Advertisement

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

      Highlights

      • 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.

      Graphical abstract

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Infection Control
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • 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