Results from the first large randomized trial with patient-centred outcomes | Critical Care
Environmental contamination may play a major role in intensive care unit (ICU)-acquired infections, despite current terminal cleaning standards. Anderson et al. recently performed the first large randomized trial investigating a no-touch method of terminal cleaning with a patient-centred outcome, and provided more robust data on the role of environmental contamination for healthcare-associated infections. The authors evaluated three different enhanced terminal disinfection methods (ultraviolet, UV light, UV light plus bleach, and bleach) compared to the reference standard for prevention of transmission of multidrug resistant organisms (MDROs) and Clostridium difficile to patients exposed to a room whose prior occupant was either colonized or infected with a MDRO.
Full reference: Russotto, V. et al. (2017) No-touch methods of terminal cleaning in the intensive care unit: results from the first large randomized trial with patient-centred outcomes. Critical Care. 21:117.