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Hospital privacy curtains can be source of MRSA
Infection Control
Hospital privacy curtains can be source of MRSA
Without timely intervention, privacy curtains in hospitals can become breeding grounds for resistant bacteria, posing a threat to patient safety, according to research[1] published in the American Journal of Infection Control (AJIC), the journal of the Association for Professionals in Infection Control and Epidemiology (APIC).
The longitudinal, prospective, pilot study tracked the contamination rate of ten freshly laundered privacy curtains in the Regional Burns/Plastics Unit of the Health Services Center in Winnipeg, Canada. While the curtains had minimal contamination when they were first hung, the curtains that were hung in patient rooms became increasingly contaminated over time – and by day 14, 87.5 percent of the curtains tested positive for methicillin-resistant Staphylococcus aureus (MRSA), a pathogen associated with significant morbidity and mortality. In contrast, control curtains that were not placed in patient rooms stayed clean the entire 21 days.
None of the rooms where the curtains were placed were occupied by patients with MRSA. Four curtains were placed in a four-bed room; four were placed in two double rooms; and two controls were placed in areas without direct patient or caregiver contact. Researchers took samples from areas where people hold curtains, suggesting that the increasing contamination resulted from direct contact.
“We know that privacy curtains pose a high risk for cross-contamination because they are frequently touched but infrequently changed,” said Kevin Shek, BSc, the study’s lead author. “The high rate of contamination that we saw by the fourteenth day may represent an opportune time to intervene, either by cleaning or replacing the curtains.”
By day 21, almost all curtains exceeded 2.5 CFU/cm, the requirement for food processing equipment cleanliness in some locations, such as the United Kingdom.
“Keeping the patient’s environment clean is a critical component in preventing healthcare-associated infections,” said 2018 APIC President Janet Haas, PhD, RN, CIC, FSHEA, FAPIC. “Because privacy curtains could be a mode of disease transmission, maintaining a schedule of regular cleaning offers another potential way to protect patients from harm while they are in our care.”
The study authors acknowledge the small sample size of this pilot study and recommend additional research to understand the clinical consequences of contaminated curtains.
References
1. “Rate of contamination of hospital privacy curtains in a burns/plastics ward:
A longitudinal study.” K. Shek, et al.
American Journal of Infection Control, volume 46, issue 9. Sept 2018. doi: https://doi.org/10.1016/j.ajic.2018.03.004
Intersurgical
FiltaMask medium concentration mask from Intersurgical
FiltaMask™ combines an oxygen delivery system with a filter media covering the exhalation ports. FiltaMask is intended for use on adult patients with respiratory infections who may be a source of aerosolised infectious pathogens and who also require supplementary oxygen.
Patients with respiratory infections have specific needs and yet pose a specific risk. Conventional oxygen masks can generate a plume of particles from their exhalation ports, which can travel a distance of 0.4 metres[1] [2] resulting in a potential risk.
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An information sheet for the FiltaMask and the oxygen therapy training video can be found on the product pages of our website, and the product is part of the Infection Control range of options which may be used to help reduce the risk of cross contamination between patients and health care workers in the clinical environment. Visit our website to view the full range: www.intersurgical.com/info/InfectionControl
References
[1] Airflows around Oxygen Masks. David S. Hui et al: Chest. 2006;130:822-826 [2] Exhaled Air Dispersion During Oxygen Delivery via a Simple Oxygen
Mask. David S. Hui et al: Chest. 2007;132:540-546 [3] Oxygen Administration and the Protection of Health-Care Workers
From Infections. Joseph A. Fisher. Chest.2007;131:941-942
Blue Ocean Robotics
Making robots to enhance healthcare
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Three robots
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Making our world more sustainable
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Claus Risager, CEO, Blue Ocean Robotics
People use our robots to make their way of work more meaningful, rewarding and healthier. We improve quality-oflife and productivity. We make robots for humans. – Claus Risager, CEO, Blue Ocean Robotics