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Published on: April 21, 2023
Effectiveness of silver ion controlled release antimicrobial compound in reducing multi-drug-resistant microorganism
Paula Ramirez1, Juan Frasquet2, Sergio Fernandez3
1Critical Care Department, Hospital Universitario y Politécnico la Fe, Valencia, Spain.
Objectives:
Environmental contamination plays a key role in the transmission of multidrug-resistant microorganisms (MDRMs) in intensive care units (ICUs). We evaluated the effectiveness of a silver ion-controlled release antimicrobial compound applied to ICU surfaces in reducing environmental contamination and patient colonization.
Design:
Quasi-experimental study with a concurrent control group.
Setting:
A 24-bed ICU divided into two identical subunits.
Participants:
All patients admitted to the ICU during the study period.
Interventions:
One subunit followed standard disinfection procedures (control unit), while the other used standard disinfection plus monthly application of a silver ion-controlled release antimicrobial compound (NOB166®) to high-touch surfaces (intervention unit).
Variables Of Interest:
Environmental surface cultures and patient surveillance cultures were obtained weekly over a 5-month period.
Results:
A total of 506 environmental samples were collected. MDRMs were detected in 22/256 samples (8.5%) from the control unit compared with 8/250 samples (3.2%) from the intervention unit (P = .01). MDRM acquisition occurred in 19/127 patients (14.9%) in the control unit and 10/168 patients (5.9%) in the intervention unit (P < .01). Acinetobacter baumannii and Candida auris were the most frequently isolated organisms. Two MDRM outbreaks occurred in the control unit, whereas none were detected in the intervention unit. Rates of nosocomial infection did not differ significantly between groups.
Conclusions:
The use of a silver ion-controlled release antimicrobial surface coating was associated with a significant reduction in environmental MDRM contamination and patient colonization in ICU. These findings support the role of long-acting antimicrobial surface treatments as adjuncts to standard infection prevention strategies.
Insights
A silver ion antimicrobial surface coating significantly reduced multidrug-resistant microorganisms (MDRMs) in intensive care units (ICUs). This intervention lowered both environmental contamination and patient colonization, enhancing infection control.
Area of Science:
- Infection Prevention and Control
- Environmental Microbiology
- Antimicrobial Resistance
Background:
- Environmental contamination is a major route for multidrug-resistant microorganism (MDRM) transmission in intensive care units (ICUs).
- Standard disinfection protocols may not be sufficient to eliminate MDRMs from frequently touched surfaces.
Purpose of the Study:
- To evaluate the efficacy of a silver ion-controlled release antimicrobial compound in reducing MDRM contamination and patient colonization in an ICU setting.
- To assess the impact of antimicrobial surface coatings on infection control within ICUs.
Main Methods:
- A quasi-experimental study was conducted in a 24-bed ICU, divided into control and intervention subunits.
- The intervention subunit received standard disinfection plus monthly application of a silver ion antimicrobial compound to high-touch surfaces.
- Environmental and patient surveillance cultures were collected weekly over five months.
Main Results:
- MDRMs were detected in significantly fewer environmental samples in the intervention unit (3.2%) compared to the control unit (8.5%).
- Patient MDRM acquisition was lower in the intervention group (5.9%) versus the control group (14.9%).
- No MDRM outbreaks occurred in the intervention unit, compared to two in the control unit.
Conclusions:
- Silver ion-controlled release antimicrobial surface coatings effectively reduce environmental MDRM contamination and patient colonization in ICUs.
- Long-acting antimicrobial surface treatments can serve as valuable adjuncts to existing infection prevention strategies.
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