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Standard versus combined chemical, mechanical, and heat decontamination of hospital drains harboring carbapenemase-producing organisms (CPOs): A randomized controlled trial

Published online by Cambridge University Press:  08 February 2021

Alainna J. Jamal
Affiliation:
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada Sinai Health System, Toronto, Ontario, Canada
Rajni Pantelidis
Affiliation:
William Osler Health System, Etobicoke and Brampton, Ontario, Canada
Rachael Sawicki
Affiliation:
William Osler Health System, Etobicoke and Brampton, Ontario, Canada
Angel X. Li
Affiliation:
Sinai Health System, Toronto, Ontario, Canada
Wayne Chiu
Affiliation:
William Osler Health System, Etobicoke and Brampton, Ontario, Canada
Deborah Morrison
Affiliation:
William Osler Health System, Etobicoke and Brampton, Ontario, Canada
John Marshman
Affiliation:
William Osler Health System, Etobicoke and Brampton, Ontario, Canada
Mahin Baqi
Affiliation:
William Osler Health System, Etobicoke and Brampton, Ontario, Canada
David Richardson
Affiliation:
William Osler Health System, Etobicoke and Brampton, Ontario, Canada
Allison J. McGeer*
Affiliation:
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada Sinai Health System, Toronto, Ontario, Canada
Sergio Borgia
Affiliation:
William Osler Health System, Etobicoke and Brampton, Ontario, Canada
*
Author for correspondence: Allison J. McGeer, E-mail: [email protected]

Abstract

We sought to determine whether combined chemical, mechanical, and heat cleaning was superior to standard cleaning for the decontamination of 32 sink and shower drains harboring carbapenemase-producing organisms (CPOs). Of 16 intervention drains, 10 (63%) were decontaminated until day 7 versus 1 (5%) of 16 comparator drains (P = .002). Intensive cleaning may be useful if administered repeatedly in drain-associated CPO outbreaks.

Type
Concise Communication
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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Footnotes

PREVIOUS PRESENTATION. Preliminary data were accepted for presentation at the CDC/SHEA Decennial Meeting (abstract no. 741) scheduled for March 2020; the meeting was cancelled due to COVID-19.

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