Kopp Jennifer, Cawcutt Kelly A, Musil Lauren, Huang Xiaofan, Minard Charles G, Hetland Breanna
Cardiovascular Intensive Care Unit, Nebraska Medicine, Omaha, NE, United States; School of Health Professions, Nurse Anesthesia, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, United States.
Division of Infectious Diseases, University of Nebraska Medical Center, Omaha, NE, United States.
Am J Infect Control. 2023 Jan;51(1):35-40. doi: 10.1016/j.ajic.2022.04.013. Epub 2022 May 13.
Current literature identifies mobile phones of staff as potential vectors for hospital-acquired infection.
A pre-post, quasi-experimental study was conducted in a 20 bed intensive care unit (ICU). Surface bioburden of personal and shared mobile phones was estimated with a luminometer, expressed in Relative Light Units (RLU). Effects of a simple sanitizing wipe-based disinfection routine were measured at baseline, and at 1, 3, 6, and 12 months after implementation of the disinfection routine.
Personal mobile phones and shared phones of 30 on-shift ICU nurses were analyzed at each collection. RLUs for personal phones decreased from baseline to 12 months post-intervention (Geometric mean 497.1 vs 63.36 RLU; adj P < .001), while shared unit phones also demonstrated a decrease from baseline to 12 months post-intervention (Geometric mean 417.4 vs 45.90 RLU; adj P < .001).
No recommended practice yet exists for disinfection of mobile phones in the acute care setting. The disinfection method and routine used in this study may have implications for use in acute care settings to reduce opportunities for infectious disease transmission.
当前文献指出,医护人员的手机是医院获得性感染的潜在传播媒介。
在一个拥有20张床位的重症监护病房(ICU)进行了一项前后对照的准实验研究。使用光度计估算个人手机和共用手机的表面生物负荷,以相对光单位(RLU)表示。在基线时以及消毒程序实施后的1、3、6和12个月测量基于简单消毒擦拭的消毒程序的效果。
每次收集时分析30名当班ICU护士的个人手机和共用手机。个人手机的RLU从基线下降到干预后12个月(几何平均数497.1对63.36 RLU;校正P <.001),而科室共用手机从基线到干预后12个月也有所下降(几何平均数417.4对45.90 RLU;校正P <.001)。
在急性护理环境中,目前尚无推荐的手机消毒方法。本研究中使用的消毒方法和程序可能对急性护理环境中的应用有启示,以减少传染病传播的机会。