Wiping out MRSA: effect of introducing a universal disinfection wipe in a large UK teaching hospital View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-12

AUTHORS

Mark I. Garvey, Martyn A. C. Wilkinson, Craig W. Bradley, Kerry L. Holden, Elisabeth Holden

ABSTRACT

Background: Contamination of the inanimate environment around patients constitutes an important reservoir of MRSA. Here we describe the effect of introducing a universal disinfection wipe in all wards on the rates of MRSA acquisitions and bacteraemias across a large UK teaching hospital. Methods: A segmented Poisson regression model was used to detect any significant changes in the monthly numbers per 100,000 bed days of MRSA acquisitions and bacteraemias from April 2013 - December 2017 across QEHB. Results: From April 2013 to April 2016, cleaning of ward areas and multi-use patient equipment by nursing staff consisted of a two-wipe system. Firstly, a detergent wipe was used, which was followed by a disinfection step using an alcohol wipe. In May 2016, QEHB discontinued the use of a two-wipe system for cleaning and changed to a one wipe system utilising a combined cleaning and disinfection wipe containing a quaternary ammonium compound. The segmented Poisson regression model demonstrated that the rate of MRSA acquisition/100,000 patient bed days was affected by the introduction of the new wiping regime (20.7 to 9.4 per 100,000 patient bed days; p <0.005). Discussion: Using a Poisson model we demonstrated that the average hospital acquisition rate of MRSA/100,000 patient bed days reduced by 6.3% per month after the introduction of the new universal wipe. Conclusion: We suggest that using a simple one wipe system for nurse cleaning is an effective strategy to reduce the spread and incidence of healthcare associated MRSA. More... »

PAGES

155

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s13756-018-0445-7

DOI

http://dx.doi.org/10.1186/s13756-018-0445-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1110759581

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30574298


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