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Antimicrobial surfaces to prevent healthcare-associated infections: a systematic review – a different view

Published:February 12, 2018DOI:https://doi.org/10.1016/j.jhin.2018.02.007
      Muller et al.’s review of antimicrobial surfaces [
      • Muller M.P.
      • MacDougall C.
      • Lim M.
      Ontario Agency for Health Protection and Promotion Public Health Ontario; Provincial Infectious Diseases Advisory Committee on Infection Prevention and Control. Antimicrobial surfaces to prevent healthcare-associated infections: a systematic review.
      ] mistakenly interpreted the study by Salgado et al. when reporting an overall GRADE of very low [
      • Salgado C.D.
      • Sepkowitz K.A.
      • John J.F.
      • Cantey J.R.
      • Attaway H.H.
      • Freeman K.D.
      • et al.
      Copper surfaces reduce the rate of healthcare-acquired infections in the intensive care unit.
      ]. Based on work by Atkins et al. and Kavanagh [
      • Atkins D.
      • Best D.
      • Briss P.A.
      • Eccles M.
      • Falck-Ytter Y.
      • Flottorp S.
      • et al.
      Grading quality of evidence and strength of recommendations.
      ,
      • Kavanagh B.P.
      The GRADE system for rating clinical guidelines.
      ], we suggest that GRADE is not an appropriate criterion from which to evaluate the study, and respectfully request the conclusions reached by Muller et al. be withdrawn.
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