This study aims to evaluate the sustained antimicrobial efficacy of antimicrobial materials on high-touch surfaces in an intensive care unit (ICU).
Methods
2
A prospective
controlled study was employed. An experimental group (surfaces coated with antimicrobial material) and a control group (surfaces receiving routine disinfection) were established in an ICU. Environmental surface sampling was performed at weeks 1
2
4
8
and 12
with microbial contamination measured as colony-forming units per square centimeter (CFU/cm
2
).
Results
2
Surface contamination was significantly lower in the experimental group at all assessment time points versus the control (Week 1: 0.42 vs. 2.31 CFU/cm
2
P
<
0.01)
with all experimental surfaces complying with the Class II specification (≤5 CFU/cm
2
) specified in the national standard
Hygienic standard for disinfection in hospitals
(GB 15982—2012). The experimental group showed a trend of initial slight increase and subsequent decrease in CFU counts
with overall contamination remaining low.
Conclusion
2
Antimicrobial materials can maintain continuous microbial control on environmental surfaces independently of chemical disinfectants
and offer a valuable supplementary measure for integration into healthcare infection prevention strategies.
关键词
Keywords
references
MATIAS K C , DA SILVA C L B , DA SILVA MEDEIROS H P , et al . Healthcare-associated infections controller: Concept development [J ] . Revista Brasileira de Enfermagem , 2025 , 78 : e20230443 .
BLOT S , RUPPÉ E , HARBARTH S , et al . Healthcare-associated infections in adult intensive care unit patients: Changes in epidemiology, diagnosis, prevention and contributions of new technologies [J ] . Intensive and Critical Care Nursing , 2022 , 70 : 103227 .
LIM O , CHUA W Y , WONG A , et al . The environmental impact and sustainability of infection control practices: A systematic scoping review [J ] . Antimicrobial Resistance & Infection Control , 2024 , 13 : 156 .
BELAY M M , AMBELU A , MEKONEN S , et al . Investigating microbial contamination of indoor air, environmental surfaces, and medical equipment in a southwestern Ethiopia hospital [J ] . Environmental Health Insights , 2024 , 18 : 11786302241266052 .
KEARNEY A , BOYLE M A , CURLEY G F , et al . Preventing infections caused by carbapenemase-producing bacteria in the intensive care unit - Think about the sink [J ] . Journal of Critical Care , 2021 , 66 : 52 - 59 .
PORTER L , SULTAN O , MITCHELL B G , et al . How long do nosocomial pathogens persist on inanimate surfaces? A scoping review [J ] . Journal of Hospital Infection , 2024 , 147 : 25 - 31 .
RUTALA W A , BOYCE J M , WEBER D J . Disinfection, sterilization and antisepsis: An overview [J ] . American Journal of Infection Control , 2023 , 51 ( 11 ): A3 - A12 .
WANG T C , FAN H Y , CHAI M Q , et al . Study on the disinfection efficacy of common commercial disinfectants in China against mastitis-causing pathogens and bedding materials in large-scale dairy farms [J ] . Veterinary Sciences , 2025 , 12 ( 11 ): 1072 .
LI C , GAO D D , LI C M , et al . Fighting against biofilm: The antifouling and antimicrobial material [J ] . Biointerphases , 2024 , 19 ( 4 ): 040802 .
WANG C Y , WEI X Y , ZHONG L , et al . Metal-based approaches for the fight against antimicrobial resistance: Mechanisms, opportunities, and challenges [J ] . Journal of the American Chemical Society , 2025 , 147 ( 15 ): 12361 - 12380 .
GUAN B Y , HUANG C H , KE Y Y , et al . Research progress on antibacterial coatings [J ] . Guangzhou Chemical Industry , 2025 , 53 ( 5 ): 1 - 5 .
BUTLER J P . Effect of copper-impregnated composite bed linens and patient gowns on healthcare-associated infection rates in six hospitals [J ] . Journal of Hospital Infection , 2018 , 100 ( 3 ): e130 - e134 .
MADDEN G R , HEON B E , SIFRI C D . Effect of copper-impregnated linens on multidrug-resistant organism acquisition and Clostridium difficile infection at a long-term acute-care hospital [J ] . Infection Control & Hospital Epidemiology , 2018 , 39 ( 11 ): 1384 - 1386 .
PAREEK V , GUPTA R , DEVINEAU S , et al . Does silver in different forms affect bacterial susceptibility and resistance? a mechanistic perspective [J ] . ACS Applied Bio Materials , 2022 , 5 ( 2 ): 801 - 817 .
LINKLATER D P , BAULIN V A , JUODKAZIS S , et al . Mechano-bactericidal actions of nanostructured surfaces [J ] . Nature Reviews Microbiology , 2021 , 19 ( 1 ): 8 - 22 .
DING Y , YANG G X , ZHENG S R , et al . Advanced photocatalytic disinfection mechanisms and their challenges [J ] . Journal of Environmental Management , 2024 , 366 : 121875 .
MONTERO D A , ARELLANO C , PARDO M , et al . Antimicrobial properties of a novel copper-based composite coating with potential for use in healthcare facilities [J ] . Antimicrobial Resistance & Infection Control , 2019 , 8 : 3 .
BIRKETT M , DOVER L , CHERIAN LUKOSE C , et al . Recent advances in metal-based antimicrobial coatings for high-touch surfaces [J ] . International Journal of Molecular Sciences , 2022 , 23 ( 3 ): 1162 .
D’ACCOLTI M , SOFFRITTI I , MAZZACANE S , et al . Fighting AMR in the healthcare environment: Microbiome-based sanitation approaches and monitoring tools [J ] . International Journal of Molecular Sciences , 2019 , 20 ( 7 ): 1535 .
RUTALA W A , WEBER D J . Best practices for disinfection of noncritical environmental surfaces and equipment in health care facilities: A bundle approach [J ] . American Journal of Infection Control , 2019 , 47 : A96 - A105 .
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