Evidence map›Paper›PMID 25699227›Full record

ReviewGMS hygiene and infection control2015

Lesser-known or hidden reservoirs of infection and implications for adequate prevention strategies: Where to look and what to look for.

Sally Bloomfield, Martin Exner, Hans-Curt Flemming, Peter Goroncy-Bermes, Philippe Hartemann, Peter Heeg, Carola Ilschner, Irene Krämer, Wolfgang Merkens, Peter Oltmanns and 4 more

Open access · greenAbstract readReview
In one paragraph

Review in GMS hygiene and infection control, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Virucidal Efficacy of Laundering.Pathogens (Basel, Switzerland) · 2022
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2020
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. An Ergonomic Assessment of Hospital Linen Bag Handling.New solutions : a journal of environmental and occupational health policy : NS · 2017
    Article
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 3 countries.

Sally BloomfieldLondon School of Hygiene and Tropical Medicine, International Scientific Forum on Home Hygiene, London, UK.
Martin ExnerInstitute of Hygiene and Public Health, Bonn University, Bonn, Germany.
Hans-Curt FlemmingDepartment of Chemistry, University of Duisburg-Essen, Essen, Germany.
Peter Goroncy-BermesSchülke & Mayr GmbH, Norderstedt, Germany.
Philippe HartemannDepartement Environment et Santé Publique S.E.R.E.S., Faculté de Médicine, Nancy, France.
Peter HeegInstitute of Medical Microbiology and Hygiene, Tübingen, Germany.
Carola IlschnerInstitute of Hygiene and Public Health, Bonn University, Bonn, Germany.
Irene KrämerPharmacy Department of Mainz University, Mainz, Germany.
Wolfgang MerkensSchülke & Mayr GmbH, Norderstedt, Germany.
Peter OltmannsSchülke & Mayr GmbH, Norderstedt, Germany.
Manfred RotterHygiene Institute of Vienna University, Vienna, Austria.
William A RutalaUNC School of Medicine, Chapel Hill, North Carolina, USA.
Hans-Günther SonntagInstitute of Hygiene and Medical Microbiology, Heidelberg, Germany.
Matthias TrautmannDepartment of Hospital Hygiene at Stuttgart Hospital, Stuttgart, Germany.
University of Bonn · DEInstitute of Medical Microbiology and Hygiene · DELondon School of Hygiene & Tropical Medicine · GBUniversity of Duisburg-Essen · DEUniversity of North Carolina Health Care · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In developing hygiene strategies, in recent years, the major focus has been on the hands as the key route of infection transmission. However, there is a multitude of lesser-known and underestimated reservoirs for microorganisms which are the triggering sources and vehicles for outbreaks or sporadic cases of infection. Among those are water reservoirs such as sink drains, fixtures, decorative water fountains and waste-water treatment plants, frequently touched textile surfaces such as private curtains in hospitals and laundry, but also transvaginal ultrasound probes, parenteral drug products, and disinfectant wipe dispensers. The review of outbreak reports also reveals Gram-negative and multiple-drug resistant microorganisms to have become an increasingly frequent and severe threat in medical settings. In some instances, the causative organisms are particularly difficult to identify because they are concealed in biofilms or in a state referred to as viable but nonculturable, which eludes conventional culture media-based detection methods. There is an enormous preventative potential in these insights, which has not been fully tapped. New and emerging pathogens, novel pathogen detection methods, and hidden reservoirs of infection should hence be given special consideration when designing the layout of buildings and medical devices, but also when defining the core competencies for medical staff, establishing programmes for patient empowerment and education of the general public, and when implementing protocols for the prevention and control of infections in medical, community and domestic settings.

Indexed as

hygieneInfection reservoiroutbreakpathogen detection methodprevention strategyviable but nonculturable status

Identifiers

PMID25699227
PMCPMC4332272
OpenAlexW2346651889

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.