Director of Infection Prevention and Control, Sunrise Hospital and Medical Center, Las Vegas, NV.
Emeritus Professor of Surgery, Medical College of Wisconsin, Wauwatosa, WI.
Am J Infect Control. 2021 Aug;49(8):985-990. doi: 10.1016/j.ajic.2021.03.004. Epub 2021 Mar 15.
Standard manual cleaning and disinfection practices are often inadequate. Persistent contamination in the environment poses an infection risk that may be mitigated by no-touch disinfection systems. This study evaluates the efficacy of dry hydrogen peroxide (DHP) on microbial air and surface contamination as an adjunct to routine cleaning and disinfection in a large urban hospital.
Surface samples were collected in five different hospital units, two pediatric and three adult, after manual cleaning on multiple days before and after DHP implementation. Air samples were also collected in each unit pre- and post-DHP use. Data outcomes were reported as colony forming units (CFU) with species identification.
The overall mean surface microbial burden was reduced by 96.5 percent for all units post-DHP compared to baseline (P < 0.001), with the greatest reductions achieved on privacy curtains (99.5 %). Mean microbial air sample counts were also reduced post-DHP compared to pre-DHP.
This study demonstrates that DHP was effective in reducing both air and surface microbial contamination in a variety of settings within a large, tertiary care hospital.
标准的手动清洁和消毒措施往往不够充分。环境中持续存在的污染会带来感染风险,而无接触式消毒系统可能会降低这种风险。本研究评估了在一家大型城市医院中,作为常规清洁和消毒的辅助手段,使用干式过氧化氢(DHP)对微生物空气和表面污染的效果。
在实施 DHP 前后的多天内,对五个不同的医院区域(两个儿科区域和三个成人区域)进行手动清洁后,采集表面样本。在使用 DHP 前后,还在每个区域采集空气样本。数据结果以具有物种鉴定的菌落形成单位(CFU)报告。
与基线相比,所有区域在使用 DHP 后表面微生物负担总体减少了 96.5%(P < 0.001),隐私窗帘的减少幅度最大(99.5%)。与使用 DHP 前相比,空气样本中的微生物数量也有所减少。
本研究表明,DHP 可有效降低大型三级保健医院中各种环境下的空气和表面微生物污染。