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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.
Background:
Acquisition of pathogens into health care settings from prior room occupants has been documented. Hospital room privacy curtains are at high risk for pathogenic bacterial contamination. Antimicrobial impregnated curtains could be effective in reducing contamination.
Methods:
Rooms within an intensive care unit at The University of Iowa Hospitals and Clinics were randomized to 3 arms. The 2 intervention arms: (1) halamine antimicrobial curtains (BioSmart curtain [BSC]) and (2) halamine antimicrobial curtains sprayed twice weekly with a sodium hypochlorite-based disinfecting spray (BSC-pre and BSC-post) and a third control arm (standard curtain [SC]). Samples were collected twice weekly for 3 weeks to assess pathogenic bacterial contamination.
Results:
The likelihood of remaining uncontaminated was 38% for SC, 37% for BSC, and 60% for the BSC-pre group. Time to event (contamination) analysis found no statistically significant difference between pathogenic contamination between the SC, BSC, and BSC-pre groups (P value = .1921). There was a decrease in average colony count for BSC curtains compared with control, however, this difference was not statistically significant. Hypochlorite spray was found to transiently decontaminate curtains, but effects dissipated after 72 hours.
Conclusions:
BSC did not show a significant reduction in pathogenic contamination compared with control. Antimicrobial curtains could have a role in reducing environmental contamination in the health care setting. Future studies should be done to determine the long-term effects of using antimicrobial curtains in health care.
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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