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Int J Environ Res Public Health. 2017 Mar 31;14(4). pii: E366. doi: 10.3390/ijerph14040366.

Proactive Approach for Safe Use of Antimicrobial Coatings in Healthcare Settings: Opinion of the COST Action Network AMiCI.

Author information

1
Faculty of Technology, Satakunta University of Applied Sciences, P.O. Box 211, FI-26101 Rauma, Finland. merja.ahonen@samk.fi.
2
Laboratory of Environmental Toxicology, National Institute of Chemical Physics and Biophysics, Akadeemia tee 23, Tallinn 12618, Estonia. anne.kahru@kbfi.ee.
3
Estonian Academy of Sciences, Kohtu 6, Tallinn 10130, Estonia. anne.kahru@kbfi.ee.
4
Laboratory of Environmental Toxicology, National Institute of Chemical Physics and Biophysics, Akadeemia tee 23, Tallinn 12618, Estonia. angela.ivask@kbfi.ee.
5
Laboratory of Environmental Toxicology, National Institute of Chemical Physics and Biophysics, Akadeemia tee 23, Tallinn 12618, Estonia. kaja.kasemets@kbfi.ee.
6
Department of Microbiology, Institute of Biomedicine and Translational Medicine, University of Tartu, Ravila 19, Tartu 50411, Estonia. siiri.koljalg@kliinikum.ee.
7
Department of Earth and Environmental Sciences, Research Centre POLARIS, University of Milano-Bicocca, 1 Piazza della Scienza, 20126 Milan, Italy. paride.mantecca@unimib.it.
8
Institute for Medical Research and Occupational Health, Ksaverska cesta 2, Zagreb 10000, Croatia. ivinkovic@imi.hr.
9
Faculty of Technology, Satakunta University of Applied Sciences, P.O. Box 211, FI-26101 Rauma, Finland. minna.keinanen-toivola@samk.fi.
10
Department Bèta Sciences and Technology, Zuyd University of Applied Sciences, P.O. Box 550, 6400 AN Heerlen, The Netherlands. francy.crijns@zuyd.nl.

Abstract

Infections and infectious diseases are considered a major challenge to human health in healthcare units worldwide. This opinion paper was initiated by EU COST Action network AMiCI (AntiMicrobial Coating Innovations) and focuses on scientific information essential for weighing the risks and benefits of antimicrobial surfaces in healthcare settings. Particular attention is drawn on nanomaterial-based antimicrobial surfaces in frequently-touched areas in healthcare settings and the potential of these nano-enabled coatings to induce (eco)toxicological hazard and antimicrobial resistance. Possibilities to minimize those risks e.g., at the level of safe-by-design are demonstrated.

KEYWORDS:

antimicrobial resistance; copper; ecotoxicity; healthcare associated infections; nanomaterials; risk-benefit analysis; safety; silver

PMID:
28362344
PMCID:
PMC5409567
DOI:
10.3390/ijerph14040366
[Indexed for MEDLINE]
Free PMC Article

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