Disinfection of Needleless Connectors to Reduce Staphylococcus aureus Bacterial Load

Author:

Rocha Patrícia Kuerten123,Rickard Claire M.345,Gales Ana Cristina6,Sincero Thaís Cristine Marques27,Ray-Barruel Gillian38,Ullman Amanda J.349,Dalcin Camila Biazus110,Gonçalves Pedreira Mavilde L.11312

Affiliation:

1. Universidade Federal de Santa Catarina, Nursing Department, Paediatric Area, Gepesca Laboratory, Florianópolis, Brazil

2. Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil

3. Alliance for Vascular Access Teaching and Research, School of Nursing and Midwifery, Griffith University, Brisbane, Australia

4. School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, Australia

5. Nursing and Midwifery Research Centre, Herston Infectious Diseases Institute, Metro North Health, Brisbane, Australia

6. Universidade Federal de São Paulo, Paulista School of Medicine, Internal Medicine Department, Division of Infectious Diseases, Alert Laboratory, São Paulo, Brazil

7. Universidade Federal de Santa Catarina, Health Sciences Centre, Clinical Analysis Department, Molecular Microbiology Laboratory, Florianópolis, Brazil

8. QEII Jubilee Hospital, Brisbane, Australia

9. Queensland Children’s Hospital, Brisbane, Australia

10. Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasília, Brazil

11. National Council for Scientific and Technological Development (CNPq), Brazil

12. Universidade Federal de São Paulo, Paediatric Nursing Department, LEEnf Laboratory, SEGTEC Research Group, Sao Paulo, Brazil

Abstract

Highlights Abstract Purpose: This study aimed to gain further knowledge about the comparative effectiveness of chemical disinfectants in reducing the bacterial load of NCs inoculated with S. aureus. Methods: Disinfection of needleless connectors was undertaken in vitro against Staphylococcus aureus comparing 70% isopropyl alcohol (IPA), 70% ethanol, 0.5% and 2% chlorhexidine in 70% IPA applied with gauze, and 70% IPA single-use cap (Site-Scrub®). Results: All disinfectants reduced the bacterial load (P < 0.001), especially the chlorhexidine solutions. Mechanical friction should follow guidelines. Conclusion: This study found that all tested disinfectants effectively reduced the bacterial load and more clinical studies must be developed with a focus on the Brazilian clinical practice of needleless connector disinfection.

Publisher

Association for Vascular Access

Subject

Medicine (miscellaneous)

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