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Environmental contamination and hospital‐acquired infection: factors that are easily overlooked
Author(s) -
Beggs C.,
Knibbs L. D.,
Johnson G. R.,
Morawska L.
Publication year - 2015
Publication title -
indoor air
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.387
H-Index - 99
eISSN - 1600-0668
pISSN - 0905-6947
DOI - 10.1111/ina.12170
Subject(s) - infection control , hygiene , multidisciplinary approach , health care , transmission (telecommunications) , environmental health , control (management) , environmental planning , medicine , contamination , cross infection , medical emergency , business , intensive care medicine , engineering , environmental science , political science , biology , pathology , computer science , ecology , electrical engineering , artificial intelligence , law
Abstract There is an ongoing debate about the reasons for and factors contributing to healthcare‐associated infection ( HAI ). Different solutions have been proposed over time to control the spread of HAI , with more focus on hand hygiene than on other aspects such as preventing the aerial dissemination of bacteria. Yet, it emerges that there is a need for a more pluralistic approach to infection control; one that reflects the complexity of the systems associated with HAI and involves multidisciplinary teams including hospital doctors, infection control nurses, microbiologists, architects, and engineers with expertise in building design and facilities management. This study reviews the knowledge base on the role that environmental contamination plays in the transmission of HAI , with the aim of raising awareness regarding infection control issues that are frequently overlooked. From the discussion presented in the study, it is clear that many unknowns persist regarding aerial dissemination of bacteria, and its control via cleaning and disinfection of the clinical environment. There is a paucity of good‐quality epidemiological data, making it difficult for healthcare authorities to develop evidence‐based policies. Consequently, there is a strong need for carefully designed studies to determine the impact of environmental contamination on the spread of HAI .