Clinical workstations: an overlooked reservoir for deadly bacteria?

Washington, DC, December 1, 2015

Clinical workstations within hospital intensive care units (ICUs) may get overlooked during routine cleanings and could therefore harbor more dangerous bacteria than regularly cleaned objects in patient areas, according to a pilot study published in the December issue of the American Journal of Infection Control, the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC).

Researchers from Western Sydney University in Australia conducted a pilot study using three different sampling methods in a busy intensive care unit (ICU) in an attempt to discover if and where multidrug-resistant organisms (MDROs) might still be lurking in spite of routine environmental cleaning. Investigators traced the steps of healthcare workers (HCW) in between their workstations and patient bedsides and sampled commonly touched objects along the way for MDROs. Nine of thirteen confirmed MDROs from any area came from clinical workstations (on chairs, clipboards, keyboards, telephones, and a computer mouse).

As a secondary finding of the study, combined ATP testing on environmental surfaces was more than seven times as likely to positively identify MDROs as microbial swabbing (33.3 percent vs 4.3 percent.). ATP testing is a process of rapidly measuring actively growing microorganisms through detection of adenosine triphosphate (ATP) – a marker of bio-contamination.

“In this pilot study, we found that many of the high touch objects from which MDROs were recovered were not items included in cleaning protocols,” state the study authors. “The findings of this study suggest the need to review the hygiene standards adopted in the clinical workspace, away from the immediate patient zones in busy ICUs, and indicate that ATP testing may help identify high touch objects with less than optimal cleanliness.”

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Notes for Editors
“A pilot study into locating the bad bugs in a busy intensive care unit,” by Greg S. Whiteley, Jessica L. Night, Chris W. Derry, Slade O. Jensen, Karen Vickery and Iain B. Gosbell, appears in the American Journal of Infection Control, Volume 43, Issue 12 (December 2015).

Authors
Greg S. Whiteley, BAppSc, MSafetySc, Dip AICD (Corresponding Author)
School of Science and Health, Western Sydney University
Richmond, NSW Australia

Jessica L. Night, DipSc, BSc(Hons)
School of Medicine, Western Sydney University
Campbelltown, NSW Australia

Chris W. Derry, BSc(Med)Hons, MSc(Med), PhD
School of Science and Health, Western Sydney University
Richmond, NSW Australia

Slade O. Jensen, BSc(Hons), PhDc
School of Medicine, Western Sydney University
Campbelltown, NSW Australia

Karen Vickery, BVSc(Hons), MSc, PhD
Surgical Infection Research Group, Faculty of Medicine and Health Sciences, Macquarie University,
North Ryde, NSW Australia

Iain B. Gosbell, MBBS, MD, FRACP
School of Medicine, Western Sydney University
Campbelltown, NSW Australia

About AJIC: American Journal of Infection Control 
AJIC: American Journal of Infection Control (www.ajicjournal.org) covers key topics and issues in infection control and epidemiology. Infection preventionists, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of APIC, AJIC is the foremost resource on infection control, epidemiology, infectious diseases, quality management, occupational health, and disease prevention. AJIC also publishes infection control guidelines from APIC and the CDC. Published by Elsevier, AJIC is included in MEDLINE and CINAHL.

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APIC’s mission is to create a safer world through prevention of infection. The association’s more than 15,000 members direct infection prevention programs that save lives and improve the bottom line for hospitals and other healthcare facilities. APIC advances its mission through patient safety, implementation science, competencies and certification, advocacy, and data standardization. Visit APIC online at www.apic.org. Follow APIC on Twitter: http://twitter.com/apic and Facebook: www.facebook.com/APICInfectionPreventionandYou. For information on what patients and families can do, visit APIC’s Infection Prevention and You website at www.apic.org/infectionpreventionandyou.

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Media contact
Liz Garman
+1 202 454 2604
egarman@apic.org