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A mixed-methods evaluation on the efficacy and perceptions of needleless connector disinfectants.
Roberts, Scott C; Hendrix, Curtis A; Edwards, Lauren M; Feinn, Richard S; Martinello, Richard A; Murray, Thomas S.
Afiliação
  • Roberts SC; Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
  • Hendrix CA; Department of Infection Prevention, Yale New Haven Health, New Haven, Connecticut.
  • Edwards LM; Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
  • Feinn RS; Quality & Safety, Yale New Haven Children's Hospital, New Haven, Connecticut.
  • Martinello RA; Department of Medical Sciences, Frank H. Netter MD School of Medicine, Quinnipiac University North Haven, North Haven, Connecticut.
  • Murray TS; Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
Infect Control Hosp Epidemiol ; 44(2): 230-233, 2023 02.
Article em En | MEDLINE | ID: mdl-35387702
OBJECTIVE: Optimizing needleless connector hub disinfection practice is a key strategy in central-line-associated bloodstream infection (CLABSI) prevention. In this mixed-methods evaluation, 3 products with varying scrub times were tested for experimental disinfection followed by a qualitative nursing assessment of each. METHODS: Needleless connectors were inoculated with varying concentrations of Staphylococcus epidermidis, Pseudomonas aeruginosa, and Staphylococcus aureus followed by disinfection with a 70% isopropyl alcohol (IPA) wipe (a 15-second scrub time and a 15-second dry time), a 70% IPA cap (a 10-second scrub time and a 5-second dry time), or a 3.15% chlorhexidine gluconate with 70% IPA (CHG/IPA) wipe (a 5-second scrub time and a 5-second dry time). Cultures of needleless connectors were obtained after disinfection to quantify bacterial reduction. This was followed by surveying a convenience sample of nursing staff with intensive care unit assignments at an academic tertiary hospital on use of each product. RESULTS: All products reduced overall bacterial burden when compared to sterile water controls, however the IPA and CHG/IPA wipes were superior to the IPA caps when product efficacy was compared. Nursing staff noted improved compliance with CHG/IPA wipes compared with the IPA wipes and the IPA caps, with many preferring the lesser scrub and dry times required for disinfection. CONCLUSION: Achieving adequate bacterial disinfection of needleless connectors while maximizing healthcare staff compliance with scrub and dry times may be best achieved with a combination CHG/IPA wipe.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecção Hospitalar / Desinfetantes Tipo de estudo: Qualitative_research Limite: Humans Idioma: En Revista: Infect Control Hosp Epidemiol Assunto da revista: DOENCAS TRANSMISSIVEIS / ENFERMAGEM / EPIDEMIOLOGIA / HOSPITAIS Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecção Hospitalar / Desinfetantes Tipo de estudo: Qualitative_research Limite: Humans Idioma: En Revista: Infect Control Hosp Epidemiol Assunto da revista: DOENCAS TRANSMISSIVEIS / ENFERMAGEM / EPIDEMIOLOGIA / HOSPITAIS Ano de publicação: 2023 Tipo de documento: Article