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Brush sampling had been performed in 136 acute treatment hospitals and health centers from November 2018 through February 2022. Inclusion criteria when it comes to products and diligent areas sampled were as follows general adult medical-surgical products or vital attention devices; spaces occupied by adults 18 years or older who have been with the capacity of (1) mobilizing towards the bathroom; (2) using a regular handbook, bristled toothbrush; and (3) room didn't have signage suggestin