♦ Deshpande A, et al. Am J Infect Control.
Hospital floors may be contaminated with patho-
gens that can be transmitted to patients’ hands and
lead to infections, according to a new study.
Researchers took culture samples from 318 floor
sites at five Ohio hospitals, testing for Clostridium
difficile, methicillin-resistant Staphylococcus aureus
(MRSA) and vancomycin-resistant enterococci
They took samples from C. difficile infection isolation rooms as well as non-isolation rooms and
cultured “high-touch” objects that had contact with
the floor and hands such as personal items, medical
devices and bed linens.
C. difficile was the most common of the three
pathogens present and was found in relatively similar
amounts in rooms that had and had not been cleaned
recently. MRSA and VRE levels were lower in recently
Roughly 41% of the occupied rooms contained
high-touch items that also were in contact with the
floor. The team cultured 31 bare and gloved hands
used to pick up the items and found MRSA on 18%,
VRE on 6% and C. difficile on 3%.
“These results suggest that floors in hospital rooms
could be an underappreciated source for dissemina-
tion of pathogens,” authors wrote.
They suggested keeping high-touch objects off the
floor and said hospitals should re-examine floor-clean-
ing strategies and consider using ultraviolet-C room
The team also called for studies on other means of
pathogens spreading from floors, including shoes and
Linda Greene, R.N., M.P.S., CIC, FAPIC, presi-
dent of the Association for Professionals in Infection
Control and Epidemiology, which published the study
in its journal, said in a news release the research is
“Even though most facilities believe they are tak-
ing the proper precautions, this study points out the
importance of ensuring cleanliness of the hospital en-
vironment and the need for education of both staff
and patients on this issue,” she said.
by Melissa Jenco • News Content Editor
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100% fruit juice intake
linked with insignificant
♦ Auerbach B, et al. Pediatrics.
Young children who drank one daily serving of 100% fruit juice gained a small but
clinically insignificant amount of weight,
according to a new meta-analysis. In older
children and teens, there was no association
between fruit juice and weight gain.
The nutritional implications of 100% fruit
juice have been a source of debate due to
the presence of naturally occurring sugars,
which are absorbed as glucose and fructose,
The Academy recommends no fruit juice
for children under 6 months of age and limiting 100% fruit juice intake to 4-6 ounces
per day for children ages 1-6 years and 8-12
ounces per day for those ages 7-18 years.
Researchers aimed to analyze the impact of
100% fruit juice on body mass index (BMI)
through a systematic review and meta-analysis of eight prospective cohort studies. They
considered 6-8 ounces of 100% fruit juice
to be one serving.
Over the course of a year, one daily serving
of fruit juice was associated with a 0.003 unit
increase in BMI z scores. For children 6 years
and under, there was a 0.087 unit increase in
BMI z scores, which authors called a “
statistically significant association” but “not clinically meaningful.” They said more research
is needed to determine if there is a significant
impact at the population level.
Some individual studies found a clinically
significant weight gain for children under
2 years, which the authors said was “
biologically plausible” considering one serving
would make up a larger proportion of their
caloric intake than for older children.
For children ages 7-18 years, there was no
association between fruit juice and BMI z
scores. The difference for younger and older
children potentially could be linked to the
types of juice they drank, according to the
study. Younger children tend to drink apple
juice while older children tend to drink orange juice, which has a lower glycemic load.
The authors called for randomized, controlled trials to further study the impact of
fruit juice on young children. In the meantime, they recommended following the
Dangerous bacteria found on hospital floors
Multiple magnet ingestion drops following recall
♦ Rosenfield D, et al. J Pediatr. March 7, 2017,
Fewer children in Canada ingested magnets follow-
ing a recall of the products, researchers found.
“This study demonstrates that a mandatory prod-
uct recall can prevent significant morbidity associated
with an identified hazardous product,” authors wrote.
If a child ingests multiple high-powered neodymi-
um-iron-boron magnets, they can attract each other
and cause serious bowel conditions.
The Hospital for Sick Children in Toronto, Canada,
saw spikes in such ingestions in 2011 and 2012 after
multiple-magnet sets marketed as “adult desk toys”
hit the shelves, according to the study.
The Academy was among the organizations during
that time warning parents about the dangers of children
ingesting the magnets ( http://bit.ly/2m Wt2ox). Those
dangers prompted Canada and the U.S. to regulate
the products through recalls and new safety standards.
Researchers set out to study the impact of Canada’s
recall by comparing data on magnet ingestion at the
Hospital for Sick Children during the two years before
the recall (2011 and 2012) and two years after the
recall (2014 and 2015).
In the two early years, there were 22 multiple magnet ingestions, six operations and nine endoscopic
procedures. In the two years after the recall, there were
five ingestions, one operation and four endoscopic
“Government regulations are one of the strongest
instruments in the policy toolbox to effect change,”
researchers wrote. “… Our study shows that in this
particular case, the policy intervention appears to
have quickly mitigated the threat of multiple magnet
The authors could not determine whether an educa-
tion campaign alone could have had the same impact
as a recall. Still, they said their findings could prove
useful in court challenges to recalls. In November
2016, a Denver court ruled in favor of a manufacturer
fighting to sell the products in the U.S., which could
mean products return to the shelves.
Pathogens from hospital floors can be transmitted to
patients via “high-touch” objects that had contact with
the floor and hands.