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Environmental decontamination and isolation strategies in the ICU 

Environmental decontamination and isolation strategies in the ICU
Chapter:
Environmental decontamination and isolation strategies in the ICU
Author(s):

Leigh Ann Slater

and Pamela A. Lipsett

DOI:
10.1093/med/9780199600830.003.0285
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date: 24 February 2020

Potential avenues for infection transmission range from the initial hospital construction itself to unit and room layout, design materials, disinfection materials and methods, isolation equipment, and staff ratios and training. Better understanding of these avenues for transmission will suggest the means to decrease the burden of environmental contamination. There is a limited evidence base for many currently employed cleaning and isolation techniques. Many are simply intuitive or based on non-controlled observations, and rigorous studies may be prohibitively expensive. In addition, reduced colonization does not always translate to reduced infection rates. This chapter will provide a brief overview of the current understanding of the environment of care and its impact on infection control practices.

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