Evidence map›Paper›PMID 32466792›Full record

Observational studyAntimicrobial resistance and infection control2020

ATP measurement as an objective method to measure environmental contamination in 9 hospitals in the Dutch/Belgian border area.

Andreas van Arkel, Ina Willemsen, Linda Kilsdonk-Bode, Sindy Vlamings-Wagenaars, Anne van Oudheusden, Pascal De Waegemaeker, Isabel Leroux-Roels, Martine Verelst, Evelien Maas, Anita van Oosten and 7 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Antimicrobial resistance and infection control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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  8. TiOScientific reports · 2023
    Article
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  10. Impact of Plastic-Wrap Properties and Cleaning Intervals on the Disinfection of Elevator Buttons.International journal of environmental research and public health · 2023
    Article
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  12. Review
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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

17 authors.

Andreas van ArkelDepartment of Infection Control, Amphia Hospital, Breda, The Netherlands. AvanArkel@amphia.nl.ORCID 0000-0003-3391-9200
Ina WillemsenDepartment of Infection Control, Amphia Hospital, Breda, The Netherlands.
Linda Kilsdonk-BodeDepartment of Infection Control, Amphia Hospital, Breda, The Netherlands.
Sindy Vlamings-WagenaarsDepartment of Infection Control, Elisabeth Tweesteden Hospital, Tilburg, The Netherlands.
Anne van OudheusdenDepartment of Infection Control, Elisabeth Tweesteden Hospital, Tilburg, The Netherlands.
Pascal De WaegemaekerDepartment of Infection Control, Ghent University Hospital, Ghent, Belgium.
Isabel Leroux-RoelsDepartment of Infection Control, Ghent University Hospital, Ghent, Belgium.
Martine VerelstDepartment of Infection Control, University Hospitals Leuven, Leuven, Belgium.
Evelien MaasDepartment of Infection Control, ZorgSaam Hospital, Terneuzen, The Netherlands.
Anita van OostenDepartment of Infection Control, Admiraal de Ruyter Hospital, Goes, The Netherlands.
Patricia WillemseDepartment of Infection Control, Elkerliek Hospital, Helmond, The Netherlands.
Esther van AsselenDepartment of Infection Control, Elkerliek Hospital, Helmond, The Netherlands.
Ella Klomp-BerensDepartment of Infection Control, Maastricht University Medical Center+, Maastricht, The Netherlands.
Karen FranssenDepartment of Infection Control, Maastricht University Medical Center+, Maastricht, The Netherlands.
Elise Van CauwenbergDepartment of Infection Control, Antwerp University Hospital, Antwerp, Belgium.
Jan KluytmansDepartment of Infection Control, Amphia Hospital, Breda, The Netherlands.
i-4-1-Health Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to determine the level of environmental contamination in hospitals in the Dutch/Belgian border area, using ATP measurements.

designA cross-sectional observational survey.

methodsStandardized ATP measurements were conducted in 9 hospitals on 32 hospital wards. Thirty pre-defined surfaces per hospital ward were measured with the 3 M Clean Trace NG luminometer. Results are displayed in relative light units (RLU). RLU > 1000 was considered as "not clean." Differences in RLU values were compared between countries, hospitals, fomite groups and medical specialties.

resultsA total of 960 ATP measurements were performed, ranging from 60 up to 120 per hospital. The median RLU-value was 568 (range: 3-277,586) and 37.7% of the measurements were rated as not clean (RLU > 1000). There were significant differences between countries, hospitals and fomite groups.

conclusionATP measurements can be used as a more objective approach to determine the level of environmental contamination in hospitals. Significant differences in ATP levels were found between hospitals and between countries. Also, substantial differences were found between different fomite groups. These findings offer potential targets for improvement of cleanliness in healthcare facilities.

Indexed as

Adenosine TriphosphateBacteriaBelgiumCross-Sectional StudiesEquipment ContaminationFomitesHospitalsHumansInfection ControlLuminescent MeasurementsNetherlandsAdenosine TriphosphateATP measurementCleaningFomiteSurface contamination

Identifiers

PMID32466792
PMCPMC7254657

What OpenQuestion holds

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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.