An evaluation of patient area cleaning in 3 hospitals using a novel targeting methodology

Although environmental cleaning and disinfecting practices have become a cornerstone of patient care, assessment of actual compliance with such procedures has not been reported. Using a novel methodology, we developed a means to monitor directly such activities. A nontoxic target solution, which int...

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Veröffentlicht in:American journal of infection control 2006-10, Vol.34 (8), p.513-519
Hauptverfasser: Carling, Philip C., Briggs, Janet, Hylander, Deborah, Perkins, Jeannette
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container_end_page 519
container_issue 8
container_start_page 513
container_title American journal of infection control
container_volume 34
creator Carling, Philip C.
Briggs, Janet
Hylander, Deborah
Perkins, Jeannette
description Although environmental cleaning and disinfecting practices have become a cornerstone of patient care, assessment of actual compliance with such procedures has not been reported. Using a novel methodology, we developed a means to monitor directly such activities. A nontoxic target solution, which intensely fluoresces with a black light, was formulated to be inconspicuous yet readily removed by housekeeping products. Small volumes of material were confidentially applied to 12 target sites in patient rooms in 3 hospitals following terminal cleaning. The targets were reevaluated following terminal cleaning after several patients had occupied the room. One hundred fifty-seven rooms and 1404 targets were evaluated. In the 3 hospitals studied, only 45%, 42%, and 56% of targets were removed by routine terminal cleaning/disinfecting activities. The frequency with which various individual sites were cleaned varied widely but was similar in all hospitals. The use of a novel target compound to evaluate housekeeping practices confirmed high rates of cleaning of traditional sites but poor cleaning of many sites that have significant potential for harboring and transmitting microbial pathogens. This methodology has the potential for being used to evaluate objectively the cleaning/disinfecting activities in various health care settings.
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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Biological and medical sciences
Cross Infection - prevention & control
Disinfection
Epidemiology. Vaccinations
Fluorescent Dyes
General aspects
Guideline Adherence
Health Care Surveys
Hospitals
Housekeeping, Hospital
Humans
Infection Control - methods
Infectious diseases
Medical sciences
Miscellaneous
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality of Health Care
Staining and Labeling
title An evaluation of patient area cleaning in 3 hospitals using a novel targeting methodology
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