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Fighting AMR in the Healthcare Environment: Microbiome-Based Sanitation Approaches and Monitoring Tools
Maria D'Accolti1,2, Irene Soffritti3,4, Sante Mazzacane5
1Section of Microbiology, Department of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy. dccmra@unife.it.
Abstract:
Healthcare-associated infections (HAIs) affect up to 15% of all hospitalized patients, representing a global concern. Major causes include the persistent microbial contamination of hospital environment, and the growing antimicrobial-resistance (AMR) of HAI-associated microbes. The hospital environment represents in fact a reservoir of potential pathogens, continuously spread by healthcare personnel, visiting persons and hospitalized patients. The control of contamination has been so far addressed by the use of chemical-based sanitation procedures, which however have limitations, as testified by the persistence of contamination itself and by the growing AMR of hospital microbes. Here we review the results collected by a microbial-based sanitation system, inspired by the microbiome balance principles, in obtaining more effective control of microbial contamination and AMR. Whatever the sanitation system used, an important aspect of controlling AMR and HAIs relates to the ability to check any variation of a microbial population rapidly and effectively, thus effective monitoring procedures are also described.
Insights
A novel microbial-based sanitation system shows promise in controlling hospital-acquired infections (HAIs) and antimicrobial resistance (AMR). This approach, inspired by microbiome balance, offers a more effective alternative to traditional chemical methods for environmental sanitation.
Area of Science:
- Microbiology
- Infectious Diseases
- Environmental Health
Background:
- Healthcare-associated infections (HAIs) are a significant global health issue, affecting up to 15% of hospitalized patients.
- Persistent microbial contamination and rising antimicrobial resistance (AMR) in hospital environments are major drivers of HAIs.
- Current chemical sanitation methods have limitations, evidenced by ongoing contamination and increasing AMR.
Purpose of the Study:
- To review the efficacy of a microbial-based sanitation system for controlling microbial contamination and AMR in healthcare settings.
- To explore an alternative to chemical-based sanitation inspired by microbiome balance principles.
- To highlight the importance of effective microbial monitoring for AMR and HAI control.
Main Methods:
- Review of results from a microbial-based sanitation system.
- Application of microbiome balance principles to environmental sanitation.
- Description of effective microbial monitoring procedures.
Main Results:
- The microbial-based sanitation system demonstrates potential for more effective control of microbial contamination.
- This approach may offer improved management of antimicrobial resistance (AMR) in hospital environments.
- Effective monitoring procedures are crucial for managing AMR and HAIs.
Conclusions:
- Microbial-based sanitation systems present a promising strategy for reducing HAIs and combating AMR.
- A shift towards microbiome-inspired approaches could overcome limitations of traditional chemical sanitation.
- Rapid and effective microbial monitoring is essential for comprehensive HAI and AMR control.
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