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Beyond high-touch surfaces: Portable equipment and floors as potential sources of transmission of health care–associated pathogens

  • Curtis J. Donskey
    Correspondence
    Address correspondence to Curtis J. Donskey, MD, Geriatric Research, Education and Clinical Center, Louis Stokes Cleveland Veterans Affairs Medical Center, 10701 East Blvd, Cleveland, OH 44106.
    Affiliations
    Geriatric Research, Education and Clinical Center, Louis Stokes Cleveland Veterans Affairs Medical Center, and Case Western Reserve University School of Medicine, Cleveland, OH
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      Highlights

      • Disinfection in healthcare facilities typically focuses on high-touch surfaces.
      • Portable equipment has been linked to pathogen transmission.
      • Emerging evidence suggests that floors could also contribute to transmission.
      • Practical approaches are needed to address portable equipment and floors.
      Efforts to improve environmental cleaning and disinfection typically focus primarily on high-touch surfaces in patient rooms. This review highlights evidence that portable equipment and other shared devices and floors may be underappreciated as sources of dissemination of health care–associated pathogens. Practical approaches to address these sites of contamination are emphasized.

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