Evidence map›Paper›PMID 36814314›Full record

Trial reportTrials2023

A randomised controlled trial investigating the effect of improving the cleaning and disinfection of shared medical equipment on healthcare-associated infections: the CLEaning and Enhanced disiNfection (CLEEN) study.

Katrina Browne, Nicole White, Peta Tehan, Philip L Russo, Maham Amin, Andrew J Stewardson, Allen C Cheng, Kirsty Graham, Gabrielle O'Kane, Jennie King and 3 more

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

5 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. 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

13 authors at 7 institutions in 2 countries.

Katrina BrowneAvondale University, Cooranbong, Australia.
Nicole WhiteQueensland University of Technology, Brisbane, Australia.
Peta TehanAvondale University, Cooranbong, Australia.
Philip L RussoMonash University, Melbourne, Australia.
Maham AminCentral Coast Local Health District, Gosford, Australia.
Andrew J StewardsonMonash University, Melbourne, Australia.
Allen C ChengMonash University, Melbourne, Australia.
Kirsty GrahamCentral Coast Local Health District, Gosford, Australia.
Gabrielle O'KaneNSW Health Pathology, Gosford, Australia.
Jennie KingCentral Coast Local Health District, Gosford, Australia.
Martin KiernanAvondale University, Cooranbong, Australia.
David BrainQueensland University of Technology, Brisbane, Australia.
Brett G MitchellAvondale University, Cooranbong, Australia. brett.mitchell@avondale.edu.au.ORCID http://orcid.org/0000-0003-4220-8291
Avondale University · AUCentral Coast Local Health District · AUMonash Health · AUQueensland University of Technology · AUCabrini Hospital · AUGosford Hospital · AUUniversity of West London · GB

Funding

National Health and Medical Research Council 2008392
6 · The paper itself

Abstract

backgroundHealthcare-associated infections (HAIs) are a common, costly, yet largely preventable complication impacting patients in healthcare settings globally. Improving routine cleaning and disinfection of the hospital environment has been shown to reduce the risk of HAI. Contaminated shared medical equipment presents a primary transmission route for infectious pathogens, yet is rarely studied. The CLEEN study will assess how enhanced cleaning and disinfection of shared medical equipment affects the rate of HAIs in a tertiary hospital setting. The initiative is an evidence-based approach combining staff training, auditing and feedback to environmental services staff to enhance cleaning and disinfection practices.

methodsThe CLEEN study will use a stepped wedge randomised controlled design in 10 wards of one large Australian hospital over 36 weeks. The intervention will consist of 3 additional hours per weekday for the dedicated cleaning and disinfection of shared medical equipment on each ward. The primary outcome is to demonstrate the effectiveness of improving the quality and frequency of cleaning shared medical equipment in reducing HAIs, as measured by a HAI point prevalence study (PPS). The secondary outcomes include the thoroughness of equipment cleaning assessed using fluorescent marker technology and the cost-effectiveness of the intervention. DISCUSSION: Evidence from the CLEEN study will contribute to future policy and practice guidelines about the cleaning and disinfection of shared medical equipment. It will be used by healthcare leaders and clinicians to inform decision-making and implementation of best-practice infection prevention strategies to reduce HAIs in healthcare facilities.

trial registrationAustralia New Zealand Clinical Trial Registry ACTRN12622001143718.

Indexed as

Cross InfectionDisinfectionAustraliaDelivery of Health CareHumansTertiary Care CentersCleaningCost-effectivenessCross-infectionDisinfectionHealth servicesHospitalsInfection controlShared medical equipment

Identifiers

PMID36814314
PMCPMC9944767
OpenAlexW4321480253

What OpenQuestion holds

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LicenceCC BY
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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.