Abstract:
BACKGROUND:Children in child care settings have a high infectious burden. They are frequently exposed to sanitizing and disinfecting agents, whose toxicities have not been studied in these settings. Current guidance on the preferred disinfection agents for child care is vague. METHODS:This article combines 2 different sources of information: the Environmental Protection Agency registration data on the efficacy of hospital-grade disinfectants and a review of the research on the toxicities of the most common of these disinfectants to summarize information that could be used for more evidence-based early care and education disinfection regulations and guidelines. RESULTS:Coverage of these organisms varied both between disinfectant classes (defined by active ingredient), as well as within classes. The 3 most common active ingredients in the database-quaternary ammonias, bleaches, and hydrogen peroxides-had 251, 63, and 31 products, respectively. Quaternary ammonias and bleaches are both known asthmagens, with the potential for toxic gas release when mixed. Quaternary ammonias may also cause reproductive toxicity. Disinfectant-grade peroxides have relatively low inhalational toxicity. CONCLUSIONS:A clear rationale is needed to establish policies for determining preferable disinfection products for use in child care settings, based on efficacy against relevant pathogens, toxicity, ease of use, and cost. When other factors are equal, the use of peroxide-based disinfectant products is recommended to minimize inhalational toxicity.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Holm SM,Leonard V,Durrani T,Miller MDdoi
10.1016/j.ajic.2018.06.013subject
Has Abstractpub_date
2019-01-01 00:00:00pages
82-91issue
1eissn
0196-6553issn
1527-3296pii
S0196-6553(18)30731-4journal_volume
47pub_type
杂志文章abstract::Research has substantiated that animals improve human health, both psychologically and physiologically. Therefore, healthcare facilities have begun to implement programs, such as the "Furry Friends Foundation," that bring animals into the facility to improve the quality of life of patients. When implementing these pro...
journal_title:American journal of infection control
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doi:10.1016/j.ajic.2005.06.005
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abstract:BACKGROUND:Stethoscopes are contaminated with bacteria, but predictors of stethoscope disinfection frequency are unknown. We sought to describe health care provider stethoscope disinfection attitudes and practices and determine predictors of frequent disinfection. METHODS:We used an anonymous online survey of nurses, ...
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abstract::Over the last decade, substantial scientific evidence has accumulated that indicates contamination of environmental surfaces in hospital rooms plays an important role in the transmission of key health care-associated pathogens (eg, methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, Clostrid...
journal_title:American journal of infection control
pub_type: 杂志文章,评审
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journal_title:American journal of infection control
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doi:10.1016/j.ajic.2007.12.011
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pub_type: 杂志文章,多中心研究
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journal_title:American journal of infection control
pub_type: 杂志文章
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journal_title:American journal of infection control
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journal_title:American journal of infection control
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2009.08.012
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journal_title:American journal of infection control
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journal_title:American journal of infection control
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2011.03.009
更新日期:2012-04-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
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journal_title:American journal of infection control
pub_type: 杂志文章,评审
doi:10.1016/j.ajic.2007.08.007
更新日期:2008-06-01 00:00:00
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journal_title:American journal of infection control
pub_type: 杂志文章
doi:10.1016/j.ajic.2003.07.007
更新日期:2004-06-01 00:00:00
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journal_title:American journal of infection control
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journal_title:American journal of infection control
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doi:10.1016/j.ajic.2018.01.013
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journal_title:American journal of infection control
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journal_title:American journal of infection control
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journal_title:American journal of infection control
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更新日期:2017-09-01 00:00:00
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journal_title:American journal of infection control
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journal_title:American journal of infection control
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journal_title:American journal of infection control
pub_type: 杂志文章
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更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:We aimed to determine the frequency of vancomycin-resistant enterococci (VRE) infection occurrence in previously VRE-colonized children in a pediatric intensive care unit (PICU) and to identify associated risk factors. METHODS:Infection control nurses have performed prospective surveillance of health care-a...
journal_title:American journal of infection control
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