Water-free care in Dutch intensive care unit patient rooms: impact on Gram-negative bacteria detections in routine patient care

Although positive effects of water-free care on GNB detection rates have been described in single ICUs, these findings were not reflected in this Dutch multi-centre study. Possible explanations are low infection prevalence, high prevention standards, widespread usage of selective decontamination and insufficient power to detect small differences. Evidence for benefits of water-free care in non-outbreak settings remains limited, highlighting the importance of future research in different ICU settings.

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Publication Details

Journal
Journal of Hospital Infection
Published
2026-01-16
DOI
https://doi.org/10.1016/j.jhin.2025.12.013
Primary Topic
Nosocomial Infections in ICU
Type
article
Field-Weighted Citation Impact
0.00

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article

Water-free care in Dutch intensive care unit patient rooms: impact on Gram-negative bacteria detections in routine patient care

E.M. Kraan, J.M. da Silva, L.E.A. Bank, P.D.J. Sturm et al.
Journal of Hospital Infection
Nosocomial Infections in ICU
article

Water-free care in Dutch intensive care unit patient rooms: impact on Gram-negative bacteria detections in routine patient care

E.M. Kraan, J.M. da Silva, L.E.A. Bank, P.D.J. Sturm, H.R.A. Streefkerk, AE Müller, A.L.M. Vlek, DSY Ong, MT Van der Beek, JC Rahamat-Langendoen, F.W. Sebens, JJJM Stohr, M.den Reijer, J.W. Dorigo-Zetsma, L.G.M. Bode, S.R. Groenendijk, A. Verbon, S. de Jager, F.N.J. Frakking, M. Schipper, K.H.S. van Son, P. Huizinga, A.F. Schoffelen, S.B. Debast, W. Altorf - van der Kuil, J.W.T.Cohen Stuart, L. Kruithof, J. Sinnige, K.B. Gast, B. Maraha, S.P. van Mens, E. de Jong, W.J. van den Reek, G.J. Blaauw, B.J. de Wit, M. van Rijn, V. Hira, A.L.E. van Arkel, Noordwest Ziekenhuisgroep, E. Kolwijck, J. Polman, S.D. Kuil, D.W. van Dam, M. Scholing, M. Lokate, R. Schade, J.A. Severin, M. Wong, E.A. Reuland, W. van den Bijllaardt, E. Schaftenaar, B.M.W. Diederen, D. Dongelmans, A. Troelstra, M. de Graaf, M.P.A. van Meer, S.C. de Greeff, A. Alzubaidy, R.E. Zoetigheid, E. Bathoorn, E.I.G.B. de Brauwer, S.A.M. van Kessel, K. van Dijk, D.W. Notermans, S.M. Bierman, M.A. Leversteijn-van Hall, B.B. Wintermans, D.C. Melles, R. Hertroys, F. Velthuis, S. Dinant, I.M. Nauta, J.M. da Silva, F. Bakhshi-Raiez
article en

Abstract

Although positive effects of water-free care on GNB detection rates have been described in single ICUs, these findings were not reflected in this Dutch multi-centre study. Possible explanations are low infection prevalence, high prevention standards, widespread usage of selective decontamination and insufficient power to detect small differences. Evidence for benefits of water-free care in non-outbreak settings remains limited, highlighting the importance of future research in different ICU settings.

Journal of Hospital InfectionVol. 170
Erasmus MC (NL), University Medical Center Utrecht (NL), National Institute for Public Health and the Environment (NL), Amsterdam University Medical Centers (NL), University of Amsterdam (NL)
Ministerie van Volksgezondheid, Welzijn en Sport
Clean water and sanitation
Openalex Percentile: Top 86%
Nosocomial Infections in ICU
DOIOpen Access PDFOpenAlex
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