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Effectiveness of two bed bath methods in removing microorganisms from hospitalized patients: A prospective randomized crossover study - 22/05/20

Doi : 10.1016/j.ajic.2019.10.011 
Pia L. Veje a, b, c, , Ming Chen, PhD a, d, e, Christian S. Jensen, PhD f, Jan Sørensen g, h, Jette Primdahl, PhD a, d, i
a Department of Regional Health Research, University of Southern Denmark, Odense, Denmark 
b University College South Denmark, Aabenraa, Denmark 
c Odense Patient Data Exploratory Network, Odense University Hospital, Odense, Denmark 
d Hospital of Southern Jutland, University Hospital Southern Denmark, Aabenraa, Denmark 
e Department of Clinical Microbiology, Hospital of Southern Jutland, University Hospital of Southern Denmark, Soenderborg, Denmark 
f National Center for Infection Control, Infectious Disease Epidemiology & Prevention, Statens Serum Institut, Copenhagen, Denmark 
g Danish Centre for Health Economics, Department of Public Health, University of Southern Denmark, Odense, Denmark 
h Health Care Outcomes, Research Centre, Royal College of Surgeons in Ireland, Dublin, Ireland 
i Danish Hospital for Rheumatic Diseases, Soenderborg, Denmark 

Address correspondence to Pia Lysdal Veje, Department of Regional Health Research, University of Southern Denmark, J. B. Winsløws vej 19, 5000, Odense, Denmark.Department of Regional Health ResearchUniversity of Southern DenmarkJ. B. Winsløws vej 19Odense5000Denmark

Highlights

Soap-and-water baths are increasingly being replaced by disposable wet wipes for bed baths.
Both washing methods reduce microorganisms significantly after washing.
Both washing methods seem to be equally effective in removing microbial skin flora.

Il testo completo di questo articolo è disponibile in PDF.

Riassunto

Background

Few studies have compared the effectiveness of washing with either soap and water or disposable wet wipes. The objective of this study was to compare the effectiveness of washing with either soap and water or disposable wet wipes in reducing microorganisms in the groin and perineum of hospitalized patients, which could potentially reduce the risk of hospital-acquired urinary tract infections.

Methods

In this crossover, block-randomized trial, skin swabs from the groin and perineum areas of patients were obtained before and after these areas were washed with either soap and water or disposable wet wipes. Columbia agar plates and CHROMagar Orientation Medium (Becton Dickinson; Franklin Lakes, NJ) and matrix-assisted laser desorption/ionization time-of-flight mass spectrometry procedures were used to identify species of microorganisms.

Results

Fifty-eight paired skin swabs were obtained. Both washing methods resulted in a statistically significant reduction in the amount of all microorganisms, including microorganisms with the potential to cause urinary tract infections. New species were observed after using both washing methods. No statistically significant difference in the removal of microorganisms was observed between the two washing methods.

Conclusions

The two washing methods appear to be equally efficient in removal of microorganisms in the groin and perineum areas, including microorganisms that potentially could cause hospital-acquired urinary tract infections.

Il testo completo di questo articolo è disponibile in PDF.

Key Words : Meatal care, Microbes, Disposable wet wipes, Soap and water, Urinary tract infection


Mappa


 Conflicts of interest: None to report.
 Author contributions: P.L.V. collected all the data and takes full responsibility for the integrity of the data and the accuracy of the data analysis. P.L.V., C.S.J., J.S., M.C., and J.P. contributed to the study design; analysis and interpretation of the results; and drafting the manuscript and have all approved the final manuscript.
 Funding/support: Unrestricted funding was provided by the University of Southern Denmark, the region of Southern Jutland, University College South Denmark, and Hospital of Southern Jutland, University Hospital South Denmark.


© 2019  Association for Professionals in Infection Control and Epidemiology, Inc.. Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
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