- •The persistence of multidrug-resistant organisms (MDROs) within intensive care units poses a significant risk to patient safety.
- •A new approach to locating these MDRO was investigated using environmental microbiology with adenosine triphosphate testing, which demonstrated a significant improvement in identification of MDRO locations.
- •Results suggests that MDRO may be hiding within clinical staff work areas and away from immediate patient zones.
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- Epic 3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England.J Hosp Infect. 2014; 86: S1-S70
- Presence of biofilm containing viable multi-resistant organisms despite terminal cleaning on clinical surfaces in an intensive care unit.J Hosp Infect. 2012; 80: 52-55
- Hospital cleanliness: establishing a new science.J Hosp Infect. 2012; 80: 355
- Pattern of bacterial colonisation in a new neonatal intensive care unit and its association with infections in infants.Am J Infect Control. 2012; 40: 512-515
- Interventional evaluation of environmental contamination by vancomycin-resistant enterococci: failure of personnel, product or procedure?.J Hosp Infect. 2009; 71: 123-131
- Dissemination of antibiotic-resistant enterococci within the ward environment: the role of airborne bacteria and the risk posed by unrecognized carriers.Am J Infect Control. 2013; 41: 57-60
- Acquisition of nosocomial pathogens on hands after contact with environmental surfaces near hospitalized patients.Infect Control Hosp Epidemiol. 2004; 25: 164-167
- The type, level and distribution of microorganisms within the ward environment: a zonal analysis of an intensive care unit and a gastrointestinal surgical ward.Infect Control Hosp Epidemiol. 2013; 34: 500-506
- Sickbert-Bennett EE, Weber DJ. Microbial assessment of high-, medium-, and low-touch hospital room surfaces.Infect Control Hosp Epidemiol. 2013; 34: 211-212
- Cleanliness audit of clinical surfaces and equipment: who cleans what?.J Hosp Infect. 2011; 78: 178-181
- What may be lurking in the hospital undergrowth? Inapparent cross-transmission of extended-spectrum beta-lactamase–producing Klebsiella pneumoniae.J Hosp Infect. 2014; 88: 156-161
- Search and you will find: detecting extended-spectrum ß-lactamase–producing Klebsiella pneumoniae from a patient's immediate environment.Infect Control Hosp Epidemiol. 2013; 34: 534-536
- An evaluation of hospital cleaning regimes and standards.J Hosp Infect. 2000; 45: 19-28
- Evaluation of ATP bioluminescence assays for potential use in a hospital setting.Infect Control Hosp Epidemiol. 2011; 32: 507-509
- The comparative performance of three brands of portable ATP-bioluminometer intended for use in hospital infection control.Healthcare Infect. 2012; 17: 91-97
- Validation and comparison of three adenosine triphosphate luminometers for monitoring hospital surface sanitization: a Rosetta stone for adenosine triphosphate testing.Am J Infect Control. 2012; 40: e233-e239
- Evaluation of the relationship between ATP bioluminescence assay and the presence of organisms associated with healthcare-associated infections.Healthcare Infect. 2014; 19: 101-107
- The use of adenosine triphosphate bioluminescence to assess the efficacy of a modified cleaning program implemented within an intensive care setting.Am J Infect Control. 2010; 38: 617-622
- Comparison of fluorescent marker systems with 2 quantitative methods of assessing terminal cleaning practices.Infect Control Hosp Epidemiol. 2011; 32: 1187-1193
- Sampling plans for use of rapid adenosine triphosphate (ATP) monitoring must overcome variability or suffer statistical invalidity.Infect Control Hosp Epidemiol. 2015; 36: 236-237
- Floor cleaning: effect on bacteria and organic materials in hospital rooms.J Hosp Infect. 2009; 71: 57-65
- A modified ATP benchmark for evaluating the cleaning of some hospital environmental surfaces.J Hosp Infect. 2008; 69: 156-163
- Evaluation of adenosine triphosphate (ATP) bioluminescence assay to confirm surface disinfection of biological indicators with vaporized hydrogen peroxide (VHP).Healthcare Infect. 2015; 20: 16-22
- Failure analysis in the identification of synergies between cleaning monitoring methods.Am J Infect Control. 2015; 43: 147-153
- Improving cleaning of the environment surrounding patients in 36 acute care hospitals.Infect Control Hosp Epidemiol. 2008; 29: 1035-1041
- Environmental sampling of Acinetobacter baumannii: moistened swabs versus moistened sterile gauze pads.Infect Control Hosp Epidemiol. 1999; 20: 458-460
- Statistical methods in medical research.3rd ed. Blackwell Science, Oxford, UK1996
- The perennial problem of variability in adenosine triphosphate (ATP) tests for hygiene monitoring within healthcare settings.Infect Control Hosp Epidemiol. 2015; 36: 658-663
- What can we learn from each other in infection control? Experience in Europe compared with the USA.J Hosp Infect. 2013; 83: 173-184
- Methods to evaluate environmental cleanliness in healthcare facilities.Healthcare Infect. 2013; 18: 22-30
International Sanitary Suppliers Association. ISSA Clean Standard 0714–2014: measuring the cleanliness of K-12 schools. Lincolnwood, [IL]: International Sanitary Suppliers Association.
- Finding a benchmark for monitoring hospital cleanliness.J Hosp Infect. 2011; 77: 25-30
Hand Hygiene Australia. National data period one, 2015. Available from: http://www.hha.org.au/LatestNationalData.aspx. Accessed May 1, 2015.
Conflicts of interest: None to report.