Abstract

Copper-impregnated surfaces and linens have been shown to reduce infections and multidrug-resistant organism (MDRO) acquisition in healthcare settings. However, retrospective analyses of copper linen deployment at a 40-bed long-term acute-care hospital demonstrated no significant reduction in incidences of healthcare facility-onset Clostridium difficile infection or MDRO acquisition.

Highlights

  • “No touch” measures, such as hydrogen peroxide vapor or ultraviolet light for enhanced terminal room cleaning have been shown to improve disinfection and reduce healthcare-associated infections (HAIs); these strategies are time and labor intensive and can only be employed in unoccupied rooms.[3]

  • Copper linens were associated with significantly higher rates of healthcare facility-onset Clostridium difficile infection (HO-CDI) (P = .023) and total HOMDRO acquisition (P = .001)

  • Our data do not suggest a beneficial effect of bed/bath copper linens for reducing HO-CDI or HOMDRO acquisition

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Summary

Introduction

“No touch” measures, such as hydrogen peroxide vapor or ultraviolet light for enhanced terminal room cleaning have been shown to improve disinfection and reduce healthcare-associated infections (HAIs); these strategies are time and labor intensive and can only be employed in unoccupied rooms.[3]. Copper has broad microbicidal activity including bacteria, fungi, and viruses, in addition to the vegetative and, with reduced potency, spore forms of C. difficile.[2,3] Deployment of copper surfaces has been shown to reduce MDRO colonization of hospital surfaces.[2] Limited clinical evidence suggests that copper surfaces and/or linens may reduce HAIs among intensive care unit (ICU) patients (copper surfaces only),[4] among non-ICU inpatients (surfaces and linens),[5] and at a long-term care facility (linens only).[6] We hypothesized that implementing copper linens in a long-term acute-care hospital (LTACH) would reduce incidence of healthcare facility-onset Clostridium difficile infection (HO-CDI) and MDRO acquisition. Effect of copper-impregnated linens on multidrug-resistant organism acquisition and Clostridium difficile infection at a longterm acute-care hospital.

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