Healthcare equipment as a source of nosocomial infection: A systematic review

Schabrun, S. and Chipchase, L. (2006) Healthcare equipment as a source of nosocomial infection: A systematic review. Journal of Hospital Infection, 63 3: 239-245. doi:10.1016/j.jhin.2005.10.013

Author Schabrun, S.
Chipchase, L.
Title Healthcare equipment as a source of nosocomial infection: A systematic review
Journal name Journal of Hospital Infection   Check publisher's open access policy
ISSN 0195-6701
Publication date 2006-07
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.jhin.2005.10.013
Volume 63
Issue 3
Start page 239
End page 245
Total pages 7
Place of publication London , U.K.
Publisher W.B. Saunders
Language eng
Subject 11 Medical and Health Sciences
Abstract Nosocomial infections (NIs) result in significant financial and individual costs, with large numbers of patients acquiring infections annually. Healthcare equipment has been identified as a likely source of these infections, and research indicates that up to one-third of all NIs may be prevented by adequate cleaning of equipment. Thus, this systematic review aimed to determine levels of contamination on healthcare equipment, to identify viable cleaning protocols and to establish the methodological quality of current evidence. Published and unpublished studies from January 1972 to December 2004 were identified in eight major databases. Methodological quality was evaluated using the hierarchy of evidence and a quantitative critical appraisal tool. Data were extracted and analysed using five major outcome measures. Fifty studies were identified investigating a range of healthcare equipment, of which 23 were included in the review. Methodological quality ranged from 6.5 to 9.5 out of 14 for observational studies and from 6.5 to 9.5 out of 15 for repeated measures studies. The included studies reported that 86.8% of all sampled equipment was contaminated, with 70% alcohol reducing the levels of contamination on equipment by 82.1%. Healthcare equipment is a significant source of NI. High levels of contamination are present on a wide range of healthcare equipment. However, the majority of contamination and hence any risk of acquiring a NI can be reduced substantially by regular cleaning of equipment with 70% alcohol. Further research is required into the role of community healthcare equipment in NI.
Keyword Healthcare equipment
Nosocomial infection
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Excellence in Research Australia (ERA) - Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 36 times in Thomson Reuters Web of Science Article | Citations
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