Room Disinfection Research Articles

Review of modern methods for reducing nosocomial infection in the operating room and air disinfection in surgical hospitals in the healthcare organization of the Russian Federation

Review of modern methods for reducing nosocomial infection in the operating room and air disinfection in surgical hospitals in the healthcare organization of the Russian Federation

Effectiveness of ultraviolet-C vs aerosolized hydrogen peroxide in ICU terminal disinfection

According to the Centers for Disease Control and Prevention, 10% of patients with healthcare-acquired infections (HAIs) died during hospitalization in 2015. Thus, a reduction in the prevalence of HAIs is critical. One strategy to achieve this is the adequate disinfection of patient rooms within hospitals. To compare the effectiveness of an ultraviolet-C (UV-C) room sanitizer with an aerosolized hydrogen peroxide (aHP) device for the elimination of selected healthcare-associated (HA) pathogens and other HA organisms in an intensive care unit (ICU) setting. The disinfection systems were tested on the following organisms: meticillin-resistant Staphylococcus aureus, extended-spectrum beta-lactamase-producing Klebsiella pneumoniae, carbapenem-resistant K.pneumoniae, vancomycin-resistant enterococci, multi-drug-resistant Acinetobacter baumannii and Candida auris. Media plates with known densities of each organism were placed at preselected regions within an ICU room. The mean kill rate was determined for each organism. Additionally, swabs were taken from five high-touch areas from different ICU rooms prior to manual cleaning, following manual cleaning, and following each disinfection method in order to compare their effectiveness. The UV-C device achieved a 96.75% mean microbial reduction in non-shaded areas. It was significantly less effective in shaded areas. The aHP system achieved a mean kill rate of 50.71% for all areas. The swab results revealed that 15% of manually cleaned surfaces still harboured a microbial load, which was eradicated after use of either of the no-touch disinfection systems. This study found notable differences between two no-touch disinfection methods, highlights their effectiveness, and advocates for their incorporation alongside a manual cleaning regimen.

Joint Healthcare Infection Society (HIS) and Infection Prevention Society (IPS) guidelines for the prevention and control of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities

Joint Healthcare Infection Society (HIS) and Infection Prevention Society (IPS) guidelines for the prevention and control of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities

Effectiveness Between Daily and After-Each-Case Room Disinfection of the Endoscopy Unit.

Background: To evaluate the effectiveness between daily and after-each-case room disinfection in the endoscopy unit.Methods: This study was conducted in an endoscopy unit of the First Affiliation of Zhejiang Chinese Medical University. We cultured samples from the surface of endoscopy unit items, including operation unit air, isolation gown of an endoscopist, control panel buttons, workstation mouse, and the bed head of the patient. All the samples were divided into daily and after-each-case room disinfection groups. In addition, each group was subdivided into sedation and nonsedation gastroscopy with and without ventilation room groups.Results: The qualified rate of bed head samples of the patient were lower in the daily room disinfection group (76.67%) compared with the after-each-case group (100%). The isolation gown, mouse at the workstation, and the bed head of the patient demonstrated the lowest bacterial and fungal load in the after-each-case room disinfection group compared with the daily room disinfection group (p < 0.05). In the subgroup analysis, a higher microbial load was observed for the isolation gown of the endoscopist used during nonsedation gastroscopy in an unventilated room under the after-each-case room disinfection pattern (p < 0.05); a higher microbial load was observed for the control panel buttons used during nonsedation gastroscopy under the after-each-case room disinfection pattern (p < 0.05).Conclusions: For risk-free or low-risk patients, daily room disinfection provides the basic health requirements of the endoscopy procedure. However, it is better to adopt the after-each-case room disinfection for the isolation gown of the endoscopist and bed head of the patient. For the patients with high risk, the after-each-case room disinfection is more suitable for every endoscopy unit (www.ClinicalTrials.gov, NCT04399005).

Automated Ultraviolet C Light Mobile Robot for Room Sterilization and Disinfection

The number of COVID-19 cases in Indonesia has increased significantly of late. Therefore, isolation rooms are needed in hospitals for patient treatment Room sterilization and disinfection are strictly required as it is mandatory to protect the medical personnel. Chemical and physical methods can be used for sterilization and disinfection. Of these, the ultraviolet C (UVC) light method is the best because it has no residual. Even though UVC light is hazardous for humans' skin and eyes, such hazard can be avoided by eliminating human operators during usage. Thus, we developed a mobile robot with a UVC light system installed at the top and bottom to emit UVC light We called this robot the Automated UVC Light Mobile Robot (AUMR). The AUMR can be operated automatically as it has a magnetic line sensor and employs a fuzzy inference system algorithm for its movement. The experiment showed that UVC light has good sterilization and disinfection performance in three room types: positive-pressure rooms, negative-pressure rooms, and standard public rooms.

A case-control study of airborne dissemination of bacteria during CT colonography.

The COVID-19 pandemic has highlighted the importance of aerosol spread of infection. We have conducted a study to detect bacterial contamination of room surfaces and room air during CT colonography and confirm the efficacy of room disinfection procedures carried out between examinations. Systematic sampling of the CT examination couch and horizontal surfaces 1 m and 3 m from the couch was performed before and after patient examinations. A 1 m3 sample of room air was obtained during patient examinations. Samples were processed using routine laboratory methods. A case-control study design was used (30 CT colonography and 30 routine body CT scans). Evidence of airborne dissemination of bacteria was detected in >30% of CT colonography examinations and <10% of control examinations (p = 0.01). No pathogenic bacteria were detected in surface samples taken before patient examinations. The room disinfection policy in use in our CT department is effective in eliminating pathogenic bacteria from surfaces in the patient environment. CT colonography causes contamination of room air with enteric bacteria in a significant proportion of cases. CT colonography may possibly be an aerosol-generating procedure. Larger-scale investigation is needed to fully evaluate this potential infection risk.

Disinfection of Maternal Environments Is Associated with Piglet Microbiome Composition from Birth to Weaning.

ABSTRACTMaternal factors predetermine offspring development and health, including the establishment of offsprings’ first microbiomes. Research in swine has shown that early microbial exposures impact microbiome colonization in piglets, but this phenomenon has never been tested in the context of delivery room disinfection. Thus, we exposed gestating sows to two delivery environments (n = 3/environment): stalls cleaned with a broad-spectrum disinfectant (disinfected environment [D]) or stalls cleaned only with hot-water power washing (nondisinfected environment [Nde]), 3 days prior to farrowing. Microbiomes of sows and farrowed piglets (n = 27/environment) were profiled at 4 different time points from birth to weaning via 16S rRNA sequencing. The results show that although vaginal, milk, skin, and gut microbiomes in mothers were minimally affected, sanitation of farrowing stalls impacted piglet microbiome colonization. These effects were mainly characterized by lower bacterial diversity in the gut and nasal cavity, specifically in D piglets at birth, and by distinct taxonomic compositions from birth to weaning depending on the farrowing environment. For instance, environmental bacteria greatly influenced microbiome colonization in Nde piglets, which also harbored significantly higher abundances of gut Lactobacillus and nasal Enhydrobacter at several time points through weaning. Different sanitation strategies at birth also resulted in distinct microbiome assembly patterns, with lower microbial exposures in D piglets being associated with limited interactions between bacterial taxa. However, increasing microbial exposures at birth through the lack of disinfection were also associated with lower piglet weight, highlighting the importance of understanding the trade-offs among optimal microbiome development, health, and growth performance in swine production systems.IMPORTANCE We show that levels of disinfection in farrowing facilities can impact early microbial exposures and colonization by pioneer microbes in piglets. Although previous research has shown a similar effect by raising pigs outdoors or by exposing them to soil, these practices are unattainable in most swine production systems in the United States due to biosecurity practices. Thus, our results underscore the importance of evaluating different disinfection practices in swine production to safely reduce pathogenic risks without limiting early microbial exposures. Allowing early exposure to both beneficial and pathogenic microbes may positively impact immune responses, reduce the stressors of weaning, and potentially reduce the need for dietary antimicrobials. However, the benefits of modified early microbial exposures need to be accomplished along with acceptable growth performance. Thus, our results also provide clues for understanding how disinfection practices in farrowing rooms may impact early microbiome development and assembly.

Average and longest expected treatment times for ultraviolet light disinfection of rooms

Planning Ultraviolet-C (UV-C) disinfection of operating rooms (ORs) is equivalent to scheduling brief OR cases. The study purpose was evaluation of methods for predicting surgical case duration applied to treatment times for ORs and hospital rooms. Data used were disinfection times with a 3-tower UV-C disinfection system in N=700 rooms each with ≥100 completed treatments. The coefficient of variation of mean treatment duration among rooms was 19.6% (99% confidence interval [CI] 18.2%-21.0%); pooled mean 18.3 minutes among the 133,927 treatments. The 50th percentile of coefficients of variation among treatments of the same room was 27.3% (CI 26.3%-28.4%), comparable to variabilities in durations of surgical procedures. The ratios of the 90th percentile to mean differed among rooms. Log-normal distributions had poor fits for 33% of rooms. Combining results, we calculated 90% upper prediction limits for treatment times by room using a distribution-free method (e.g., third longest of preceding 29 durations). This approach was suitable because, once UV-C disinfection started, the median difference between the duration estimated by the system and actual time was 1 second. Times for disinfection should be listed as treatment of a specific room (e.g., "UV-C main OR16"), not generically (e.g., "UV-C"). For estimating disinfection time after single surgical cases, use distribution-free upper prediction limits, because of considerable proportional variabilities in duration.

Stable Clostridioides difficile infection rates after the discontinuation of ultraviolet light for terminal disinfection at a tertiary care center, Iowa 2019-2020

We compared the incidence of Clostridioides difficile infection before and after the discontinuation of Ultraviolet light used in addition to bleach in terminal disinfection of hospital rooms. We found no difference in C. difficile infection rates but found a decreased turn over time. The benefit of Ultraviolet light may be diminished in hospitals with a high thoroughness of manual cleaning.

Efektifitas Promosi Kesehatan Menggunakan Video Whatsapp untuk Meningkatkan Pengetahuan Pekerja Pelayanan Kesehatan tentang Disinfeksi Permukaan

One of protection activities on Covid-19 transmission prevention is the disinfection of surfaces, rooms, and equipment periodically. One activity to strengthen the role of public health centre (puskesmas) which is related to Covid-19, is by increasing promotional and preventive activities among the community through communication, information and education. The purpose of this research is to examine the effectiveness of health promotional activities by using WhatsApp vi-deo on health cadres’ knowledge about surface disinfection. The study was a quasi experiment with non equivalent control group design. The respondents are 60 health cadres, who were di-vided into two groups, i.e. 30 in the treatment group with video, and the other 30 in the control group with picture. The intervention was conduted in three replications. Google form was used as the instrument for data collection. The results showed that both the WhatsApp video and pict-ure media improving the knowledge about surface disinfection (p &lt;0,001). Descriptively, the increase in the video group was higher that that of the picture group. However, the difference was not statistically significant (p=0,596).

Impact of the COVID-19 pandemic on tourist plans: a case study from Poland

ABSTRACT The COVID-19 pandemic has had a strong impact on the tourism market worldwide. The aim of the paper was to present the tourism plans of Poles during the COVID-19 pandemic. The research conducted showed that the prevailing pandemic had a significant impact on touristic travel plans. However, the vast majority (over 75%) of the respondents plan at least one tourist trip, which will last from 5 to 7 days. During a tourist trip, the respondents plan to use different forms of accommodation. They considered their own cottage /second house and camping site to be the safest facilities, while hotels or resorts were indicated as the least safe facilities. In order to ensure safety during the stay, the respondents expect specific actions to be taken by the operators of the accommodation facilities, i.e.: availability of hand sanitizers, disinfection of rooms and generally available equipment in the facility as well as compliance with restrictions concerning social distance and the wearing of masks. This article contributes to the evolving literature on the impact of the COVID-19 pandemic on development of tourism sector.

МАРКЕТИНГОВЫЙ АНАЛИЗ РЫНКА ДЕЗИНФИЦИРУЮЩИХ СРЕДСТВ В РЕСПУБЛИКЕ КАЗАХСТАН

В данной статье представлен анализ рынка дезинфицирующих средств в Республике Казахстан. Определены доли отечественных и зарубежных производителей, количество дезинфицирующих средств, представленных на рынке. Выделены лидирующие страны производители, а также фармацевтические организации в Республике Казахстан. В результате исследований было выявлено, что дезинфицирующие средства отечественного производства составляют 15,52% рынка, иностранные - 84,48%. This article presents the analysis of the market of disinfectants in the Republic of Kazakhstan. The shares of domestic and foreign manufacturers, the number of disinfectants presented in the market are determined. The leading countries manufacturers, as well as pharmaceutical organizations in the Republic of Kazakhstan are highlighted. As a result of the research, it was found that disinfectants of domestic production account for 15.52% of the market, foreign - 84.48%. Relevance. At the beginning of 2020, the world is facing a pandemic of coronavirus. It is a potentially severe acute respiratory infection [1], which is a dangerous disease that can occur both in mild and severe forms [2]. The virus is transmitted via airborne droplets with the virus sprayed into the air when coughing, sneezing or talking, or by contact with surfaces, followed by infection in the eyes, nose or mouth. The most vulnerable places are public places, transport, markets, etc. The main measure against the spread of infection is compliance with the rules of personal and respiratory hygiene [3]. But, in addition to this, the disinfection of rooms and surfaces should be carried out. The rapid spread of infection has increased the demand for disinfectants. The most important problem is the development of optimal production of domestic products, since the products of other countries occupy a signicant part of the market.Objective: to analyze the market of disinfectants in Kazakhstan.Objectives:- To consider the producing countries;- determine the dynamics of registered disinfectants from 2016 to 2020;- to compare the market value of the most demanded disinfectants;- determine the percentage of dosage forms.Research materials. Register of disinfection, disinsection and deratization means with certificate of state registration in the Republic of Kazakhstan; Register of state registration certicates of the Republic of Kazakhstan.

Validation and Extrapolation of a Multimodal Infection Prevention and Control Intervention on Carbapenem-Resistant Klebsiella pneumoniae in an Epidemic Region: A Historical Control Quasi-Experimental Study.

Objective: To verify the effects of comprehensive infection prevention and control (IPC) interventions for the prevention of the cross-transmission of carbapenem-resistant Klebsiella pneumoniae (CRKP) within intensive care units (ICUs) in an epidemic region.Methods: A historical control, quasi-experimental design was performed. The study was conducted between January 2017 and December 2019, following the implementation of a multimodal IPC bundle. The baseline period was established from January 2013 to June 2013, when only basic IPC measures were applied.Results: A total of 748 patients were enrolled during the entire study. The incidence of ICU-acquired CRKP colonization/infection was 1.16 per 1,000 patient-days during the intervention period, compared with 10.19 per 1,000 patient-days during the baseline period (p = 0.002). The slope of the monthly incidence of CRKP at admission showed an increasing trend (p = 0.03). The incidence of ICU-acquired catheter-related bloodstream infections caused by CRKP decreased from 2.54 to 0.96 per 1,000 central-line-days (p = 0.08). Compliance with contact precautions and terminal room disinfection improved during the intervention period. All environmental surface culture samples acquired after terminal room disinfection were negative for CRKP.Conclusion: Our findings suggest that in epidemic settings, multimodal IPC intervention strategies and consistent monitoring of compliance, may limit the spread of CRKP in ICUs.

COVID-19 Outbreak in an Acute-Care Hospital: Lessons Learned

Background: We describe the infection prevention investigation of a cluster of 15 healthcare workers (HCWs) and 7 patients in a single non–COVID-19 unit of an acute-care hospital in September 2020. Methods: The infection prevention team was notified of 13 SARS-CoV-2–positive, symptomatic HCWs in an acute-care non–COVID-19 unit in 1 week (August 30, 2020, to September 3, 2020). In the same week, 2 patients who had been on the unit were diagnosed with nosocomial COVID-19. An epidemiologic investigation identified the exposure period to be between August 19, 2020, and September 3, 2020. The following immediate containment measures were implemented: closing the unit to new admissions, restricting float staff, moving existing patients to private rooms, mandatory masking of patients, and mandatory respirator and eye protection on unit entry for all HCWs. Exposed unit staff were tested immediately and then every 4 days until September 18, 2020. Likewise, exposed patients, including those discharged, were notified and offered testing. Hospital-wide HCW surveillance testing was conducted. Enhanced environmental control measures were conducted, including terminal cleaning and ultraviolet C (UV-C) disinfection of common areas and patient rooms and a thorough investigation of airflow. Detailed staff interviews were performed to identify causes of transmission. Multiple town hall meetings were held for staff education and updates. Results: In total, 108 total patients were deemed exposed: 33 were inpatients and 75 had been discharged. Testing identified 5 additional patient cases among 57 patients who received testing; 51 chose to self-monitor for symptoms. Staff testing identified 2 additional cases. Thus, 15 HCWs and 7 patients were linked in this cluster. The containment measures successfully ended staff transmission as of September 5, 2020. The last patient case was detected on September 10, 2020. Secondary cases were noted in 6 HCW families. We identified staff presenteeism, complacency, and socialization in break rooms and outside work as major causes of transmission. Suboptimal compliance with universal eye protection and hand hygiene (67%) were contributing factors. We determined by contact tracing and temporality that the outbreak could have stemmed from nursing home patient(s) through floating HCWs to staff on the affected unit. Directionality of transmission was from staff to patients in this cluster. Conclusions: Many facets of pandemic fatigue were apparent in this outbreak, namely, inability of HCWs to adhere to changing PPE guidance, presenteeism pressures due to workforce needs, and socialization with peers due to a false sense of security conferred by biweekly surveillance testing. Ongoing PPE education, repeated reinforcement, as well as engagement in staff wellness are crucial to combatting pandemic fatigue, conserving our workforce, and preventing future outbreaks.Funding: NoDisclosures: None

Virucidal efficacy of an ozone-generating system for automated room disinfection

Besides conventional prevention measures, no-touch technologies based on gaseous systems have been introduced in hospital hygiene for room disinfection. The whole-room disinfectant device Sterisafe Pro, which creates ozone as a biocidal agent, was tested for its virucidal efficacy based on Association Française de Normalisation Standard NF T 72-281:2014. All test virus titres were reduced after 150 and 300 min of decontamination, with mean reduction factors ranging from 2.63 (murine norovirus) to 3.94 (simian virus 40). These results will help to establish realistic conditions for virus inactivation, and assessment of the efficacy of ozone technology against non-enveloped and enveloped viruses.

Pharmacists' Efforts in Community Pharmacy to Achieve Health Protocol Compliance During the Covid-19 Pandemic in Lamongan

Pharmacists also play a role in helping control infections Covid-19, so this study aims to determine the efforts of Pharmacists in Community Pharmacy to achieve compliance with health protocols during the Covid-19 pandemic in Lamongan. This research is a descriptive observational study using a cross-sectional study with a validated questionnaire. There were 52 Pharmacists who practice at the Apothecaries. The results showed that most of the pharmacists made efforts such as: providing hand washing facilities(78.8%),preparing personal protective equipment (75.0%) and procuring multivitamins, handsanitizers (71.1%). Other efforts that are quite important for pharmacists are reminding each other to comply with the Covid-19 protocol by always wearing a mask, washing hands regularly, checking body temperature, disinfection of rooms and tools that are prone to contact with other people. Based on this, it appears that the existence of pharmacists during this pandemic is quite large

An automated room disinfection system using ozone is highly active against surrogates for SARS-CoV-2

BackgroundThe presence of coronaviruses on surfaces in the patient environment is a potential source of indirect transmission. Manual cleaning and disinfection measures do not always achieve sufficient removal of surface contamination. This increases the importance of automated solutions in the context of final disinfection of rooms in the hospital setting. Ozone is a highly effective disinfectant which, combined with high humidity, is an effective agent against respiratory viruses. Current devices allow continuous nebulization for high room humidity as well as ozone production without any consumables.AimIn the following study, the effectiveness of a fully automatic room decontamination system based on ozone was tested against bacteriophage Φ6 (phi 6) and bovine coronavirus L9, as surrogate viruses for the pandemic coronavirus SARS-CoV-2.MethodsFor this purpose, various surfaces (ceramic tile, stainless steel surface and furniture board) were soiled with the surrogate viruses and placed at two different levels in a gas-tight test room. After using the automatic decontamination device according to the manufacturer's instructions, the surrogate viruses were recovered from the surfaces and examined by quantitative cultures. Then, reduction factors were calculated.FindingsThe ozone-based room decontamination device achieved virucidal efficacy (reduction factor >4 log10) against both surrogate organisms regardless of the different surfaces and positions confirming a high activity under the used conditions.ConclusionOzone is highly active against SARS-CoV-2 surrogate organisms. Further investigations are necessary for a safe application and efficacy in practice as well as integration into routine processes.

Can multidrug-resistant organisms become resistant to ultraviolet (UV) light following serial exposures? Characterization of post-UV genomic changes using whole-genome sequencing.

No-touch disinfection systems like xenon- or mercury-based ultraviolet (UV) are now commonly being used for hospital room disinfection. However, serial exposure to UV light can potentially lead to the development of bacterial resistance. We sought to determine whether UV resistance develops due to serial exposure to UV light using 3 epidemiologically important multidrug-resistant microbial strains. Methicillin-resistant Staphylococcus aureus (MRSA), carbapenemase-producing Klebsiella pneumoniae (KPC) and metallo-β-lactamase-producing Klebsiella pneumoniae (MBL) were serially exposed to 25 growth-irradiation cycles of UV produced by a xenon-based UV (Xe-UV) lamp for 5 minutes or a mercury-based UV (Hg-UV) lamp for 10 minutes. After each UV exposure cycle, the surviving colony-forming units (CFUs) were measured and compared with the initial inoculum of each cycle for each strain, respectively. In each cycle, ˜1-10 million of MRSA, KPC, and MBL were used to test the effect of UV irradiation. Postexposure colony counts remained low (3-100 colonies) throughout the 25 serial exposures to both xenon- and mercury-based UV. The log-kill rate after each exposure showed no changes following UV disinfection by Xe-UV. The MRSA log-kill rate increased after repeated exposure to Hg-UV unlike KPC and MBL K. pneumoniae, which did not change. Whole-genome sequencing (WGS) analyses performed on these 3 strains demonstrated no significant genetic changes after multiple UV irradiation cycles. Exposure of multidrug-resistant bacteria to UV produced from 2 different UV sources did not engender UV resistance after 25 serial exposures, as demonstrated by WGS analysis; thus, UV disinfection is unlikely to generate UV-resistant hospital flora.

Reuse of disposable gowns for COVID-19 personal protective equipment purposes in times of scarcity: results of an experimental study with hydrogen peroxide vaporization

During the coronavirus disease 2019 (COVID-19) pandemic, many health organizations faced shortages of personal protective equipment for their personnel. In case of extreme urgency, re-using disposable materials might offer a temporary solution. Hydrogen peroxide vaporization (HPV) has been used for disinfection of patient rooms for more than a decade. We investigated HPV as a method for disinfecting disposable gowns. After HPV, gowns proved to be free of bacteria and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA while their functionality and water-repellency remained intact. We conclude that, in case of emergency and lack of available alternatives, HPV is a suitable and relatively inexpensive method for one-time reuse of disposable gowns.

Willingness to Adopt mHealth Among Chinese Parents During the COVID-19 Outbreak: Cross-sectional Questionnaire Study

BackgroundParental involvement in mobile health (mHealth) to consult with medical professionals appears to be prevalent in China with the rapid development of the internet. More parents with busy jobs have chosen to use mHealth. During the ongoing COVID-19 outbreak, mHealth can assist with health promotion, directions for medication use, and disease diagnosis via online chat and video consultation without contacting others. To our knowledge, no studies have been performed to explore the role of mHealth in parents’ attitudes toward child health care at home during the COVID-19 outbreak.ObjectiveThis study aims to identify the associated factors of willingness to adopt mHealth among Chinese parents during the COVID-19 outbreak and to explore the correlation between the frequency of adopting mHealth and parents’ attitudes toward child health care at home.MethodsChinese parents were asked to complete an online survey from January 25 to February 15, 2020. The questionnaire comprised of two parts with a total of 16 items, including parents’ demographic variables and attitudes toward child health care at home. By multivariate logistic regression, we explored factors associated with parents’ willingness to adopt mHealth during the COVID-19 outbreak. Pearson chi-square tests were used to reveal the correlation between the frequency of adopting mHealth and parents’ attitudes toward child health care at home.ResultsA total of 254 parents enrolled, and 202 (79.5%) parents were willing to adopt mHealth during the COVID-19 outbreak. Parents’ age (26-35 years: adjusted odds ratio [AOR] 8.114, 95% CI 1.471-44.764), parents’ interest in the COVID-19 pandemic (moderate: AOR 8.753, 95% CI 2.009-38.127; high: AOR 22.194, 95% CI 5.509-89.411), the source that recommended mHealth (medical health providers: AOR 4.257, 95% CI 1.439-12.596), the presence of chronic disease in their children (yes: AOR 20.844, 95% CI 4.600-94.443), parents’ duration of daily internet use (4-6 hours: AOR 6.487, 95% CI 1.870-22.495; >6 hours: AOR 8.766, 95% CI 1.883-40.804), and adoption of mHealth before the COVID-19 outbreak (yes: AOR 3.413, 95% CI 1.234-9.444) were significantly correlated with the parents’ willingness to adopt mHealth during the COVID-19 outbreak. The frequency of mHealth use among parents was correlated with their behaviors in regard to handwashing (χ26=18.967, P=.004), mask wearing (χ26=45.364, P<.001), frequency of leaving the home (χ26=16.767, P=.01), room disinfection and ventilation (χ26=19.515, P=.003), temperature checking (χ26=17.47, P=.007), and mental health care of children (χ26=63.810, P<.001) during the COVID-19 pandemic.ConclusionsWe found various objective factors that were associated with parents’ willingness to adopt mHealth during the COVID-19 outbreak. Overall, parents’ willingness to adopt mHealth was high. The frequency of mHealth use among parents was correlated with their attitudes toward child health care at home. The option of mHealth to patients at home during the COVID-19 outbreak would be beneficial for education and improvement in self-management of child health care at home.