Utilization and impact of a pulsed-xenon ultraviolet room disinfection system and multidisciplinary care team on Clostridium difficile in a long-term acute care facility

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• 作者：Renee Miller ; RN ; MSN^a ; Sarah Simmons ; BS ; MPH ; DrPH^b ; ^{sarah.simmons@xenex.com" class="auth_mail" title="E-mail the corresponding author} ; Charles Dale ; BA^b ; Julie Stachowiak ; MIA ; PhD^b ; Mark Stibich ; MHA ; PhD^b
• 关键词：Long-term care ; No-touch disinfection ; Clostridium difficile ; Multidisciplinary teams
• 刊名：American Journal of Infection Control
• 出版年：2015
• 出版时间：1 December 2015
• 年：2015
• 卷：43
• 期：12
• 页码：1350-1353
• 全文大小：315 K

文摘

Health care–associated transmission of Clostridium difficile has been well documented in long-term acute care facilities. This article reports on 2 interventions aimed at reducing the transmission risk: multidisciplinary care teams and no-touch pulsed-xenon disinfection. C difficile transmission rates were tracked over a 39-month period while these 2 interventions were implemented. After a baseline period of 1 year, multidisciplinary teams were implemented for an additional 1-year period with a focus on reducing C difficile infection. During this time, transmission rates dropped 17% (P = .91). In the following 15-month period, the multidisciplinary teams continued, and pulsed-xenon disinfection was added as an adjunct to manual cleaning of patient rooms and common areas. During this time, transmission rates dropped 57% (P = .02). These results indicate that the combined use of multidisciplinary teams and pulsed-xenon disinfection can have a significant impact on C difficile transmission rates in long-term care facilities.