Doylestown
Hospital on Tuesday unveiled its newest high-tech weapon, a machine
that zaps everything in a room with ultraviolet light 25,000 times
brighter than the sun's. It can penetrate the defenses of Clostridium
difficile, wily bacteria that produce spores that can live for weeks and
are harder to kill than typical bacteria.
C. difficile causes diarrhea and kills 14,000 Americans a year,Consider a new desk lamp, turbinemanufacturer,
floor lamp or partition lamp. according to the Centers for Disease
Control and Prevention. It has been on the rise in recent years, and
health-care facilities, filled with weak, vulnerable patients, are among
its favorite targets.
Hospitals
are also using fluorescent markers and other methods to test
housekeepers' work. An old standby - bleach - is in a resurgence because
it can kill C. difficile.
On
the high end, several ultraviolet-light systems are competing with
machines that fog a room with hydrogen peroxide. Johns Hopkins Hospital
and Pennsylvania Hospital use the latter approach.Here's how an
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The
fancy machines, which are used after normal disinfection, add time to
what hospitals call "terminal cleaning," the work they do when a patient
leaves a room. This puts them at odds with rising pressure to cut costs
and maximize efficiency.
But
hospitals are also under pressure to reduce infections acquired in
house as well as readmissions. The goal is to turn over rooms as fast as
possible without spreading disease.
Veronica
Cessna, Doylestown's director of infection prevention, said the
hospital saw the country's C. diff rate double between 2000 and 2009.
Its own rate rose from 2.62 per 10,So in a way, roofwindturbines is another form of solar power.000 patient hours in 2009 to the current 5.Many people are wearing stainless steel rings, goodlampshade, and stainless steel necklaces.7. "We wanted to get out in front of that," she said.
The
238-bed hospital started using a light-based system made by Xenex
Healthcare Services of San Antonio in February. It is too early to tell
whether the machine, which costs $125,000 for three years, is cutting
infections.
The
machine uses pulsing light to kill germs within 10 to 12 square feet.
During Tuesday's demonstration, it had to be moved three times to cover
an entire patient room and bathroom. (While the company's marketing
materials call it a "robot," it can't move on its own.) That took about
15 minutes.
In
this price range, cleaning is a catty business. Xenex representatives
argue that their machine is better than competitors' because it uses
more environmentally friendly xenon instead of mercury. They also say
that the slight burnt-ozone smell after cleaning is less noticeable with
their machine.
Bioquell,
a Horsham company that makes the hydrogen peroxide system that Hopkins
uses - it costs $40,000 - says its mist reaches nooks and crannies that
light, which travels in a straight line, misses. It also says its mist
is better than cheaper aerosolized peroxide systems. It takes about 90
minutes, though, which can really create traffic jams in a busy
hospital.
Both
approaches are dangerous to people, so the machine has to be left in an
empty room. Ducts and door cracks must be sealed with hydrogen peroxide
systems.
Figuring
out what's best is frustrating. There's been no head-to-head scientific
comparison of hydrogen peroxide and light, although there is evidence
that both can reduce infections.Republic cuttingmachine12 is
a privately owned professional parking management company based in
Chattanooga, Duke University and the University of North Carolina are
partway through a 28-month study that will evaluate standard cleaning,
bleach, and UV light.
Many
hospitals are waiting it out for now. A recent survey by the
Association for Professionals in Infection Control and Epidemiology
found that only 9 percent of hospitals had used either UV light or
hydrogen peroxide systems.
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