How long do nosocomial pathogens persist on inanimate surfaces? A scoping review

Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved..

Healthcare hygiene plays a crucial role in the prevention of healthcare-associated infections. Patients admitted to a room where the previous occupant had a multi-drug-resistant bacterial infection are at an increased risk of colonization and infection with the same organism. A 2006 systematic review by Kramer et al. found that certain pathogens can survive for months on dry surfaces. The aim of this review is to update Kramer et al.'s previous review and provide contemporary data on the survival of pathogens relevant to the healthcare environment. We systematically searched Ovid MEDLINE, CINAHL and Scopus databases for studies that described the survival time of common nosocomial pathogens in the environment. Pathogens included in the review were bacterial, viral, and fungal. Studies were independently screened against predetermined inclusion/exclusion criteria by two researchers. Conflicts were resolved by one of two senior researchers. A spreadsheet was developed for the data extraction. The search identified 1736 studies. Following removal of duplicates and application of the search criteria, the synthesis of results from 62 included studies were included. 117 organisms were reported. The longest surviving organism reported was Klebsiella pneumoniae which was found to have persisted for 600 days. Common pathogens of concern to infection prevention and control, can survive or persist on inanimate surfaces for months. This data supports the need for a risk-based approach to cleaning and disinfection practices, accompanied by appropriate training, audit and feedback which are proven to be effective when adopted in a 'bundle' approach.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:147

Enthalten in:

The Journal of hospital infection - 147(2024) vom: 05. März, Seite 25-31

Sprache:

Englisch

Beteiligte Personen:

Porter, L [VerfasserIn]
Sultan, O [VerfasserIn]
Mitchell, B G [VerfasserIn]
Jenney, A [VerfasserIn]
Kiernan, M [VerfasserIn]
Brewster, D J [VerfasserIn]
Russo, P L [VerfasserIn]

Links:

Volltext

Themen:

Cleaning
Disinfection
Infection control
Infection prevention
Journal Article
Nosocomial infection
Pathogen persistence
Review

Anmerkungen:

Date Revised 22.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.jhin.2024.01.023

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369375645