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Air ionisation and colonisation/infection with methicillin-resistant Staphylococcus aureus and Acinetobacter species
Kevin G Kerr1,2, Clive B Beggs3, Stephen G Dean4
1Aerobiological Research Group, School of Civil Engineering, University of Leeds, Leeds, UK. kevin.kerr@hdft.nhs.uk.
Objective:
To determine effect of negative air ions on colonisation/infection with methicillin-resistant Staphylococcus aureus (MRSA) and Acinetobacter species in an intensive care unit.
Design:
Prospective single-centre cross-over study in an adult general intensive care unit.
Patients:
201 patients whose stay on the unit exceeded 48 hour's duration.
Intervention:
Six negative air ionisers were installed on the unit but not operational for the first 5 months of the study (control period). Devices were then operational for the following 5.5 months.
Measurements And Results:
30 and 13 patients were colonised/infected with MRSA and Acinetobacter spp., respectively, over 10.5 months. No change in MRSA colonisation/infection was observed compared with the 5 month control period. Acinetobacter cases were reduced from 11 to 2 (p=0.007).
Conclusion:
Ionisers may have a role in the prevention of Acinetobacter infections.
Insights
Negative air ionizers reduced Acinetobacter infections in intensive care units but did not affect methicillin-resistant Staphylococcus aureus (MRSA) colonization. Further research is needed to confirm these findings for infection control.
Area of Science:
- Infection Control
- Environmental Health
- Medical Microbiology
Background:
- Intensive care units (ICUs) face significant challenges with multidrug-resistant organisms.
- Methicillin-resistant Staphylococcus aureus (MRSA) and Acinetobacter species are common ICU pathogens.
- Environmental control measures are crucial for preventing healthcare-associated infections.
Purpose of the Study:
- To evaluate the efficacy of negative air ionizers in reducing colonization and infection rates of MRSA and Acinetobacter species in an ICU setting.
- To assess the impact of environmental modification on pathogen transmission within a critical care environment.
Main Methods:
- A prospective, single-centre, cross-over study was conducted in an adult general ICU.
- Negative air ionizers were introduced after an initial 5-month control period.
- Data on MRSA and Acinetobacter colonization/infection were collected from 201 patients over 10.5 months.
Main Results:
- A significant reduction in Acinetobacter cases was observed after ionizer implementation (11 to 2, p=0.007).
- No significant change in MRSA colonization or infection rates was detected during the intervention period compared to the control period.
- The study highlights a potential environmental intervention for specific bacterial infections.
Conclusions:
- Negative air ionizers may play a role in preventing Acinetobacter infections in ICUs.
- The effectiveness of ionizers against MRSA requires further investigation.
- Environmental interventions show promise for targeted pathogen control in critical care settings.
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