Evidence map›Paper›PMID 36175863›Full record

ArticleBMC infectious diseases2022

Enhanced disinfection with hybrid hydrogen peroxide fogging in a critical care setting.

Anjay Khandelwal, Brian Lapolla, Tina Bair, Frances Grinstead, Meaghan Hislop, Christine Greene, Michael T Bigham

Abstract read
In one paragraph

Article in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. 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

7 authors.

Anjay KhandelwalDepartment of Surgery, Division of Burn Surgery, Paul and Carol David Foundation Burn Institute, Akron Children's Hospital, Akron, OH, USA.
Brian LapollaDepartment of Construction, Facilities and Public Safety, Akron Children's Hospital, Akron, OH, USA.
Tina BairDepartment of Infection Prevention and Control, Akron Children's Hospital, Akron, OH, USA.
Frances GrinsteadDepartment of Executive Management, CURIS System, 610 Kane Court, Oviedo, FL, 32765, USA.
Meaghan HislopDepartment of Scientific Research, CURIS System, 610 Kane Court, Oviedo, FL, 32765, USA. meg@curissystem.com.
Christine GreeneRamboll Group, Ramboll USA, Inc., 4245 North Fairfax Drive, Suite 700, Arlington, VA, 22203, USA.
Michael T BighamDepartment of Quality Services and Division of Pediatric Critical Care, Department of Pediatrics, Akron Children's Hospital, Akron, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnvironmental contamination contributes to hospital associated infections, particularly those caused by multi-drug resistant organisms (MDRO). This study investigated bioburden presence on surfaces in a critical care center's patient rooms following typical environmental services (EVS) practices and following intervention with hybrid hydrogen peroxide™ (HHP™) fogging.

methodsUpon patient discharge, following standard cleaning or cleaning with ultraviolet (UV) light use, patient rooms were sampled by swabbing for adenosine triphosphate (ATP) and aerobic colony counts (ACC) from five preset locations. Rooms were then fogged via HHP technology using chemical indicators and Geobacillus stearothermophilus biological indicators for sporicidal validation monitoring. Following fogging, rooms were sampled again, and results were compared.

resultsA 98% reduction in ACC was observed after fogging as compared to post EVS practices both with and without UV light use. No statistical difference was seen when comparing cleaning to cleaning with UV light use. Methicillin-resistant Staphylococcus aureus (MRSA) and Pseudomonas aeruginosa were identified following EVS practices and not detected following HHP fogging. ATP samples were reduced 88% by fogging application. Chemical and biological indicators confirmed correct application of HHP fogging, as seen through its achievement of a 6-log reduction of bacterial spores.

conclusionHHP fogging is a thorough and efficacious technology which, when applied to critical care patient rooms, significantly reduces bioburden on surfaces, indicating potential benefits for implementation as part of infection prevention measures.

Indexed as

Cross InfectionMethicillin-Resistant Staphylococcus aureusAdenosine TriphosphateCritical CareDisinfectionHumansHydrogenHydrogen PeroxidePatients' RoomsAdenosine TriphosphateHydrogenHydrogen PeroxideBurnCritical careDisinfectionHospital-acquired infectionHydrogen peroxideInfection prevention

Identifiers

PMID36175863
PMCPMC9520114

What OpenQuestion holds

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Registered trials

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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.