The effectiveness of germicidal wipes and ultraviolet irradiation in reducing bacterial loads on electronic tablet devices used to obtain patient information in orthopaedic clinics Evaluation of tablet cleaning methods.

Structured Summary Background Electronic tablet devices are commonly used in outpatient clinics to obtain patient information for both clinical and research purposes. These devices are often colonized with bacteria; there are many cleaning methods to reduce this bacterial load. Aim The primary purpose of this study was to evaluate whether regular cleaning with either germicidal wipes or ultraviolet (UV) irradiation leads to lower bacterial levels compared to irregular cleaning. Methods Randomized blinded trial of tablet cleaning strategies between each patient encounter in orthopaedic clinics. Cleaning method randomized to either germicidal wipes, UV irradiation, or cleaning only when tablet visibly soiled. Research assistants (blinded to treatment) obtained bacterial cultures from tablet at beginning and end of each clinic day. Findings Using germicidal wipes between each patient encounter versus no routine cleaning resulted in a marked decrease in the amount of bacterial contamination (RR=0.17 [0.04 to 0.67]). Similarly, using UV irradiation between each patient encounter lead to significantly lower bacterial contamination rates (RR = 0.29 [95% CI = 0.09 to 0.95]) compared to no routine cleaning. Majority of bacteria identified were normal skin flora. No meticillin-resistant Staphylococcus aureus was identified and only sparse colonies of meticillin-sensitive S.aureus. Conclusion Electronic tablets used in orthopaedic trauma clinics are colonized with bacteria if no routine cleaning is performed. Routine use of either UV irradiation or germicidal wipes significantly decreases this bacterial burden. Providers should implement routine cleaning of tablets between each patient encounter to minimize exposure to potential pathogens.