O16-4 An integrated approach to infection and respiratory illness prevention in home healthcare: preliminary results of the safe home care cleaning and disinfecting study

ObjectivesWhile cleaning and disinfecting (C&D) are essential for infection prevention (IP) in healthcare, there is increasing evidence that C&D chemicals cause occupational respiratory illness. An international working group (WG) on C&D in healthcare was engaged by the U.S. National Ins...

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Veröffentlicht in:Occupational and environmental medicine (London, England) England), 2016-09, Vol.73 (Suppl 1), p.A30
Hauptverfasser: Quinn, Margaret, Markkanen, Pia, Galligan, Catherine, Sama, Susan, Gore, Rebecca, Goodyear, Nancy, Brouillette, Natalie, Kriebel, David, Lindberg, John, Vega, Alexis Parker, Sheikh, Noor, Karlsson, Nicole
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container_end_page
container_issue Suppl 1
container_start_page A30
container_title Occupational and environmental medicine (London, England)
container_volume 73
creator Quinn, Margaret
Markkanen, Pia
Galligan, Catherine
Sama, Susan
Gore, Rebecca
Goodyear, Nancy
Brouillette, Natalie
Kriebel, David
Lindberg, John
Vega, Alexis Parker
Sheikh, Noor
Karlsson, Nicole
description ObjectivesWhile cleaning and disinfecting (C&D) are essential for infection prevention (IP) in healthcare, there is increasing evidence that C&D chemicals cause occupational respiratory illness. An international working group (WG) on C&D in healthcare was engaged by the U.S. National Institute for Occupational Safety and Health to identify research needs to develop an integrated framework for effective IP and occupational health (OH) protection for healthcare workers (Quinn, WG Co-Chair). This presentation describes the WG and a study of C&D among home care (HC) aides which was guided by WG recommendations. Study objectives were to: 1) identify the extent to which C&D is performed by HC aides, 2) assess C&D respiratory hazards, and 3) compare the effectiveness of conventional versus “green” C&D products to reduce pathogens in the home environment. MethodsHC aides completed a survey including questions about C&D product use and respiratory hazards occurring during their HC visits. In an environmental laboratory, airborne exposures from C&D products were assessed during simulated cleaning tasks. In a microbiology laboratory, cleaning effectiveness (removal of soil) and disinfection effectiveness (reduction in microorganisms) on common household surface materials were compared using bleach, a “green” product, and a do-it-yourself (DIY) mixture. ResultsThe survey population included 1,249 HC aides contributing information on 3,484 HC visits. Aides performed C&D in 80% of their visits. Bleach was used in 25% of visits; an additional 15% used other irritant chemicals. Environmental assessment of C&D products showed volatile organic compounds emitted from all products; peak exposures to chlorine could exceed occupational exposure limits. Microbiology assessment found that bleach and a “green” product effectively removed soil and reduced E. coli and S. aureus; the DIY mixture was less effective.ConclusionsAn integrated IP-OH approach to assessing C&D exposures, as recommended by the WG, can provide more comprehensive prevention strategies.
doi_str_mv 10.1136/oemed-2016-103951.81
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An international working group (WG) on C&D in healthcare was engaged by the U.S. National Institute for Occupational Safety and Health to identify research needs to develop an integrated framework for effective IP and occupational health (OH) protection for healthcare workers (Quinn, WG Co-Chair). This presentation describes the WG and a study of C&D among home care (HC) aides which was guided by WG recommendations. Study objectives were to: 1) identify the extent to which C&D is performed by HC aides, 2) assess C&D respiratory hazards, and 3) compare the effectiveness of conventional versus “green” C&D products to reduce pathogens in the home environment. MethodsHC aides completed a survey including questions about C&D product use and respiratory hazards occurring during their HC visits. In an environmental laboratory, airborne exposures from C&D products were assessed during simulated cleaning tasks. In a microbiology laboratory, cleaning effectiveness (removal of soil) and disinfection effectiveness (reduction in microorganisms) on common household surface materials were compared using bleach, a “green” product, and a do-it-yourself (DIY) mixture. ResultsThe survey population included 1,249 HC aides contributing information on 3,484 HC visits. Aides performed C&D in 80% of their visits. Bleach was used in 25% of visits; an additional 15% used other irritant chemicals. Environmental assessment of C&D products showed volatile organic compounds emitted from all products; peak exposures to chlorine could exceed occupational exposure limits. Microbiology assessment found that bleach and a “green” product effectively removed soil and reduced E. coli and S. aureus; the DIY mixture was less effective.ConclusionsAn integrated IP-OH approach to assessing C&D exposures, as recommended by the WG, can provide more comprehensive prevention strategies.]]></description><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oemed-2016-103951.81</identifier><language>eng</language><publisher>London: BMJ Publishing Group LTD</publisher><subject>Chlorine ; E coli ; Environmental assessment ; Health care ; Health hazards ; Home environment ; Microbiology ; Microorganisms ; Occupational exposure ; Occupational health ; Occupational safety ; Organic compounds ; Prevention ; VOCs ; Volatile organic compounds</subject><ispartof>Occupational and environmental medicine (London, England), 2016-09, Vol.73 (Suppl 1), p.A30</ispartof><rights>2016, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright: 2016 (c) 2016, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://oem.bmj.com/content/73/Suppl_1/A30.2.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://oem.bmj.com/content/73/Suppl_1/A30.2.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,778,782,23554,27907,27908,77351,77382</link.rule.ids></links><search><creatorcontrib>Quinn, Margaret</creatorcontrib><creatorcontrib>Markkanen, Pia</creatorcontrib><creatorcontrib>Galligan, Catherine</creatorcontrib><creatorcontrib>Sama, Susan</creatorcontrib><creatorcontrib>Gore, Rebecca</creatorcontrib><creatorcontrib>Goodyear, Nancy</creatorcontrib><creatorcontrib>Brouillette, Natalie</creatorcontrib><creatorcontrib>Kriebel, David</creatorcontrib><creatorcontrib>Lindberg, John</creatorcontrib><creatorcontrib>Vega, Alexis Parker</creatorcontrib><creatorcontrib>Sheikh, Noor</creatorcontrib><creatorcontrib>Karlsson, Nicole</creatorcontrib><title>O16-4 An integrated approach to infection and respiratory illness prevention in home healthcare: preliminary results of the safe home care cleaning and disinfecting study</title><title>Occupational and environmental medicine (London, England)</title><description><![CDATA[ObjectivesWhile cleaning and disinfecting (C&D) are essential for infection prevention (IP) in healthcare, there is increasing evidence that C&D chemicals cause occupational respiratory illness. An international working group (WG) on C&D in healthcare was engaged by the U.S. National Institute for Occupational Safety and Health to identify research needs to develop an integrated framework for effective IP and occupational health (OH) protection for healthcare workers (Quinn, WG Co-Chair). This presentation describes the WG and a study of C&D among home care (HC) aides which was guided by WG recommendations. Study objectives were to: 1) identify the extent to which C&D is performed by HC aides, 2) assess C&D respiratory hazards, and 3) compare the effectiveness of conventional versus “green” C&D products to reduce pathogens in the home environment. MethodsHC aides completed a survey including questions about C&D product use and respiratory hazards occurring during their HC visits. In an environmental laboratory, airborne exposures from C&D products were assessed during simulated cleaning tasks. In a microbiology laboratory, cleaning effectiveness (removal of soil) and disinfection effectiveness (reduction in microorganisms) on common household surface materials were compared using bleach, a “green” product, and a do-it-yourself (DIY) mixture. ResultsThe survey population included 1,249 HC aides contributing information on 3,484 HC visits. Aides performed C&D in 80% of their visits. Bleach was used in 25% of visits; an additional 15% used other irritant chemicals. Environmental assessment of C&D products showed volatile organic compounds emitted from all products; peak exposures to chlorine could exceed occupational exposure limits. Microbiology assessment found that bleach and a “green” product effectively removed soil and reduced E. coli and S. aureus; the DIY mixture was less effective.ConclusionsAn integrated IP-OH approach to assessing C&D exposures, as recommended by the WG, can provide more comprehensive prevention strategies.]]></description><subject>Chlorine</subject><subject>E coli</subject><subject>Environmental assessment</subject><subject>Health care</subject><subject>Health hazards</subject><subject>Home environment</subject><subject>Microbiology</subject><subject>Microorganisms</subject><subject>Occupational exposure</subject><subject>Occupational health</subject><subject>Occupational safety</subject><subject>Organic compounds</subject><subject>Prevention</subject><subject>VOCs</subject><subject>Volatile organic compounds</subject><issn>1351-0711</issn><issn>1470-7926</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNotkc1OxCAUhRujib9v4ILEdZULbQF3xviXmLhxTyjcWiYtrYUxcefGt_GpfBKZGVeQc7_DyeUUxTnQSwDeXE04oisZhaYEylUNlxL2iiOoBC2FYs1-vvMaSioADovjGFeUAhecHRU_L9lU_X593wTiQ8K3xSR0xMzzMhnbkzRluUOb_BSICY4sGGefoWn5JH4YAsZI5gU_MGwRH0g_jUh6NEPqrVnwejMe_OiDyZZsXw8pkqkjqUcSTYc7wwYldkATfHjbJjkf_6OzENPafZ4WB50ZIp79nyfF6_3d6-1j-fzy8HR781y2jZRlZTrlKm4ts41gVcuNU1UtWaOYtC0613asVqZVdQUglGAClXXU8Fp0xoianxQXu2fzH7yvMSa9mtZLyIkaJNRKUtnITF3tqHZc6XnxY15PA9WbRvS2Eb1pRO8a0RL4H2CShFk</recordid><startdate>201609</startdate><enddate>201609</enddate><creator>Quinn, Margaret</creator><creator>Markkanen, Pia</creator><creator>Galligan, Catherine</creator><creator>Sama, Susan</creator><creator>Gore, Rebecca</creator><creator>Goodyear, Nancy</creator><creator>Brouillette, Natalie</creator><creator>Kriebel, David</creator><creator>Lindberg, John</creator><creator>Vega, Alexis Parker</creator><creator>Sheikh, Noor</creator><creator>Karlsson, Nicole</creator><general>BMJ Publishing Group LTD</general><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope></search><sort><creationdate>201609</creationdate><title>O16-4 An integrated approach to infection and respiratory illness prevention in home healthcare: preliminary results of the safe home care cleaning and disinfecting study</title><author>Quinn, Margaret ; 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An international working group (WG) on C&D in healthcare was engaged by the U.S. National Institute for Occupational Safety and Health to identify research needs to develop an integrated framework for effective IP and occupational health (OH) protection for healthcare workers (Quinn, WG Co-Chair). This presentation describes the WG and a study of C&D among home care (HC) aides which was guided by WG recommendations. Study objectives were to: 1) identify the extent to which C&D is performed by HC aides, 2) assess C&D respiratory hazards, and 3) compare the effectiveness of conventional versus “green” C&D products to reduce pathogens in the home environment. MethodsHC aides completed a survey including questions about C&D product use and respiratory hazards occurring during their HC visits. In an environmental laboratory, airborne exposures from C&D products were assessed during simulated cleaning tasks. In a microbiology laboratory, cleaning effectiveness (removal of soil) and disinfection effectiveness (reduction in microorganisms) on common household surface materials were compared using bleach, a “green” product, and a do-it-yourself (DIY) mixture. ResultsThe survey population included 1,249 HC aides contributing information on 3,484 HC visits. Aides performed C&D in 80% of their visits. Bleach was used in 25% of visits; an additional 15% used other irritant chemicals. Environmental assessment of C&D products showed volatile organic compounds emitted from all products; peak exposures to chlorine could exceed occupational exposure limits. Microbiology assessment found that bleach and a “green” product effectively removed soil and reduced E. coli and S. aureus; the DIY mixture was less effective.ConclusionsAn integrated IP-OH approach to assessing C&D exposures, as recommended by the WG, can provide more comprehensive prevention strategies.]]></abstract><cop>London</cop><pub>BMJ Publishing Group LTD</pub><doi>10.1136/oemed-2016-103951.81</doi></addata></record>
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subjects Chlorine
E coli
Environmental assessment
Health care
Health hazards
Home environment
Microbiology
Microorganisms
Occupational exposure
Occupational health
Occupational safety
Organic compounds
Prevention
VOCs
Volatile organic compounds
title O16-4 An integrated approach to infection and respiratory illness prevention in home healthcare: preliminary results of the safe home care cleaning and disinfecting study
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