Antimicrobial surfaces to prevent healthcare-associated infections: a systematic review

Summary Contamination of the healthcare environment with pathogenic organisms contributes to the burden of healthcare-associated infection (HCAI). Antimicrobial surfaces are designed to reduce microbial contamination of healthcare surfaces. We aimed to determine whether antimicrobial surfaces preven...

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Bibliographic Details
Published in:The Journal of hospital infection 2016-01, Vol.92 (1), p.7-13
Main Authors: Muller, M.P, MacDougall, C, Lim, M
Format: Article
Language:English
Subjects:
Antimicrobial surfaces
Copper surfaces
Cross Infection - prevention & control
Disease Transmission, Infectious - prevention & control
Disinfectants - administration & dosage
Disinfection - methods
Environmental contamination
Environmental Microbiology
Healthcare-associated infection
Humans
Infectious Disease
Surface Properties
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Summary:Summary Contamination of the healthcare environment with pathogenic organisms contributes to the burden of healthcare-associated infection (HCAI). Antimicrobial surfaces are designed to reduce microbial contamination of healthcare surfaces. We aimed to determine whether antimicrobial surfaces prevent HCAI, transmission of antibiotic-resistant organisms (AROs), or microbial contamination, we conducted a systematic review of the use of antimicrobial surfaces in patient rooms. Outcomes included HCAI, ARO, and quantitative microbial contamination. Relevant databases were searched. Abstract review, full text review, and data abstraction were performed in duplicate. Risk of bias was assessed using the Cochrane Effective Practice and Organization Care (EPOC) Group risk of bias assessment tool and the strength of evidence determined using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Eleven studies assessed the effect of copper ( N  = 7), silver ( N  = 1), metal-alloy ( N  = 1), or organosilane-treated surfaces ( N  = 2) on microbial contamination. Copper surfaces demonstrated a median (range) reduction of microbial contamination of
ISSN:0195-6701
1532-2939
DOI:10.1016/j.jhin.2015.09.008