Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, Brazil.
Global Health and Tropical Medicine, Institute of Hygiene and Tropical Medicine, New University of Lisbon, Lisbon, Portugal.
Front Public Health. 2023 May 11;11:1130829. doi: 10.3389/fpubh.2023.1130829. eCollection 2023.
Antimicrobial textiles have proved to be a promising biosafety strategy. Thus, the current study was focused on identifying which antimicrobial substances impregnated in textiles used in healthcare services confer efficacy in reducing the microbial load present in these textiles and/or the Healthcare-Associated Infection (HAI) rates, when compared to conventional textiles.
A systematic review of intervention studies using MEDLINE the PubMed portal, EMBASE, CINAHL, Web of Science, Scopus, Google Scholar and medRxiv. The studies identified were selected according to eligibility criteria and submitted to data extraction and methodological quality evaluation through Joanna Briggs Institute specific tools. The outcomes were synthesized qualitatively.
23 studies were selected to comprise the final sample, in which antimicrobial textiles were used by hospitalized patients, by health professionals during work shifts and in inanimate healthcare environments.
Copper, silver, zinc oxide, titanium and silver-doped titanium impregnated in textiles used by patients confer efficacy in reducing the microbial load of these textiles and/or the HAI rates. Quaternary ammonium, chlorhexidine, silver and copper together, quaternary ammonium, alcohols and isothiazolone derivatives together, chitosan and dimethylol dimethyl hydantoin together, all impregnated in textiles used by health professionals confer efficacy in reducing the microbial load of these textiles. Quaternary ammonium impregnated in textiles used in inanimate healthcare environments confers efficacy in reducing the microbial load of these textiles.
抗菌纺织品已被证明是一种有前途的生物安全策略。因此，本研究旨在确定与传统纺织品相比，哪些抗菌物质浸渍在医疗保健服务中使用的纺织品中，能有效降低这些纺织品和/或医疗保健相关感染（HAI）率的微生物负荷。
使用 MEDLINE（PubMed 门户）、EMBASE、CINAHL、Web of Science、Scopus、Google Scholar 和 medRxiv 对干预研究进行系统综述。根据纳入标准选择研究，并通过 Joanna Briggs 研究所的特定工具进行数据提取和方法学质量评估。结果进行定性综合。
共选择了 23 项研究纳入最终样本，其中抗菌纺织品用于住院患者、卫生专业人员轮班期间和无生命的医疗保健环境中。
铜、银、氧化锌、钛和掺银钛浸渍在患者使用的纺织品中，可有效降低这些纺织品的微生物负荷和/或 HAI 率。季铵盐、洗必泰、银和铜一起、季铵盐、醇和异噻唑啉酮衍生物一起、壳聚糖和二羟甲基二氢尿嘧啶一起，都浸渍在卫生专业人员使用的纺织品中，可有效降低这些纺织品的微生物负荷。季铵盐浸渍在无生命的医疗保健环境中的纺织品可有效降低这些纺织品的微生物负荷。
