Cleaning and disinfection in home care: A comparison of 2 commercial products with potentially different consequences for respiratory health
•Describes the significance of cleaning and disinfection (C&D) work in home care and the importance of balancing infection prevention and respiratory health goals.•Evaluates the effectiveness of two C&D products—a bleach-containing product and an environmentally preferable product – for comm...
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| Veröffentlicht in: | American journal of infection control 2018-04, Vol.46 (4), p.410-416 |
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| creator | Goodyear, Nancy Markkanen, Pia Beato-Melendez, Christian Mohamed, Hagir Gore, Rebecca Galligan, Catherine Sama, Susan Quinn, Margaret |
| description | •Describes the significance of cleaning and disinfection (C&D) work in home care and the importance of balancing infection prevention and respiratory health goals.•Evaluates the effectiveness of two C&D products—a bleach-containing product and an environmentally preferable product – for common household touch points in 46 homes.•Both products removed micro-organisms including Staphylococcus aureus from sampled surfaces.•Staphylococcus aureus was found in seven homes (out of 46) and Clostridium difficile in one home.•Additional research with other cleaning products and in more households is needed to develop robust recommendations for safe and effective C&D in home care.
Home care aides perform personal care and homemaking services in client homes, including cleaning and disinfection (C&D). Although C&D are performed to remove soil and dust, they are increasingly performed for infection prevention. Many C&D products contain respiratory irritants. The objective of this study was to evaluate 2 commercial products for C&D effectiveness on common household surfaces in seniors' homes.
Two C&D visits were conducted in 46 seniors' homes. One visit applied a bleach-containing cleaning product and the other applied an environmentally preferable product. Before and after C&D, the study team performed organic soil bioluminometer measurements on surfaces and collected cotton swab and wipe samples for total bacteria count, Staphylococcus aureus, and Clostridium difficile identification.
Both products removed microorganisms from tested surfaces. S aureus was found in 7 households, 1 strain of which was methicillin-resistant. Both products removed S aureus from all surfaces. Bleach-containing products removed somewhat more soil than environmentally preferable products, although results were statistically significant for only 1 surface.
The study showed similar, not identical, C&D performance for 2 cleaning products with potentially different consequences for respiratory health. Additional research is needed to develop robust recommendations for safe, effective C&D in home care. |
| doi_str_mv | 10.1016/j.ajic.2017.09.033 |
| format | Article |
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Home care aides perform personal care and homemaking services in client homes, including cleaning and disinfection (C&D). Although C&D are performed to remove soil and dust, they are increasingly performed for infection prevention. Many C&D products contain respiratory irritants. The objective of this study was to evaluate 2 commercial products for C&D effectiveness on common household surfaces in seniors' homes.
Two C&D visits were conducted in 46 seniors' homes. One visit applied a bleach-containing cleaning product and the other applied an environmentally preferable product. Before and after C&D, the study team performed organic soil bioluminometer measurements on surfaces and collected cotton swab and wipe samples for total bacteria count, Staphylococcus aureus, and Clostridium difficile identification.
Both products removed microorganisms from tested surfaces. S aureus was found in 7 households, 1 strain of which was methicillin-resistant. Both products removed S aureus from all surfaces. Bleach-containing products removed somewhat more soil than environmentally preferable products, although results were statistically significant for only 1 surface.
The study showed similar, not identical, C&D performance for 2 cleaning products with potentially different consequences for respiratory health. Additional research is needed to develop robust recommendations for safe, effective C&D in home care.]]></description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2017.09.033</identifier><identifier>PMID: 29169933</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Clostridioides difficile - drug effects ; Clostridium difficilce ; Disinfectants ; Disinfection ; Equipment Contamination ; Female ; Home care aides ; Home Care Services - standards ; Household Articles ; Housing ; Humans ; Infection prevention ; Male ; Middle Aged ; MRSA ; MSSA ; Respiratory irritants ; Staphylococcus aureus - drug effects</subject><ispartof>American journal of infection control, 2018-04, Vol.46 (4), p.410-416</ispartof><rights>2021 The Author(s). Published by Elsevier Inc. on behalf of Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-f3a6a1616918517ecb437db88c891129e4d46067a6c5fc1548f13a8d783084493</citedby><cites>FETCH-LOGICAL-c400t-f3a6a1616918517ecb437db88c891129e4d46067a6c5fc1548f13a8d783084493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajic.2017.09.033$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29169933$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goodyear, Nancy</creatorcontrib><creatorcontrib>Markkanen, Pia</creatorcontrib><creatorcontrib>Beato-Melendez, Christian</creatorcontrib><creatorcontrib>Mohamed, Hagir</creatorcontrib><creatorcontrib>Gore, Rebecca</creatorcontrib><creatorcontrib>Galligan, Catherine</creatorcontrib><creatorcontrib>Sama, Susan</creatorcontrib><creatorcontrib>Quinn, Margaret</creatorcontrib><title>Cleaning and disinfection in home care: A comparison of 2 commercial products with potentially different consequences for respiratory health</title><title>American journal of infection control</title><addtitle>Am J Infect Control</addtitle><description><![CDATA[•Describes the significance of cleaning and disinfection (C&D) work in home care and the importance of balancing infection prevention and respiratory health goals.•Evaluates the effectiveness of two C&D products—a bleach-containing product and an environmentally preferable product – for common household touch points in 46 homes.•Both products removed micro-organisms including Staphylococcus aureus from sampled surfaces.•Staphylococcus aureus was found in seven homes (out of 46) and Clostridium difficile in one home.•Additional research with other cleaning products and in more households is needed to develop robust recommendations for safe and effective C&D in home care.
Home care aides perform personal care and homemaking services in client homes, including cleaning and disinfection (C&D). Although C&D are performed to remove soil and dust, they are increasingly performed for infection prevention. Many C&D products contain respiratory irritants. The objective of this study was to evaluate 2 commercial products for C&D effectiveness on common household surfaces in seniors' homes.
Two C&D visits were conducted in 46 seniors' homes. One visit applied a bleach-containing cleaning product and the other applied an environmentally preferable product. Before and after C&D, the study team performed organic soil bioluminometer measurements on surfaces and collected cotton swab and wipe samples for total bacteria count, Staphylococcus aureus, and Clostridium difficile identification.
Both products removed microorganisms from tested surfaces. S aureus was found in 7 households, 1 strain of which was methicillin-resistant. Both products removed S aureus from all surfaces. Bleach-containing products removed somewhat more soil than environmentally preferable products, although results were statistically significant for only 1 surface.
The study showed similar, not identical, C&D performance for 2 cleaning products with potentially different consequences for respiratory health. Additional research is needed to develop robust recommendations for safe, effective C&D in home care.]]></description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Clostridioides difficile - drug effects</subject><subject>Clostridium difficilce</subject><subject>Disinfectants</subject><subject>Disinfection</subject><subject>Equipment Contamination</subject><subject>Female</subject><subject>Home care aides</subject><subject>Home Care Services - standards</subject><subject>Household Articles</subject><subject>Housing</subject><subject>Humans</subject><subject>Infection prevention</subject><subject>Male</subject><subject>Middle Aged</subject><subject>MRSA</subject><subject>MSSA</subject><subject>Respiratory irritants</subject><subject>Staphylococcus aureus - drug effects</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9u3CAQxlHUKtkmeYEcKo692AVjY4hyiVb9J0XqpT0jFoYsKxtcYFvtO_Shi7Vpjz2hYX7zaeb7ELqjpKWE8veHVh-8aTtCx5bIljB2gTZ06MaGdZK_QhtCJW_4MLAr9CbnAyFEMj5coqtOUi4lYxv0ezuBDj48Yx0stj774MAUHwP2Ae_jDNjoBPf4EZs4Lzr5XFvR4W6tZ0jG6wkvKdqjKRn_8mWPl1gglPo_naqic5BqWfGQ4ccRgoGMXUw4QV580iWmE96Dnsr-Br12espw-_Jeo-8fP3zbfm6evn76sn18akxPSGkc01xTXk-gYqAjmF3PRrsTwghJaSehtz0nfNTcDM7QoReOMi3sKBgRfS_ZNXp31q17141yUbPPBqZJB4jHrKptlWOciop2Z9SkmHMCp5bkZ51OihK1pqAOak1BrSkoIlVNoQ69fdE_7maw_0b-2l6BhzMA9cqfHpLKxq_OWJ-q-8pG_z_9PzrEmoo</recordid><startdate>201804</startdate><enddate>201804</enddate><creator>Goodyear, Nancy</creator><creator>Markkanen, Pia</creator><creator>Beato-Melendez, Christian</creator><creator>Mohamed, Hagir</creator><creator>Gore, Rebecca</creator><creator>Galligan, Catherine</creator><creator>Sama, Susan</creator><creator>Quinn, Margaret</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201804</creationdate><title>Cleaning and disinfection in home care: A comparison of 2 commercial products with potentially different consequences for respiratory health</title><author>Goodyear, Nancy ; Markkanen, Pia ; Beato-Melendez, Christian ; Mohamed, Hagir ; Gore, Rebecca ; Galligan, Catherine ; Sama, Susan ; Quinn, Margaret</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-f3a6a1616918517ecb437db88c891129e4d46067a6c5fc1548f13a8d783084493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Clostridioides difficile - drug effects</topic><topic>Clostridium difficilce</topic><topic>Disinfectants</topic><topic>Disinfection</topic><topic>Equipment Contamination</topic><topic>Female</topic><topic>Home care aides</topic><topic>Home Care Services - standards</topic><topic>Household Articles</topic><topic>Housing</topic><topic>Humans</topic><topic>Infection prevention</topic><topic>Male</topic><topic>Middle Aged</topic><topic>MRSA</topic><topic>MSSA</topic><topic>Respiratory irritants</topic><topic>Staphylococcus aureus - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goodyear, Nancy</creatorcontrib><creatorcontrib>Markkanen, Pia</creatorcontrib><creatorcontrib>Beato-Melendez, Christian</creatorcontrib><creatorcontrib>Mohamed, Hagir</creatorcontrib><creatorcontrib>Gore, Rebecca</creatorcontrib><creatorcontrib>Galligan, Catherine</creatorcontrib><creatorcontrib>Sama, Susan</creatorcontrib><creatorcontrib>Quinn, Margaret</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goodyear, Nancy</au><au>Markkanen, Pia</au><au>Beato-Melendez, Christian</au><au>Mohamed, Hagir</au><au>Gore, Rebecca</au><au>Galligan, Catherine</au><au>Sama, Susan</au><au>Quinn, Margaret</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cleaning and disinfection in home care: A comparison of 2 commercial products with potentially different consequences for respiratory health</atitle><jtitle>American journal of infection control</jtitle><addtitle>Am J Infect Control</addtitle><date>2018-04</date><risdate>2018</risdate><volume>46</volume><issue>4</issue><spage>410</spage><epage>416</epage><pages>410-416</pages><issn>0196-6553</issn><eissn>1527-3296</eissn><abstract><![CDATA[•Describes the significance of cleaning and disinfection (C&D) work in home care and the importance of balancing infection prevention and respiratory health goals.•Evaluates the effectiveness of two C&D products—a bleach-containing product and an environmentally preferable product – for common household touch points in 46 homes.•Both products removed micro-organisms including Staphylococcus aureus from sampled surfaces.•Staphylococcus aureus was found in seven homes (out of 46) and Clostridium difficile in one home.•Additional research with other cleaning products and in more households is needed to develop robust recommendations for safe and effective C&D in home care.
Home care aides perform personal care and homemaking services in client homes, including cleaning and disinfection (C&D). Although C&D are performed to remove soil and dust, they are increasingly performed for infection prevention. Many C&D products contain respiratory irritants. The objective of this study was to evaluate 2 commercial products for C&D effectiveness on common household surfaces in seniors' homes.
Two C&D visits were conducted in 46 seniors' homes. One visit applied a bleach-containing cleaning product and the other applied an environmentally preferable product. Before and after C&D, the study team performed organic soil bioluminometer measurements on surfaces and collected cotton swab and wipe samples for total bacteria count, Staphylococcus aureus, and Clostridium difficile identification.
Both products removed microorganisms from tested surfaces. S aureus was found in 7 households, 1 strain of which was methicillin-resistant. Both products removed S aureus from all surfaces. Bleach-containing products removed somewhat more soil than environmentally preferable products, although results were statistically significant for only 1 surface.
The study showed similar, not identical, C&D performance for 2 cleaning products with potentially different consequences for respiratory health. Additional research is needed to develop robust recommendations for safe, effective C&D in home care.]]></abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29169933</pmid><doi>10.1016/j.ajic.2017.09.033</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Clostridioides difficile - drug effects Clostridium difficilce Disinfectants Disinfection Equipment Contamination Female Home care aides Home Care Services - standards Household Articles Housing Humans Infection prevention Male Middle Aged MRSA MSSA Respiratory irritants Staphylococcus aureus - drug effects |
| title | Cleaning and disinfection in home care: A comparison of 2 commercial products with potentially different consequences for respiratory health |
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