On 2014 Oct 14, Hilda Bastian commented:

Thanks for drawing attention to this interesting article. Dancer SJ, 2009 argued that what's done now in an outbreak is "a veritable blunderbuss approach." Dancer's own cross-over study of enhanced cleaning addressed MRSA, although the study was too small to identify a definite impact on infection (Dancer SJ, 2009).

Environmental strategies were included in a systematic review of measures to reduce the spread of VRE (with a search for evidence up to June 2012)(De Angelis G, 2014). De Angelis found only two studies, concluding that no definite impact on infection had been identified (Hayden MK, 2006; Williams VR, 2009).

This new retrospective study (Everett BR, 2017) seems to be the second looking at the implementation of this particular set of strategies. The first was undertaken by the team that developed the method and run the associated consultancy service (Watson PA, 2012).

Both routinely and during outbreaks, Dancer SJ, 2009 concluded, "there is a lot of work still to do to establish cleaning as an evidence-based science." That still seems to be the case.

On 2014 Oct 10, Paul Watson commented:

This is an excellent article showing a simple way to dramatically lower all hospital acquired infections with single cleaning algorithm from Steiros. The final infection rates are extremely low with immediate cost savings that I have not seen with any other infection control process. As a surgeon and an infection control practitioner, I am especially excited about the zero infection rate for total knee arthroplasties in this paper. This is something that we all strive for and has been achieved by few. Thanks for the article.

On 2014 Oct 10, Paul Watson commented:

This is an excellent article showing a simple way to dramatically lower all hospital acquired infections with single cleaning algorithm from Steiros. The final infection rates are extremely low with immediate cost savings that I have not seen with any other infection control process. As a surgeon and an infection control practitioner, I am especially excited about the zero infection rate for total knee arthroplasties in this paper. This is something that we all strive for and has been achieved by few. Thanks for the article.