Evidence map›Paper›PMID 28502637›Full record

Trial reportAmerican journal of infection control2017

Bathing hospitalized dependent patients with prepackaged disposable washcloths instead of traditional bath basins: A case-crossover study.

Emily Toth Martin, Samran Haider, Maria Palleschi, Sommer Eagle, Delfin V Crisostomo, Pamela Haddox, Laura Harmon, Robin Mazur, Judy Moshos, Dror Marchaim and 1 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of infection control, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05522725 (The Use of Clinell Universal Wipes, Clinell Sporicidal Wipes, and Clinell EvaluClean Fluorescent Marker System, in Reducing Environmental Contamination and Acquisitions of Multidrug Resistant Organisms and Hospital Acquired Infections), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 29% 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.

NCT05522725 nacompletednot on this map

The Use of Clinell Universal Wipes, Clinell Sporicidal Wipes, and Clinell EvaluClean Fluorescent Marker System, in Reducing Environmental Contamination and Acquisitions of Multidrug Resistant Organisms and Hospital Acquired Infections

TypeinterventionalSponsorAssaf-Harofeh Medical CenterRan2016 to 2018Enrolled7,725ConditionsHospital Acquired InfectionArmsSingle-use wipes installed at the bedside
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
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

11 authors at 3 institutions in 2 countries.

Emily Toth MartinDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI. Electronic address: etmartin@umich.edu.
Samran HaiderDetroit Medical Center, Detroit, MI.
Maria PalleschiDetroit Medical Center, Detroit, MI.
Sommer EagleDetroit Medical Center, Detroit, MI.
Delfin V CrisostomoDetroit Medical Center, Detroit, MI.
Pamela HaddoxDetroit Medical Center, Detroit, MI.
Laura HarmonDetroit Medical Center, Detroit, MI.
Robin MazurDetroit Medical Center, Detroit, MI.
Judy MoshosDetroit Medical Center, Detroit, MI.
Dror MarchaimAssaf Harofeh Medical Center, Zrifin, Israel.
Keith S KayeDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI.
Detroit Medical Center · USUniversity of Michigan · USAssaf Harofeh Medical Center · IL

Funding

Defining Precursors to VRSA Emergence: Epidemiology of MRSA & VRE Dual InfectionK01AI099006 · NIAID · WAYNE STATE UNIVERSITY · PI MARTIN, EMILY TOTH · 2012 to 2016
$641k
NIAID NIH HHS K01 AI099006
6 · The paper itself

Abstract

backgroundBasins used for patient bathing have been shown to be contaminated with multidrug-resistant organisms (MDROs) and have prompted the evaluation of alternatives to soap and water bathing methods.

methodsWe conducted a prospective, randomized, open-label interventional crossover study to assess the impact of replacing traditional bath basins with prepackaged washcloths on the incidence of hospital-associated infections (HAIs), MDROs, and secondarily, rates of skin deterioration. Unit-wide use of disposable washcloths over an 8-month period was compared with an 8-month period of standard care using basins.

resultsA total of 2,637 patients were included from 2 medical-surgical units at a single tertiary medical center, contributing 16,034 patient days. During the study period, there were a total of 33 unit-acquired infections, the rates of which were not statistically different between study phases (incidence rate ratio, 1.05; 95% confidence interval [CI], 0.50-2.23; P = .88). However, occurrence of skin integrity deterioration was significantly less in the intervention group (odds ratio, 0.44; 95% CI, 0.22-0.88; P = .02).

conclusionsAlthough we were unable to demonstrate a significant reduction in HAI or MDRO acquisition, we found a decrease in skin deterioration with the use of disposable washcloths and confirmed earlier findings of MDRO contamination of wash basins.

Indexed as

Bedding and LinensAdultAnti-Infective Agents, LocalBathsCross InfectionCross-Over StudiesDisinfectantsFemaleHumansIntensive Care UnitsMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedProspective StudiesStaphylococcal Skin InfectionsAnti-Infective Agents, LocalDisinfectantsBathingHospital-associated infectionsSkin integrityWashcloths

Identifiers

PMID28502637
PMCPMC5581711
OpenAlexW2613875696

What OpenQuestion holds

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Registered trials

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.