Air ionisation and colonisation/infection with methicillin-resistant Staphylococcus aureus and Acinetobacter species in an intensive care unit

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Abstract
Objective To determine effect of negative air ions on colonisation/infection with methicillin-resistant Staphylococcus aureus (MRSA) and Acinetobacter species in an intensive care unit. Design Prospective single-centre cross-over study in an adult general intensive care unit. Patients 201 patients whose stay on the unit exceeded 48 hour's duration. Intervention Six negative air ionisers were installed on the unit but not operational for the first 5 months of the study (control period). Devices were then operational for the following 5.5 months. Measurements and results 30 and 13 patients were colonised/infected with MRSA and Acinetobacter spp., respectively, over 10.5 months. No change in MRSA colonisation/infection was observed compared with the 5 month control period. Acinetobacter cases were reduced from 11 to 2 (p = 0.007). Conclusion Ionisers may have a role in the prevention of Acinetobacter infections.