Outpatient Surgery Magazine

Manager's Guide to Infection Control - May 2014

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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5 9 M AY 2 0 1 4 | S U P P L E M E N T T O O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E violet light, aerosolized hydrogen peroxide, hydrogen peroxide vapor, cluster ions and ozone gas — to target areas your staff might have missed. Finding the right system ultimately comes down to balancing cost with the practical bene- fits of attacking the pathogens prevalent in your facility. Airborne aids Jon Otter, PhD, a research fellow at the Centre for Clinical Infection and Diagnostics at Kings College in London, co- authored a study pub- lished in the Journal of Hospital Infection ( tinyurl.com/n9a56rc ) that explores the differences among several available technologies. The report says aerosolized hydrogen peroxide (aHP) has been shown in clinical studies to reduce Clostridium difficile and methicillin-resistant Staphylococcus aureus contamination on hospital surfaces, but has not been proven to eradicate pathogens in clinical practice. For example, notes the study, at least 1 positive C. diff culture was collected from 20% of 15 and from 50% of 10 rooms studied after an aHP process. The technology is straightforward to use and relatively inexpensive, according to the study, which notes room doors and vents must be sealed before running disinfection cycles, which range from 2 hours in smaller rooms to 3 to 4 hours in larger rooms. Dr. Otter's study says some research suggests the devices don't achieve uniform distribution of the active agent because aHP is delivered through a unidirectional nozzle and affected by gravity. Hydrogen peroxide vapor systems send heated vapors of aqueous hydrogen S U R F A C E D I S I N F E C T I O N QUICK WIPE Whole room surface disinfection goes where sprays and wipes can't. 1405_InfectionControl_Layout 1 5/2/14 11:06 AM Page 59

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