A randomized control trial evaluating efficacy of antimicrobial impregnated hospital privacy curtains in an intensive

Geneva Wilson1, Virgil Jackson2, Linda Boyken3

  • 1Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA; Center for Emerging Infectious Diseases, University of Iowa Research Park, Coralville, IA.

Abstract

Insights

Antimicrobial curtains (BioSmart curtain [BSC]) did not significantly reduce pathogenic contamination in intensive care units compared to standard curtains (SC). While hypochlorite spray offered transient decontamination, its effects were short-lived, suggesting further research is needed.

Area of Science:

  • Healthcare-associated infections
  • Infection control
  • Environmental hygiene

Background:

  • Healthcare settings are vulnerable to pathogen transmission from previous occupants.
  • Hospital privacy curtains are frequently contaminated with pathogenic bacteria.
  • Antimicrobial-impregnated curtains offer a potential strategy to mitigate this contamination risk.

Purpose of the Study:

  • To evaluate the efficacy of antimicrobial-impregnated curtains in reducing pathogenic bacterial contamination in intensive care unit (ICU) rooms.
  • To assess the impact of supplementary hypochlorite spray on antimicrobial curtain effectiveness.

Main Methods:

  • Intensive care unit rooms were randomized into three groups: standard curtains (SC), BioSmart curtains (BSC), and BSC with twice-weekly hypochlorite spray (BSC-pre and BSC-post).
  • Pathogenic bacterial contamination was assessed through sample collection twice weekly for three weeks.
  • Statistical analysis was performed to compare contamination levels between the groups.

Main Results:

  • The likelihood of remaining uncontaminated was 38% for SC, 37% for BSC, and 60% for BSC-pre.
  • No statistically significant difference in pathogenic contamination was found between SC, BSC, and BSC-pre groups (P=0.1921).
  • Hypochlorite spray provided transient decontamination, with effects diminishing within 72 hours.

Conclusions:

  • BioSmart curtains did not demonstrate a significant reduction in pathogenic contamination compared to standard curtains.
  • Antimicrobial curtains show potential for reducing environmental contamination in healthcare settings.
  • Further research is necessary to determine the long-term efficacy and impact of antimicrobial curtains in healthcare environments.

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