Evidence map›Paper›PMID 39563364›Full record

Trial reportAntimicrobial resistance and infection control2024

The impact of enhanced cleaning on bacterial contamination of the hospital environmental surfaces: a clinical trial in critical care unit in an Egyptian hospital.

Nermine Mahmoud Hassan Hamed, Osama Ahmed Deif, Aleya Hanafy El-Zoka, Magda Mohamed Abdel-Atty, Mohamed Fakhry Hussein

Abstract readClinical Trial
In one paragraph

Trial report in Antimicrobial resistance and infection control, 2024. 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
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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

5 authors.

Nermine Mahmoud Hassan HamedAlexandria University Hospitals, Alexandria University, Alexandria, Egypt.
Osama Ahmed DeifNeurosurgery Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Aleya Hanafy El-ZokaEnvironmental Health, High Institute of Public Health, Alexandria University, Alexandria, Egypt.
Magda Mohamed Abdel-AttyEnvironmental Chemistry and Biology, High Institute of Public Health, Alexandria University, Alexandria, Egypt.
Mohamed Fakhry HusseinEnvironmental Health, High Institute of Public Health, Alexandria University, Alexandria, Egypt. hiph-mohamedfakhry@alexu.edu.eg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContaminated environmental surfaces play an important role in the transmission of pathogens that cause healthcare acquired infection (HAI). The present study aimed to assess the effect of enhanced cleaning techniques on bacterial contamination in high-touch areas compared to routine cleaning at the intensive care units (ICU) of the neurosurgery department of Alexandria Main University Hospital, Egypt.

methodsThe assessment of the knowledge and practices of healthcare cleaning workers and nurses was conducted through a questionnaire and an observational checklist. An educational program about enhanced cleaning was carried out for healthcare cleaning workers and nurses in one room of the ICU unit. Environmental surface swabs were taken from the two rooms of the ICU before and after cleaning (room A and room B). Room A was selected to apply the enhanced cleaning, and room B was selected for routine cleaning.

resultsA significant decrease in bacterial counts in the high-touch areas around the patients after the application of enhanced cleaning compared to routine cleaning (p < 0.001) was observed. Gram-negative bacteria isolated from high-touch areas accounted for 45.6% of the samples collected before enhanced cleaning, and they became 16.3% after enhanced cleaning (p < 0.001), while they accounted for 40% after routine cleaning. The enhanced cleaning intervention in Room A resulted in a significant reduction in total infections, decreasing from 18 cases in the six months prior to the intervention to 11 cases in the six months following its implementation. (p < 0.05).

conclusionThe effect of enhanced cleaning was evident in decreasing bacterial counts in the high-touch areas around the patient and consequently in the records of the HAI rate inside the ICU. CLINICAL TRIAL REGISTRATION NUMBER: PACTR202402531001186, date: 15 February 2024, 'retrospectively registered'.

Indexed as

Cross InfectionIntensive Care UnitsDisinfectionEgyptEquipment ContaminationGram-Negative BacteriaHospitals, UniversityHousekeeping, HospitalHumansInfection ControlSurveys and QuestionnairesBacterial contaminationEnhanced cleaningHealthcare acquired infectionHealthcare facilitiesInfection prevention and controlNosocomial infections

Identifiers

PMID39563364
PMCPMC11575196

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.