Relationship between shared patient care items and healthcare-associated infections: A systematic review.
Background: Environmental surfaces may contribute to transmission of nosocomial pathogens. Noninvasive portable clinical items potentially shared among patients (NPIs) are part of the patient's immediate surroundings and may pose a threat of pathogen transmission. Objective: To assess the body of li...
| Published in: | International Journal of Nursing Studies Vol. 52; no. 1; pp. 380 - 393 |
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| Main Authors: | , , , , |
| Format: | research systematic review tables/charts Journal Article |
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Elsevier B.V.
Jan2015
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103860051&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103860051 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00207489 JHV jtl: International Journal of Nursing Studies issn: 00207489 maglogo: N pubinfo: dt: Jan2015 vid: 52 iid: 1 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 103860051 99913100 10.1016/j.ijnurstu.2014.06.001 NLM24997681 103860051 ppf: 380 ppct: 13 formats: fmt: @attributes: type: P tig: atl: Relationship between shared patient care items and healthcare-associated infections: A systematic review. aug: au: Livshiz-Riven, Ilana Borer, Abraham Nativ, Ronit Eskira, Seada Larson, Elaine affil: Department of Nursing, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Infection Control and Hospital Epidemiology Unit, Soroka University Medical Center, Beer-Sheva, Israel sug: subj: Cross Infection Sterilization and Disinfection Grooming Equipment and Supplies Human Systematic Review Meta Analysis PubMed Utilization Cochrane Library Utilization Databases Utilization Inpatients ab: Background: Environmental surfaces may contribute to transmission of nosocomial pathogens. Noninvasive portable clinical items potentially shared among patients (NPIs) are part of the patient's immediate surroundings and may pose a threat of pathogen transmission. Objective: To assess the body of literature describing the range of microorganisms found on NPIs and evaluate the evidence regarding the potential for cross-transmission of microorganisms between NPIs and hospitalized patients in non-outbreak conditions. Design: A comprehensive list of NPIs was developed, and a systematic review of these items combined with healthcare-associated infection related keywords was performed. Data sources: PubMed, Scopus, and Cochrane Library. Review methods: A systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist to identify and synthesize research reports published between January 1990 and July 2013 on studies regarding contamination of NPIs and association to infections in non-outbreak circumstances. Results: 1498 records were scanned for eligibility. Thirteen studies met inclusion criteria. Overall, rates of NPI contamination ranged from 23% to 100%. Normal skin or environmental flora were found on almost all positive cultures. Potential pathogens, e.g., Staphylococcus aureus, were present on up to 86%, and Pseudomonas spp. and/or Enterobacteriaceae in 38% of positive cultures. Multi-drug resistant organisms were isolated from up to 25% of items. Three studies explored association between NPIs contamination and patient colonization and infection. One study reported 5 patients with healthcare-associated infections with pathogens found concurrently on NPIs, one found cross-transmission between patient skin bacteria and NPI contamination, and a third did not find any cross-transmission. Conclusions: Potential pathogens and multiply resistant organisms present on NPIs in routine, non-outbreak conditions and in a variety of settings confirms the need to improve NPIs decontamination practices. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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