Nelson Nicole M, Aceto Anna, West Gordon F
Department of Nursing, Madigan Army Medical Center, Tacoma, WA, United States.
Infect Prev Pract. 2023 Jun 13;5(3):100291. doi: 10.1016/j.infpip.2023.100291. eCollection 2023 Sep.
Cloth privacy curtains represent a potentially overlooked high touch surface. Inconsistent cleaning schedules paired with frequent contact allow curtains to provide a surface for the transmission of healthcare associated pathogens. Privacy curtains integrated with antimicrobial and sporicidal agents are shown to reduce the number of bacteria found on the surface of the curtains. The purpose of this initiative is to utilize antimicrobial and sporicidal privacy curtains to mitigate the transmission of healthcare associated pathogens from curtains to patients.
The pre/post-test study design compared the bacterial and sporicidal burden of cloth curtains to the bacterial and sporicidal burden of Endurocide curtains following 20-weeks of use within the inpatient setting of a large military medical hospital. The Endurocide curtains were installed on two inpatient units in the organization. We also compared the overall costs associated with the two different types of curtains.
The antimicrobial and sporicidal curtains had a significant reduction in bacterial contamination (32.6 CFUs vs 0.56 CFUs, < 0.05) after instillation on both units. There were no additional hospital associated infections during the study period. In addition, the direct cost savings of replacing the antimicrobial and sporicidal curtains is estimated to be $20,079.38 annually with a reduction of 66.95 hours in environmental services workload.
These curtains represent a cost-effective intervention effective at reducing CFUs with the potential to mitigate the transmission of hospital associated pathogens to patients.
布质隐私帘是一个可能被忽视的高接触表面。清洁计划不一致且接触频繁,使得帘子成为医疗相关病原体传播的一个载体。含有抗菌和杀孢子剂的隐私帘可减少帘子表面发现的细菌数量。本项目的目的是利用含抗菌和杀孢子剂的隐私帘来减轻医疗相关病原体从帘子向患者的传播。
在一家大型军队医院的住院部使用20周后,采用前后测试研究设计,比较布帘与Endurocide帘的细菌和杀孢子负荷。Endurocide帘安装在该机构的两个住院单元。我们还比较了两种不同类型帘子的总体成本。
在两个单元安装含抗菌和杀孢子剂的帘子后,细菌污染显著减少(32.6菌落形成单位对0.56菌落形成单位,<0.05)。研究期间没有额外的医院相关感染。此外,更换含抗菌和杀孢子剂的帘子每年直接节省成本估计为20,079.38美元,环境服务工作量减少66.95小时。
这些帘子是一种具有成本效益的干预措施,能有效减少菌落形成单位,有可能减轻医院相关病原体向患者的传播。