Literature DB >> 25732269

The perennial problem of variability in adenosine triphosphate (ATP) tests for hygiene monitoring within healthcare settings.

Greg S Whiteley1, Chris Derry1, Trevor Glasbey2, Paul Fahey1.   

Abstract

OBJECTIVE: To investigate the reliability of commercial ATP bioluminometers and to document precision and variability measurements using known and quantitated standard materials.
METHODS: Four commercially branded ATP bioluminometers and their consumables were subjected to a series of controlled studies with quantitated materials in multiple repetitions of dilution series. The individual dilutions were applied directly to ATP swabs. To assess precision and reproducibility, each dilution step was tested in triplicate or quadruplicate and the RLU reading from each test point was recorded. Results across the multiple dilution series were normalized using the coefficient of variation.
RESULTS: The results for pure ATP and bacterial ATP from suspensions of Staphylococcus epidermidis and Pseudomonas aeruginosa are presented graphically. The data indicate that precision and reproducibility are poor across all brands tested. Standard deviation was as high as 50% of the mean for all brands, and in the field users are not provided any indication of this level of imprecision.
CONCLUSIONS: The variability of commercial ATP bioluminometers and their consumables is unacceptably high with the current technical configuration. The advantage of speed of response is undermined by instrument imprecision expressed in the numerical scale of relative light units (RLU).

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Year:  2015        PMID: 25732269     DOI: 10.1017/ice.2015.32

Source DB:  PubMed          Journal:  Infect Control Hosp Epidemiol        ISSN: 0899-823X            Impact factor:   3.254


  4 in total

1.  Researching effective approaches to cleaning in hospitals: protocol of the REACH study, a multi-site stepped-wedge randomised trial.

Authors:  Lisa Hall; Alison Farrington; Brett G Mitchell; Adrian G Barnett; Kate Halton; Michelle Allen; Katie Page; Anne Gardner; Sally Havers; Emily Bailey; Stephanie J Dancer; Thomas V Riley; Christian A Gericke; David L Paterson; Nicholas Graves
Journal:  Implement Sci       Date:  2016-03-24       Impact factor: 7.327

2.  Use of a Sampling Area-Adjusted Adenosine Triphosphate Bioluminescence Assay Based on Digital Image Quantification to Assess the Cleanliness of Hospital Surfaces.

Authors:  Yu-Huai Ho; Lih-Shinn Wang; Hui-Li Jiang; Chih-Hui Chang; Chia-Jung Hsieh; Dan-Chi Chang; Hsin-Yu Tu; Tan-Yun Chiu; Huei-Jen Chao; Chun-Chieh Tseng
Journal:  Int J Environ Res Public Health       Date:  2016-06-09       Impact factor: 3.390

3.  ATP bioluminescence assay for evaluating cleaning practices in operating theatres: applicability and limitations.

Authors:  Tiziana Sanna; Laura Dallolio; Alessandra Raggi; Magda Mazzetti; Giovanni Lorusso; Angela Zanni; Patrizia Farruggia; Erica Leoni
Journal:  BMC Infect Dis       Date:  2018-11-19       Impact factor: 3.090

Review 4.  Optimizing Health Care Environmental Hygiene.

Authors:  Philip C Carling
Journal:  Infect Dis Clin North Am       Date:  2016-09       Impact factor: 5.982

  4 in total

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