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Am J Infect Control. 2015 Feb;43(2):141-6. doi: 10.1016/j.ajic.2014.10.016. Epub 2014 Dec 18.

Use of a daily disinfectant cleaner instead of a daily cleaner reduced hospital-acquired infection rates.

Author information

1
St Boniface Research Centre, Winnipeg, MB, Canada; Department of Medical Microbiology, University of Manitoba, Winnipeg, MB, Canada. Electronic address: malfa@sbrc.ca.
2
Department of Medical Microbiology, University of Manitoba, Winnipeg, MB, Canada; St Boniface Hospital, Winnipeg, MB, Canada.
3
St Boniface Research Centre, Winnipeg, MB, Canada.
4
St Boniface Hospital, Winnipeg, MB, Canada.

Abstract

BACKGROUND:

Documenting effective approaches to eliminate environmental reservoirs and reduce the spread of hospital-acquired infections (HAIs) has been difficult. This was a prospective study to determine if hospital-wide implementation of a disinfectant cleaner in a disposable wipe system to replace a cleaner alone could reduce HAIs over 1 year when housekeeping compliance was ≥80%.

METHODS:

In this interrupted time series study, a ready-to-use accelerated hydrogen peroxide disinfectant cleaner in a disposable wipe container system (DCW) was used once per day for all high-touch surfaces in patient care rooms (including isolation rooms) to replace a cleaner only. The HAI rates for methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and Clostridium difficile were stratified by housekeeping cleaning compliance (assessed using ultraviolet-visible marker monitoring).

RESULTS:

When cleaning compliance was ≥80%, there was a significant reduction in cases/10,000 patient days for MRSA (P = .0071), VRE (P < .0001), and C difficile (P = .0005). For any cleaning compliance level there was still a significant reduction in the cases/10,000 patient days for VRE (P = .0358).

CONCLUSION:

Our study data showed that daily use of the DCW applied to patient care high-touch environmental surfaces with a minimum of 80% cleaning compliance was superior to a cleaner alone because it resulted in significantly reduced rates of HAIs caused by C difficile, MRSA, and VRE.

KEYWORDS:

Clostridium difficile; Environmental cleaning; Housekeeping; Methicillin-resistant Staphylococcus aureus; Vancomycin-resistant enterococci

PMID:
25534117
DOI:
10.1016/j.ajic.2014.10.016
[Indexed for MEDLINE]
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