Evidence map›Paper›PMID 34636853›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022

Ultraviolet-C Light Evaluation as Adjunct Disinfection to Remove Multidrug-Resistant Organisms.

Clare Rock, Yea Jen Hsu, Melanie S Curless, Karen C Carroll, Tracy Ross Howard, Kathryn A Carson, Stephanie Cummings, Michael Anderson, Aaron M Milstone, Lisa L Maragakis

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 15% 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, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Impact of UV-C on material degradation: a scoping literature review.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Review
  5. Environmental hygiene strategies to combat antimicrobial resistance in healthcare settings.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Review
  6. Article
  7. Review
  8. Article
  9. 21st century critical care medicine: An overview.World journal of critical care medicine · 2024
    Review
  10. Journal of medical microbiology · 2024
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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

10 authors at 4 institutions in 1 country.

Clare RockDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Yea Jen HsuDepartment of Health Policy and Management, Johns Hopkins Bloomberg of School of Public Health, Baltimore, Maryland, USA.
Melanie S CurlessDepartment of Hospital Epidemiology and Infection Control, The Johns Hopkins Hospital, Baltimore, Maryland, USA.
Karen C CarrollDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Tracy Ross HowardDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Kathryn A CarsonDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Stephanie CummingsDepartment of Hospital Epidemiology and Infection Control, The Johns Hopkins Hospital, Baltimore, Maryland, USA.
Michael AndersonDepartment of Hospital Epidemiology and Infection Control, The Johns Hopkins Hospital, Baltimore, Maryland, USA.
Aaron M MilstoneDepartment of Hospital Epidemiology and Infection Control, The Johns Hopkins Hospital, Baltimore, Maryland, USA.
Lisa L MaragakisDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Johns Hopkins Hospital · USJohns Hopkins University · USBloomberg (United States) · USJohns Hopkins Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur objective was to determine if the addition of ultraviolet-C (UV-C) light to daily and discharge patient room cleaning reduces healthcare-associated infection rates of vancomycin-resistant enterococci (VRE) and Clostridioides difficile in immunocompromised adults.

methodsWe performed a cluster randomized crossover control trial in 4 cancer and 1 solid organ transplant in-patient units at the Johns Hopkins Hospital, Baltimore, Maryland. For study year 1, each unit was randomized to intervention of UV-C light plus standard environmental cleaning or control of standard environmental cleaning, followed by a 5-week washout period. In study year 2, units switched assignments. The outcomes were healthcare-associated rates of VRE or C. difficile. Statistical inference used a two-stage approach recommended for cluster-randomized trials with <15 clusters/arm.

resultsIn total, 302 new VRE infections were observed during 45787 at risk patient-days. The incidence in control and intervention groups was 6.68 and 6.52 per 1000 patient-days respectively; the unadjusted incidence rate ratio (IRR) was 0.98 (95% confidence interval [CI], .78 - 1.22; P = .54). There were 84 new C. difficile infections observed during 26118 at risk patient-days. The incidence in control and intervention periods was 2.64 and 3.78 per 1000 patient-days respectively; the unadjusted IRR was 1.43 (95% CI, .93 - 2.21; P = .98).

conclusionsWhen used daily and at post discharge in addition to standard environmental cleaning, UV-C disinfection did not reduce VRE or C. difficile infection rates in cancer and solid organ transplant units.

Indexed as

Clostridioides difficileCross InfectionVancomycin-Resistant EnterococciAdultAftercareDisinfectionDrug Resistance, Multiple, BacterialHumansPatient DischargeC. difficile transmissionenvironmental cleaning and disinfectioninfection preventionUV-C lightVRE transmission

Identifiers

PMID34636853
PMCPMC9402681
OpenAlexW3207247066

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.