PubMed · 13336468
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M FRANK. 1956. [Balanced densitometer].. https://pubmed.ncbi.nlm.nih.gov/13336468/
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The efficacy of hydrogen peroxide treatment on the inactivation of Salmonella spp. inoculated on the external surface of cantaloupe and honeydew melon was investigated. Salmonella was inoculated onto whole cantaloupe and honeydew melon to a final concentration of 4.65 log(10) CFU/cm(2) and 3.13 log(10) CFU/g, respectively. Inoculated whole melons stored at 5 degrees C for up to 7 days were washed with water, 2.5% and 5% hydrogen peroxide at day 0 and 5. Hydrogen peroxide (2.5% and 5%) treatments of whole melon for 5 min caused a 3 log(10) CFU/cm(2) reduction of the indigenous surface microflora and a 3.0 log(10) CFU/cm(2) reduction in Salmonella spp. on all melon surfaces. The efficacy of the hydrogen peroxide treatments was less when the interval between inoculation and treatment of cantaloupe exceeded 24 h. Unlike cantaloupe fresh-cut pieces, Salmonella was not recovered from fresh-cut pieces prepared from treated whole honeydew melon. Growth of Salmonella occurred in cantaloupe fresh-cut pieces stored at 10 or 20 degrees C, and by 2 weeks, levels reached approximately 1 log CFU/g. A rapid decline in appearance and overall acceptability was observed in fresh-cut pieces prepared from untreated whole cantaloupe. While Salmonella was recovered from fresh-cut pieces from and whole treated cantaloupe, sanitizing the surface of contaminated whole melons with hydrogen peroxide before and after cutting and storage of the fresh-cut pieces at 5 degrees C can enhance the microbial safety and acceptability rating for about 2 weeks after processing.
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PURPOSE/OBJECTIVES: To review studies that have assessed the effectiveness of selected nursing interventions used in hospitals to prevent healthcare-associated infections in neutropenic patients with cancer. DATA SOURCES: Literature review of low microbial diets, protective clothing and environments, personal hygiene, and oral care in English-language articles from PubMed; the Cumulative Index of Nursing and Allied Health Literature; the National Guideline Clearinghouse, 1980-June 2003; and Cochrane Database of Systematic Reviews. DATA SYNTHESIS: Few studies have demonstrated the effectiveness of low microbial food and water and protective environments and clothing in reducing infections in neutropenic patients with cancer, and hospitals vary in these practices. Skin antisepsis reduces microbial counts, but data regarding the effect on infections are lacking. Many studies were characterized by insufficient sample sizes or use of multiple interventions. CONCLUSIONS: Major gaps exist in empirical evidence regarding which nursing interventions might be helpful in preventing or controlling healthcare-associated infections in neutropenic patients. IMPLICATIONS FOR NURSING: Although the evidence base for clinical practices such as a low microbial diet, protective environments and clothing, and special skin antisepsis regimens is weak, some of these practices seem prudent and reasonable. Until further evidence is available, clinicians can use consensus guidelines and should assist in identifying clinical practices that require additional research. Ultimately, interventions with little or no demonstrated efficacy should be examined systematically or abandoned. Additional studies of sufficient sample size regarding nursing practices such as the role of protective environments, room placement, antiseptic bathing, and prevention and treatment of oral complications are indicated. Because of difficulties in randomization and risk stratification, rigorous observational studies often may be an acceptable alternative to clinical trials.