute care setting. American Journal of Infection Control. ,vol. 42, pp. 586- 590 ,(2014) , 10.1016/J.AJIC.2013.12.013
Adam L Cohen, David Calfee, Scott K Fridkin, Susan S Huang, John A Jernigan, Ebbing Lautenbach, Shannon Oriola, Keith M Ramsey, Cassandra D Salgado, Robert A Weinstein, Society for Healthcare Epidemiology of America, Healthcare Infection Control Practices Advisory Committee, None, Recommendations for Metrics for Multidrug-Resistant Organisms in Healthcare Settings: SHEA/HICPAC Position Paper Infection Control and Hospital Epidemiology. ,vol. 29, pp. 901- 913 ,(2008) , 10.1086/591741
Pesus Chou, Yin-Yin Chen, Yi-Chang Chou, Impact of Nosocomial Infection on Cost of Illness and Length of Stay in Intensive Care Units Infection Control and Hospital Epidemiology. ,vol. 26, pp. 281- 287 ,(2005) , 10.1086/502540
David J. Weber, William A. Rutala, Role of environmental contamination in the transmission of vancomycin-resistant enterococci. Infection Control and Hospital Epidemiology. ,vol. 18, pp. 306- 309 ,(1997) , 10.2307/30141222
M. Catalano, L.S. Quelle, P.E. Jeric, A. Di Martino, S.M. Maimone, Survival of Acinetobacter baumannii on bed rails during an outbreak and during sporadic cases Journal of Hospital Infection. ,vol. 42, pp. 27- 35 ,(1999) , 10.1053/JHIN.1998.0535
Chetan Jinadatha, Ricardo Quezada, Thomas W Huber, Jason B Williams, John E Zeber, Laurel A Copeland, Evaluation of a pulsed-xenon ultraviolet room disinfection device for impact on contamination levels of methicillin-resistant Staphylococcus aureus BMC Infectious Diseases. ,vol. 14, pp. 187- 187 ,(2014) , 10.1186/1471-2334-14-187
Jonathan A. Otter, Saber Yezli, James A.G. Salkeld, Gary L. French, Evidence that contaminated surfaces contribute to the transmission of hospital pathogens and an overview of strategies to address contaminated surfaces in hospital settings American Journal of Infection Control. ,vol. 41, pp. S6- S11 ,(2013) , 10.1016/J.AJIC.2012.12.004