Emulating the natural disinfection properties of the open air (The Open Air Factor) the AD emits a constant low level stream of hydroxyl radicals that attack airborne bacteria and viruses.
Measuring less than 41 x 20cm, the AD is a small device that is generally fixed to a wall in locations with the greatest potential for pathogen proliferation. So, for example, at Hereford units were initially placed throughout the older Nightingale style wards where there had been particular problems with outbreaks and ward closures. Subsequently units have been placed in all wards in the main hospital except for the children’s and women’s health wards.
Reporting excellent progress, Hereford Hospital NHS Trust has had no MRSA bloodstream infections since April 2009 and Clostridium difficile numbers have more than halved compared with this time last year.
Dr Budd, Medical Director and Director of Infection Prevention and Control said, “We are very pleased with these figures and think they reflect the impact of the introduction of MRSA screening of all hospital inpatients, reviewing the antibiotic prescribing policy, continued vigilance about hand hygiene, extra auditing of infection prevention practices on all our wards, and possibly the installation of Inov8 air disinfection units on nine wards. It is very gratifying to see these results and naturally we are keen to maintain this progress and do even better in the future.”
Dr Alison Johnson, Consultant Microbiologist at Hereford, believes that it is difficult to attribute success with a particular organism to one part of the infection prevention strategy. However, she said, “We do think the Inov8 AD units are making a contribution, particularly in preventing norovirus outbreaks and ward closures. The AD units were installed in some of our older Nightingale style wards in June 2008 and then in the main hospital wards in January 2009. In this period between June 2008 and January 2009, there was one norovirus outbreak in the older wards (which lasted only 3 days) and 11 norovirus outbreaks in the main building, which resulted in 112 days of ward closures, affecting 137 patients and 61 staff. However, since the units were installed in the main hospital building there have been no further outbreaks of norovirus or ward closures.'
“As time passes, it is looking more and more as if the AD units are effective in the prevention of the spread of norovirus infection.”
Summarising her views on the benefits of the AD units, Dr Johnson added: “I think that more hospitals could benefit from these devices, particularly if there is further evidence relating to their effect on ward closures.”
Noroviruses are part of a group of viruses that are the most common cause of gastroenteritis (upset stomach) in the UK. Affecting between 600,000 and one million people in the UK every year, norovirus is a particular concern within contained environments such as hospitals, nursing homes and schools. Norovirus spreads very easily from person to person and can survive for several days in a contaminated area.