Brief Report| Volume 45, ISSUE 3, P336-338, March 01, 2017

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Are hospital floors an underappreciated reservoir for transmission of health care-associated pathogens?


      • Patient room floors in 5 hospitals were often contaminated with health care-associated pathogens.
      • It was not uncommon for high-touch objects to be direct contact with the floor.
      • Touching objects on the floor frequently resulted in transfer of pathogens to hands.
      • Floors in hospital rooms could be an underappreciated source for pathogen dissemination.
      In a survey of 5 hospitals, we found that floors in patient rooms were frequently contaminated with pathogens and high-touch objects such as blood pressure cuffs and call buttons were often in contact with the floor. Contact with objects on floors frequently resulted in transfer of pathogens to hands.

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        • Donskey C.J.
        Does improving surface cleaning and disinfection reduce health care-associated infections?.
        Am J Infect Control. 2013; 41 (S12-9)
        • Weber D.J.
        • Rutala W.A.
        • Miller M.B.
        • Huslage K.
        • Sickbert-Bennett E.
        Role of hospital surfaces in the transmission of emerging health care-associated pathogens: norovirus, Clostridium difficile, and Acinetobacter species.
        Am J Infect Control. 2010; 38 (S25-33)
        • Fekety R.
        • Kim K.H.
        • Brown D.
        • Batts D.H.
        • Cudmore M.
        • Silva Jr, J.
        Epidemiology of antibiotic-associated colitis; isolation of Clostridium difficile from the hospital environment.
        Am J Med. 1981; 70: 906-908
        • Shanom A.
        • Muzslay M.
        • Wilson P.
        A novel quantitative sampling technique for detection and monitoring of Clostridium difficile contamination in the clinical environment.
        J Clin Microbiol. 2015; 53: 2570-2574
        • Wong T.
        • Woznow T.
        • Petrie M.
        • Murzello E.
        • Muniak A.
        • Kadora A.
        • et al.
        Postdischarge decontamination of MRSA, VRE, and Clostridium difficile isolation rooms using 2 commercially available automated ultraviolet-C emitting devices.
        Am J Infect Control. 2016; 44 (Epub ahead of print): 416-420
        • Mahida N.
        • Boswell T.
        Non-slip socks: a potential reservoir for transmitting multidrug-resistant organisms in hospitals?.
        J Hosp Infect. 2016; 94: 273-275
        • Koganti S.
        • Alhmidi H.
        • Tomas M.
        • Cadnum J.L.
        • Jencson A.
        • Donskey C.J.
        Evaluation of hospital floors as a potential source of pathogen dissemination using a nonpathogenic virus as a surrogate marker.
        Infect Control Hosp Epidemiol. 2016; 37: 1374-1377
        • Sitzlar B.
        • Deshpande A.
        • Fertelli D.
        • Kundrapu S.
        • Sethi A.K.
        • Donskey C.J.
        An environmental disinfection odyssey: evaluation of sequential interventions to improve disinfection of Clostridium difficile isolation rooms.
        Infect Control Hosp Epidemiol. 2013; 34: 459-465
        • Peretz A.
        • Koiefman A.
        • Dinisman E.
        • Brodsky D.
        • Labay K.
        Do wheelchairs spread pathogenic bacteria within hospital walls?.
        World J Microbiol Biotechnol. 2014; 30: 385-387