Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-10T20:37:25.731Z Has data issue: false hasContentIssue false

Comparing the Bioburden Measured by Adenosine Triphosphate (ATP) Luminescence Technology to Contact Plate–Based Microbiologic Sampling to Assess the Cleanliness of the Patient Care Environment

Published online by Cambridge University Press:  27 February 2018

Elizabeth Salsgiver
Affiliation:
Weill Cornell Medicine, New York, New York
Daniel Bernstein
Affiliation:
Weill Cornell Medicine, New York, New York
Matthew S. Simon
Affiliation:
NewYork-Presbyterian Hospital, New York, New York
William Greendyke
Affiliation:
Columbia University Medical Center, New York, New York
Haomiao Jia
Affiliation:
Columbia University Medical Center, New York, New York
Amy Robertson
Affiliation:
Weill Cornell Medicine, New York, New York NewYork-Presbyterian Hospital, New York, New York
Selma Salter
Affiliation:
Weill Cornell Medicine, New York, New York NewYork-Presbyterian Hospital, New York, New York
Audrey N. Schuetz
Affiliation:
Weill Cornell Medicine, New York, New York NewYork-Presbyterian Hospital, New York, New York Mayo Clinic, Rochester, Minnesota.
Lisa Saiman
Affiliation:
NewYork-Presbyterian Hospital, New York, New York Columbia University Medical Center, New York, New York
E. Yoko Furuya
Affiliation:
NewYork-Presbyterian Hospital, New York, New York Columbia University Medical Center, New York, New York
David P. Calfee*
Affiliation:
Weill Cornell Medicine, New York, New York NewYork-Presbyterian Hospital, New York, New York
*
Address correspondence to David P. Calfee, MD, MS, Weill Cornell Medicine, 525 East 68th Street, Box 265, New York, NY 10065 ([email protected]).

Abstract

The correlation between ATP concentration and bacterial burden in the patient care environment was assessed. These findings suggest that a correlation exists between ATP concentration and bacterial burden, and they generally support ATP technology manufacturer-recommended cutoff values. Despite relatively modest discriminative ability, this technology may serve as a useful proxy for cleanliness.

Infect Control Hosp Epidemiol 2018;39:622–624

Type
Concise Communications
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

PREVIOUS PRESENTATION. An abstract summarizing the results of this study was presented as a poster at IDWeek 2016 on October 27, 2016, in New Orleans, Louisiana (Abstract 269).

References

REFERENCES

1. Weber, DJ, Rutala, WA, Miller, MB, Huslage, K, Sickbert-Bennett, E. Role of hospital surfaces in the transmission of emerging health care-associated pathogens: norovirus, Clostridium difficile, and Acinetobacter species. Am J Infect Control 2010;38(5 Suppl 1):S25S33.CrossRefGoogle ScholarPubMed
2. Eckstein, BC, Adams, DA, Eckstein, EC, et al. Reduction of Clostridium difficile and vancomycin-resistant Enterococcus contamination of environmental surfaces after an intervention to improve cleaning methods. BMC Infect Dis 2007;7:61.CrossRefGoogle ScholarPubMed
3. Toolkit: options for evaluating environmental cleaning. Centers for Disease Control and Prevention website. https://www.cdc.gov/hai/pdfs/toolkits/Environ-Cleaning-Eval-Toolkit12-2-2010.pdf. Published 2010. Accessed August 15, 2017.Google Scholar
4. Huang, YS, Chen, YC, Chen, ML, et al. Comparing visual inspection, aerobic colony counts, and adenosine triphosphate bioluminescence assay for evaluating surface cleanliness at a medical center. Am J Infect Control 2015;43:882886.CrossRefGoogle ScholarPubMed
5. Dancer, SJ. How do we assess hospital cleaning? A proposal for microbiological standards for surface hygiene in hospitals. J Hosp Infect 2004;56:1015.CrossRefGoogle ScholarPubMed
6. Ho, YH, Wang, LS, Jiang, HL, et al. Use of a sampling area-adjusted adenosine triphosphate bioluminescence assay based on digital image quantification to assess the cleanliness of hospital surfaces. Int J Environ Res Public Health 2016;13(6). doi: 10.3390/ijerph13060576.CrossRefGoogle ScholarPubMed
7. Smith, PW, Beam, E, Sayles, H, et al. Impact of adenosine triphosphate detection and feedback on hospital room cleaning. Infect Control Hosp Epidemiol 2014;35:564569.CrossRefGoogle ScholarPubMed
8. Brown, R, Eder, AR, Thompson, KM. Do surface and cleaning chemistries interfere with ATP measurement systems for monitoring patient room hygiene? J Hosp Infect 2010;74:193195.Google ScholarPubMed