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Peer-reviewedCC BY-NC-ND 4.0Journal of Intensive Medicine

Strategies to prevent cross-transmission of multidrug-resistant microorganisms in intensive care units: A narrative review

  • Gamze Kalin Unuvar
  • Emine Alp Mese
  • Jordi Rello
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Abstract

Highlights: Environmental cleaning in ICUs is a key horizontal strategy to reduce cross-transmission of multidrug-resistant microorganisms. Gut microbiota modulation (prebiotics, probiotics, synbiotics) represents a novel preventive approach against dysbiosis-related infections. Multi-modal evaluation methods (visual inspection, fluorescent markers, ATP bioluminescence, microbiological culture) improve assessment of cleaning quality. Innovative adjunctive technologies (e.g., ultraviolet disinfection) enhance terminal cleaning effectiveness against MDR pathogens. Strengthening safety culture and continuous ICU staff education ensures sustainability of environmental infection control practices.

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Cite

BibTeXRIS
BibTeX
@article{unuvar2026strategies,
  title = {{Strategies to prevent cross-transmission of multidrug-resistant microorganisms in intensive care units: A narrative review}},
  author = {Gamze Kalin Unuvar and Emine Alp Mese and Jordi Rello},
  journal = {Journal of Intensive Medicine},
  year = {2026},
  month = oct,
  doi = {10.1016/j.jointm.2025.12.005},
  url = {https://hal.science/hal-05829525v1},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Strategies to prevent cross-transmission of multidrug-resistant microorganisms in intensive care units: A narrative review
AU  - Gamze Kalin Unuvar
AU  - Emine Alp Mese
AU  - Jordi Rello
PY  - 2026
DA  - 2026/10/21
JO  - Journal of Intensive Medicine
DO  - 10.1016/j.jointm.2025.12.005
UR  - https://hal.science/hal-05829525v1
AB  - Highlights: Environmental cleaning in ICUs is a key horizontal strategy to reduce cross-transmission of multidrug-resistant microorganisms. Gut microbiota modulation (prebiotics, probiotics, synbiotics) represents a novel preventive approach against dysbiosis-related infections. Multi-modal evaluation methods (visual inspection, fluorescent markers, ATP bioluminescence, microbiological culture) improve assessment of cleaning quality. Innovative adjunctive technologies (e.g., ultraviolet disinfection) enhance terminal cleaning effectiveness against MDR pathogens. Strengthening safety culture and continuous ICU staff education ensures sustainability of environmental infection control practices.
SN  - 2667-100X
ER  -