Contamination, disinfection, and cross-colonization: Are hospital surfaces reservoirs for nosocomial infection?

被引:428
作者
Hota, B [1 ]
机构
[1] Rush Univ, Ctr Med, Stronger Hosp Cook Cty, Infect Dis Sect, Chicago, IL 60612 USA
关键词
D O I
10.1086/424667
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Despite documentation that the inanimate hospital environment (e. g., surfaces and medical equipment) becomes contaminated with nosocomial pathogens, the data that suggest that contaminated fomites lead to nosocomial infections do so indirectly. Pathogens for which there is more-compelling evidence of survival in environmental reservoirs include Clostridium difficile, vancomycin-resistant enterococci, and methicillin-resistant Staphylococcus aureus, and pathogens for which there is evidence of probable survival in environmental reservoirs include norovirus, influenza virus, severe acute respiratory syndrome associated coronavirus, and Candida species. Strategies to reduce the rates of nosocomial infection with these pathogens should conform to established guidelines, with an emphasis on thorough environmental cleaning and use of Environmental Protection Agency-approved detergent-disinfectants.
引用
收藏
页码:1182 / 1189
页数:8
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