Related Experiment Video
Updated: Feb 17, 2026

Author Spotlight: Advancing Pathogen Detection and Disease Assessment in Real-Time Using M-ROSE
Published on: March 1, 2024
Environmental Infection Prevention: Priorities of Patient Safety Collaboration
1Office of Faculty Affairs and Diversity, School of Nursing, University of Texas Health, San Antonio (Dr Grota); and Infection Prevention and Quality, Methodist Hospital for Surgery, Addison, Texas (Ms Grant).
Abstract:
Although progress has been made in decreasing health care-associated infections (HAI) in intensive care unit (ICU) patients, there has been an increase in HAI caused by drug-resistant pathogens, particularly those that contaminate the environment such as methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus, Pseudomonas spp, Acinetobacter spp, and Clostridium difficile. The ICU environment including sinks and medical equipment has been identified as being at risk for contamination and associated with cross-transmission of pathogens between the health care provider, the environment, and the patient. This article addresses the role of the ICU nurse as a team facilitator collaborating with environmental services, infection preventionists, and others to influence ICU design during preconstruction planning and unit environmental hygiene after construction to promote patient safety and prevent HAI associated with contaminated environments and equipment.
Insights
Intensive care units (ICUs) face rising drug-resistant infections. Nurses can prevent these health care-associated infections (HAIs) by collaborating on ICU design and environmental hygiene to reduce pathogen contamination.
Area of Science:
- Infectious Diseases
- Hospital Epidemiology
- Nursing Science
Background:
- Health care-associated infections (HAIs) remain a challenge in intensive care units (ICUs).
- An increase in HAIs caused by drug-resistant pathogens is linked to environmental contamination within ICUs.
- Pathogens like MRSA, VRE, Pseudomonas, Acinetobacter, and C. difficile pose significant risks.
Purpose of the Study:
- To highlight the critical role of ICU nurses in preventing HAIs.
- To emphasize the importance of environmental hygiene and ICU design in infection control.
- To promote collaboration among healthcare professionals for enhanced patient safety.
Main Methods:
- Review of current challenges in ICU infection prevention.
- Discussion of the ICU environment as a reservoir for pathogens.
- Exploration of the nurse's role in interdisciplinary collaboration for environmental management.
Main Results:
- The ICU environment, including equipment and surfaces, is a potential source of pathogen transmission.
- Effective collaboration is crucial for influencing ICU design and maintaining environmental hygiene.
- Nurses can act as facilitators to integrate infection prevention strategies into the ICU setting.
Conclusions:
- Nurses play a pivotal role in preventing HAIs by championing environmental hygiene and influencing ICU design.
- Proactive collaboration with environmental services and infection preventionists is essential for patient safety.
- Addressing environmental contamination is key to combating drug-resistant infections in ICUs.
More Related Videos
09:30Author Spotlight: Microbial Control and Monitoring Strategies for Cleanroom Environments and Cellular Therapies
Published on: March 17, 2023
09:54Safety Precautions and Operating Procedures in an ABSL-4 Laboratory: 1. Biosafety Level 4 Suit Laboratory Suite Entry and Exit Procedures
Published on: October 3, 2016
Related Concept Videos
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Transmission-based Precautions II: Airborne and Protective Environment
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Transmission-based Precautions I: Contact, Enteric, and Droplets
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Infection
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
Hand hygiene
Hand washing...