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Long-acting water-stable organosilane agent and its sustained effect on reducing microbial load in an intensive care unit
Contaminated hospital surfaces contribute significantly to the transmission of health care-associated infections. Although disinfectants reduce bioburden by up to 99%, bacterial growth can rebound within hours to precleaning levels. We tested the effectiveness of an innovative, long-acting water-sta...
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Published in: | American journal of infection control 2017-11, Vol.45 (11), p.1214-1217 |
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creator | Fitton, Katie Barber, Kimberly R. Karamon, Alison Zuehlke, Nate Atwell, Sara Enright, Susan |
description | Contaminated hospital surfaces contribute significantly to the transmission of health care-associated infections. Although disinfectants reduce bioburden by up to 99%, bacterial growth can rebound within hours to precleaning levels. We tested the effectiveness of an innovative, long-acting water-stable organosilane (WSO) to achieve sustained decreases in bioburden on hard surfaces.
A 5-month prospective, randomized, double-blind controlled study was performed. Eighteen intensive care unit rooms were randomly divided into placebo or treatment groups. Hard surfaces in all rooms were cleaned using the same protocol, except the placebo surfaces were cleaned with an inert saline solution and the treatment surfaces were treated with the WSO. Binomial regression with repeated measures were used to assess mean reductions in total bioburden as measured by colony forming units.
The placebo resulted in average reductions in total colony forming units of 35% to 40% (relative risk reduction [RRR], 0.65; P |
doi_str_mv | 10.1016/j.ajic.2017.06.014 |
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A 5-month prospective, randomized, double-blind controlled study was performed. Eighteen intensive care unit rooms were randomly divided into placebo or treatment groups. Hard surfaces in all rooms were cleaned using the same protocol, except the placebo surfaces were cleaned with an inert saline solution and the treatment surfaces were treated with the WSO. Binomial regression with repeated measures were used to assess mean reductions in total bioburden as measured by colony forming units.
The placebo resulted in average reductions in total colony forming units of 35% to 40% (relative risk reduction [RRR], 0.65; P < .01) and the WSO group averaged reductions of colony forming units by 66% to 99% (RRR, 0.55; P < .001). Total Staphylococcus aureus increased among the placebo rooms 30% (RRR, 0.69; P < .001), whereas in treatment rooms there was a reduction of 50%-60% (RRR, 0.57; P < .01). Although both sets of rooms saw reductions in bioburden or colony forming units, application of the WSO resulted in larger reductions. There was also greater variability in reductions in the placebo arm.
This is the first randomized, double-blind controlled study of an innovative WSO on high-touch hard surfaces at risk for high bioburdens. Sustained reductions of bioburden with the monthly application of this unique WSO may be associated with significant reductions in the risk of health care-associated infections.</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2017.06.014</identifier><identifier>PMID: 28732741</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Bacterial Load ; Colony Count, Microbial ; Cross Infection - prevention & control ; Disinfectants - therapeutic use ; Double-Blind Method ; Environmental services ; Environmental stewardship ; HAI ; High-touch surfaces ; Humans ; Intensive Care Units - standards ; Staphylococcus - growth & development</subject><ispartof>American journal of infection control, 2017-11, Vol.45 (11), p.1214-1217</ispartof><rights>2017 Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-c332bc99c1fec6f4f0e402a769db01908d20329fd60d4f7ceeae68da146937ae3</citedby><cites>FETCH-LOGICAL-c356t-c332bc99c1fec6f4f0e402a769db01908d20329fd60d4f7ceeae68da146937ae3</cites><orcidid>0000-0002-8577-2426 ; 0000-0001-9796-7960</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28732741$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fitton, Katie</creatorcontrib><creatorcontrib>Barber, Kimberly R.</creatorcontrib><creatorcontrib>Karamon, Alison</creatorcontrib><creatorcontrib>Zuehlke, Nate</creatorcontrib><creatorcontrib>Atwell, Sara</creatorcontrib><creatorcontrib>Enright, Susan</creatorcontrib><title>Long-acting water-stable organosilane agent and its sustained effect on reducing microbial load in an intensive care unit</title><title>American journal of infection control</title><addtitle>Am J Infect Control</addtitle><description>Contaminated hospital surfaces contribute significantly to the transmission of health care-associated infections. Although disinfectants reduce bioburden by up to 99%, bacterial growth can rebound within hours to precleaning levels. We tested the effectiveness of an innovative, long-acting water-stable organosilane (WSO) to achieve sustained decreases in bioburden on hard surfaces.
A 5-month prospective, randomized, double-blind controlled study was performed. Eighteen intensive care unit rooms were randomly divided into placebo or treatment groups. Hard surfaces in all rooms were cleaned using the same protocol, except the placebo surfaces were cleaned with an inert saline solution and the treatment surfaces were treated with the WSO. Binomial regression with repeated measures were used to assess mean reductions in total bioburden as measured by colony forming units.
The placebo resulted in average reductions in total colony forming units of 35% to 40% (relative risk reduction [RRR], 0.65; P < .01) and the WSO group averaged reductions of colony forming units by 66% to 99% (RRR, 0.55; P < .001). Total Staphylococcus aureus increased among the placebo rooms 30% (RRR, 0.69; P < .001), whereas in treatment rooms there was a reduction of 50%-60% (RRR, 0.57; P < .01). Although both sets of rooms saw reductions in bioburden or colony forming units, application of the WSO resulted in larger reductions. There was also greater variability in reductions in the placebo arm.
This is the first randomized, double-blind controlled study of an innovative WSO on high-touch hard surfaces at risk for high bioburdens. Sustained reductions of bioburden with the monthly application of this unique WSO may be associated with significant reductions in the risk of health care-associated infections.</description><subject>Bacterial Load</subject><subject>Colony Count, Microbial</subject><subject>Cross Infection - prevention & control</subject><subject>Disinfectants - therapeutic use</subject><subject>Double-Blind Method</subject><subject>Environmental services</subject><subject>Environmental stewardship</subject><subject>HAI</subject><subject>High-touch surfaces</subject><subject>Humans</subject><subject>Intensive Care Units - standards</subject><subject>Staphylococcus - growth & development</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kMFu3CAURVGVqpmk_YEuKpbZ2H2AjQcpmyhK20gjddOuEYbnESMPJIAT5e-LNUmW3Tw25150DyFfGbQMmPx-aM3B25YDG1qQLbDuA9mwng-N4EqekQ0wJRvZ9-KcXOR8AAAlZP-JnPPtIPjQsQ152cWwb4wtPuzpsymYmlzMOCONaW9CzH42AanZYyjUBEd9yTQvlfEBHcVpQltoDDShW-xacvQ2xdGbmc7RVD7UWL0FQ_ZPSK1JSJfgy2fycTJzxi-v7yX5--Puz-2vZvf75_3tza6xopelXsFHq5Rl9Sc5dRNgB9wMUrmx7oOt41DnTk6C66bBIhqUW2dYJ5UYDIpLcnXqfUjxccFc9NFni_O6Ky5ZM8V5D1uhZEX5Ca0Lck446Yfkjya9aAZ6Va4PelWuV-UapK7Ka-jba_8yHtG9R94cV-D6BGBd-eQx6Ww9BovOpypPu-j_1_8PK-iUbw</recordid><startdate>20171101</startdate><enddate>20171101</enddate><creator>Fitton, Katie</creator><creator>Barber, Kimberly R.</creator><creator>Karamon, Alison</creator><creator>Zuehlke, Nate</creator><creator>Atwell, Sara</creator><creator>Enright, Susan</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8577-2426</orcidid><orcidid>https://orcid.org/0000-0001-9796-7960</orcidid></search><sort><creationdate>20171101</creationdate><title>Long-acting water-stable organosilane agent and its sustained effect on reducing microbial load in an intensive care unit</title><author>Fitton, Katie ; Barber, Kimberly R. ; Karamon, Alison ; Zuehlke, Nate ; Atwell, Sara ; Enright, Susan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-c332bc99c1fec6f4f0e402a769db01908d20329fd60d4f7ceeae68da146937ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Bacterial Load</topic><topic>Colony Count, Microbial</topic><topic>Cross Infection - prevention & control</topic><topic>Disinfectants - therapeutic use</topic><topic>Double-Blind Method</topic><topic>Environmental services</topic><topic>Environmental stewardship</topic><topic>HAI</topic><topic>High-touch surfaces</topic><topic>Humans</topic><topic>Intensive Care Units - standards</topic><topic>Staphylococcus - growth & development</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fitton, Katie</creatorcontrib><creatorcontrib>Barber, Kimberly R.</creatorcontrib><creatorcontrib>Karamon, Alison</creatorcontrib><creatorcontrib>Zuehlke, Nate</creatorcontrib><creatorcontrib>Atwell, Sara</creatorcontrib><creatorcontrib>Enright, Susan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fitton, Katie</au><au>Barber, Kimberly R.</au><au>Karamon, Alison</au><au>Zuehlke, Nate</au><au>Atwell, Sara</au><au>Enright, Susan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-acting water-stable organosilane agent and its sustained effect on reducing microbial load in an intensive care unit</atitle><jtitle>American journal of infection control</jtitle><addtitle>Am J Infect Control</addtitle><date>2017-11-01</date><risdate>2017</risdate><volume>45</volume><issue>11</issue><spage>1214</spage><epage>1217</epage><pages>1214-1217</pages><issn>0196-6553</issn><eissn>1527-3296</eissn><abstract>Contaminated hospital surfaces contribute significantly to the transmission of health care-associated infections. Although disinfectants reduce bioburden by up to 99%, bacterial growth can rebound within hours to precleaning levels. We tested the effectiveness of an innovative, long-acting water-stable organosilane (WSO) to achieve sustained decreases in bioburden on hard surfaces.
A 5-month prospective, randomized, double-blind controlled study was performed. Eighteen intensive care unit rooms were randomly divided into placebo or treatment groups. Hard surfaces in all rooms were cleaned using the same protocol, except the placebo surfaces were cleaned with an inert saline solution and the treatment surfaces were treated with the WSO. Binomial regression with repeated measures were used to assess mean reductions in total bioburden as measured by colony forming units.
The placebo resulted in average reductions in total colony forming units of 35% to 40% (relative risk reduction [RRR], 0.65; P < .01) and the WSO group averaged reductions of colony forming units by 66% to 99% (RRR, 0.55; P < .001). Total Staphylococcus aureus increased among the placebo rooms 30% (RRR, 0.69; P < .001), whereas in treatment rooms there was a reduction of 50%-60% (RRR, 0.57; P < .01). Although both sets of rooms saw reductions in bioburden or colony forming units, application of the WSO resulted in larger reductions. There was also greater variability in reductions in the placebo arm.
This is the first randomized, double-blind controlled study of an innovative WSO on high-touch hard surfaces at risk for high bioburdens. Sustained reductions of bioburden with the monthly application of this unique WSO may be associated with significant reductions in the risk of health care-associated infections.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28732741</pmid><doi>10.1016/j.ajic.2017.06.014</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-8577-2426</orcidid><orcidid>https://orcid.org/0000-0001-9796-7960</orcidid></addata></record> |
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subjects | Bacterial Load Colony Count, Microbial Cross Infection - prevention & control Disinfectants - therapeutic use Double-Blind Method Environmental services Environmental stewardship HAI High-touch surfaces Humans Intensive Care Units - standards Staphylococcus - growth & development |
title | Long-acting water-stable organosilane agent and its sustained effect on reducing microbial load in an intensive care unit |
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