Date: February, 18 2022

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Running head: DISINFECTION OF CUFFS AND TELEMETRY LEADS 1 Disinfection of Blood Pressure Cuffs and Electrocardiographic
Telemetry Leads With 0.5% Hydrogen Peroxide Wipes Student’s Name Institutional Affiliation Disinfection of Blood Pressure Cuffs and
Electrocardiographic Telemetry Leads With 0.5% Hydrogen Peroxide Wipes The article investigates the impact of using 0.5% hydrogen
peroxide wipes in cleaning and disinfecting inpatient hospital surfaces. Since adequate disinfection of hospital services is one way of
providing safe care, surfaces need disinfection to minimise the risk of pathogen transmission to the patient. However, proper disinfection of
small, intricate and rough surfaces is not as easy as the cleaning of smooth and flat surfaces. The appropriate means of cleaning these
surfaces is using manufacturers' guidelines (Risteen et al., 2018). Electrocardiographic telemetry leads and blood pressure cuffs are among
the most frequently touched surfaces that harbour microbial contamination. In acknowledging the risk of inadequate disinfection of these
surfaces, this research explores the effectiveness of 0.5% hydrogen peroxide in disinfecting the intricate surfaces of cardiac telemetry leads
and hook and loop (Velcro) fasteners on blood pressure cuffs. The study was conducted at an orthopaedic speciality hospital with 118-bed
inpatient telemetry rooms between July and August 2016. As a standard preoperative procedure, all inpatients had an active screening for
methicillin-resistant Staphylococcus aureus (MRSA) via polymerase chain reaction (Cepheid). Further contact precautions were set for
patients colonized or infected with MRSA, VRE, and Clostridium difficile (Risteen et al., 2018). Each surface was cleaned using 0.5%
hydrogen peroxide wipes for at least one minute and allowed to dry. The samples were collected and cultured using tryptic soy agar contact
plates with polysorbate 80 and lecithin (Remel) and marked with UV indicator gel (EcoLab) (Risteen et al., 2018). This was followed by the
sampling of the Velcro surfaces of blood pressure cuffs, telemetry leads, patient trays, and the call button. The surfaces were also sampled
for culturing and monitored for the presence of the UV indicator. At the end of the study, 392 samples were collected from 80 objects where
247 (63%) cultures had at least I CFU, 94% had coagulase-negative Staphylococcus species and/or Bacillus species, and 1% had
methicillin-susceptible S aureus (Risteen et al., 2018). It is important to note that the 4 isolates obtained from different surfaces and different
rooms indicated that each surface had methicillin-susceptible S aureus once. The results show that blood pressure cuffs and call buttons
had a 95% of clean culture while patient trays had the least clean culture at 84%. Therefore, the Blood pressure cuffs and call buttons were
cleaners followed by telemetry leads and patient trays (Risteen et al., 2018). These results are consistent with the previous finding and the
study showed that after cleaning the surfaces with 0.5% hydrogen peroxide wipes, the contamination odd for patient trays were 3.70 times
greater than for blood pressure cuffs and 3.80 greater than for blood pressure cuffs. Based on the findings of the study, it is appropriate to
conclude that the use of 0.6 hydrogen peroxide to clean the surfaces is effective. The culture grew environmental microorganisms that are
of a lower risk to harm the patients. These findings are consistent with other studies where coagulase-negative staphylococci and bacilli are
identified as the most common organisms in a hospital environment (Risteen et al., 2018). In this study, the surface contamination rate for
VRE or MRSA was lower than previous findings indicating a difference in hospital control practices, different patient populations, or
community prevalence. Therefore, it is effective to disinfect blood pressure cuffs using 0.5% hydrogen peroxide wipes but similar results
cannot be replicated for the removal of indicators in the cuffs. The study concludes that the use of 0.5% hydrogen peroxide wipes is
effective for disinfecting blood pressure cuffs but less effective for cardiac telemetry leads. It also suggests the presence of routine error in
cleaning large objects such as patient trays and frequently touched surfaces such as call buttons. The article is credible since it is published
within the last four years making the content to be in line with current practice. Additionally, the article's authority is valid since it is written by
professionals in the medical field both as practitioners and researchers. Moreover, it is published in a peer-reviewed journal that deals with
topics in medicine. The authors have written on many topics which illustrates their experience and minimise the risk of bias. Therefore, this
article is credible and valid to talk about the topic. Reference Risteen, R., Cohen, S., Mooney, L., Giovanniello, E., Miley, G. B., &
Hollenbeck, B. L. (2018). Disinfection of blood pressure cuffs and electrocardiographic telemetry leads with 0.5% hydrogen peroxide wipes.
American Journal of Critical Care, 27(4), 322-327.

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Disinfection of Blood Pressure Cuffs and Electrocardiographic ...

https://pubmed.ncbi.nlm.nih.gov/29961668/

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Disinfection of Blood Pressure Cuffs and Electrocardiographic Telemetry Leads With 0.5% Hydrogen Peroxide Wipes Wipes with 0.5%
hydrogen peroxide adequately disinfect blood pressure cuffs but not telemetry leads. Wipes with 0.5% hydrogen peroxide adequately
disinfect blood pressure cuffs but not telemetry leads.

https://pubmed.ncbi.nlm.nih.gov/29961668//

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Jul 01, 2018 · Disinfection of Blood Pressure Cuffs and Electrocardiographic Telemetry Leads With 0.5% Hydrogen Peroxide Wipes

https://aacnjournals.org/ajcconline/article/27/4/322/4269/Disinfection-of-Blood-Pressure-Cuffs-and/