HAIs are a global problem whose threats are further heightened by HAIs associated with pathogens increasing resistance on drugs (Caselli et al., 2018). The conventional type of cleaning applied in many hospitals tends to be favorable to various microbial strains. In the effort to minimize HAIs a pro-biotic based cleaning system (PCHS), has proved to be effective in abating the healthcare’s microbiota and reducing antimicrobial resistance genes ( AMR) (Caselli et al., 2019).
Clinical Question
Due to the AMR problem, we formulated the PICOT question: Do Pro-biotic based cleaning system reduce the AMR genes, more effectively compared to the chemical methods? The foreground question for this research is preventive. This is because the essay aims to compare the effectiveness of chemical methods and PCHS in abating AMR genes in hospital surfaces. The study gathers information from prospective cohort studies in hospitals that implementing the probiotic and chemical methods of cleaning to ascertain which technique is more effective in the eradication of AMR genes.
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Search Strategy
The search strategy is built upon the PICOT question, which aids in the identification of important words for the search including AMR genes, PCHS, and chemical methods. We then selected websites such as Google Scholar, and PubMed, which we were sure about their provision of peer-reviewed and accurate information. The search on the websites using keywords yielded many articles on the PCHS. We eliminated researches that combined PCHS and chemical methods. To achieve a narrower scope, we included the PCHS cleaning system effects on AMR genes. In the selection of the journal articles, we assessed their relevance to the topic. We then narrowed down to articles published since 2015, to avoid using outdated information. The search narrowed down to two articles after assessing the credibility of the author and if published in journals.
Search results
The first selected article is “Reducing healthcare-associated infections incidence by probiotic-based sanitation system: A multicenter, prospective, intervention study'. The research is a prospective, multicenter pre and posts PCHS sanitation interventional study that simultaneously analyzes surface contamination and HAI’s incidence (Caselli et al., 2018). The article is chosen as it is relevant to the study for involving the replacement of the conventional chemical-based type of cleaning with PCHS. The research shows that PCHS is effective in minimizing HAIs and antibiotic-resistant pathogens.
The second article is ‘Impact of probiotic-based hospital sanitation on antimicrobial consumption and costs: a multicenter study’ that is a multicenter study developed from assessing five Italian hospitals applying PCHS and chemical types of sanitation for eighteen months (Caselli et al., 2019). The result shows that PCHS decreases AMR genes by 99% success on hospital surfaces. The study is relevant as it shows the efficiency of PCHS in reducing AMR genes. Credible authors write the two articles, and they meet the time limit as defined by our criteria.
References
Caselli, E., Arnoldo, L., Rognoni, C., D’Accolti, M., Soffritti, I., Lanzoni, L., ... & Mazzacane, S. (2019). Impact of a probiotic-based hospital sanitation on antimicrobial resistance and HAI-associated antimicrobial consumption and costs: a multicenter study. Infection and Drug Resistance , 12 , 501.
Caselli, E., Brusaferro, S., Coccagna, M., Arnoldo, L., Berloco, F., Antonioli, P., ... & Conte, A. (2018). Reducing healthcare-associated infections incidence by a probiotic-based sanitation system: A multicentre, prospective, intervention study. PLoS One , 13 (7).
