Effectiveness of clinical surface cleaning and disinfection: evaluation methods

Frota, Oleci Pereira; Ferreira, Adriano Menis; Rigotti, Marcelo Alessandro; Andrade, Denise de; Borges, Nájla Moreira Amaral; Júnior, Ferreira

doi:10.1590/0034-7167-2018-0623

Cited by 11 publications

(13 citation statements)

References 15 publications

(84 reference statements)

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“…In 24.49% of the observations made, the professionals touched the patients' surfaces wearing gloves before performing the procedure. This non-conformity is extremely worrying, since the professional can make the surface hygiene become invalid, allowing the crosstransmission of microorganisms and the occurrence of HCRI (19) . Still regarding the inappropriate use of gloves, a worrying situation found in this study was that in 13.13% of the opportunities, professionals did not use gloves even though they had the indication for use.…”

Section: Discussionmentioning

confidence: 99%

The use of gloves by the nursing team in a hospital environment

et al. 2021

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Objectives: to verify the compliance rate of the use of gloves by the nursing team in a hospital environment. Methods: a descriptive study, carried out in a hospital in the state of Sao Paulo, Brazil, between August and October 2019, through the observation of the nursing team in carrying out a total of 396 procedures. All ethical aspects were considered. Results: 32 different types of procedures were observed. The compliance rate with the use of gloves occurred only in one observation (0.25%). Excluding hand hygiene, it was 60.1% (238). In other 158 (39.9%) opportunities, incorrect use varied between reuse (18.43%), unnecessary use (8.33%) and non-use when necessary (13.13%). Hands were cleaned before using gloves in 1.76% of the observations and in 4.54% immediately after their removal. Conclusions: non-conformities were identified in the use of gloves when observing the performance of procedures by the nursing team.

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Section: Discussionmentioning

confidence: 99%

The use of gloves by the nursing team in a hospital environment

et al. 2021

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“…Secondly, there is a propensity to false-positive results when certain disinfecting agents have been used to clean a surface. Also no pathogen can be identified with ATP measurement [17]. These factors should be given consideration before performing ATP measurements.…”

Section: Discussionmentioning

confidence: 99%

ATP measurement as an objective method to measure environmental contamination in 9 hospitals in the Dutch/Belgian border area

Arkel

Willemsen

Kilsdonk-Bode

et al. 2020

Antimicrob Resist Infect Control

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Background: The objective of this study was to determine the level of environmental contamination in hospitals in the Dutch/Belgian border area, using ATP measurements. Design: A cross-sectional observational survey. Methods: Standardized ATP measurements were conducted in 9 hospitals on 32 hospital wards. Thirty pre-defined surfaces per hospital ward were measured with the 3 M Clean Trace NG luminometer. Results are displayed in relative light units (RLU). RLU > 1000 was considered as "not clean." Differences in RLU values were compared between countries, hospitals, fomite groups and medical specialties. Results: A total of 960 ATP measurements were performed, ranging from 60 up to 120 per hospital. The median RLU-value was 568 (range: 3-277,586) and 37.7% of the measurements were rated as not clean (RLU > 1000). There were significant differences between countries, hospitals and fomite groups. Conclusion: ATP measurements can be used as a more objective approach to determine the level of environmental contamination in hospitals. Significant differences in ATP levels were found between hospitals and between countries. Also, substantial differences were found between different fomite groups. These findings offer potential targets for improvement of cleanliness in healthcare facilities.

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“…Also no pathogen can be identified with ATP measurement. 17 These factors should be given consideration before performing ATP measurements.…”

Section: Discussionmentioning

confidence: 99%

ATP measurement as an objective method to measure environmental contamination in 9 hospitals in the Dutch/Belgian border area.

Arkel

Willemsen

Kilsdonk-Bode

et al. 2020

Preprint

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Background The objective of this study was to determine the level of environmental contamination in hospitals in the Dutch/Belgian border area, using ATP measurements. Design A cross-sectional observational survey Methods Standardized ATP measurements were conducted in 9 hospitals on 32 hospital wards. Thirty pre-defined surfaces per hospital ward were measured with the 3M Clean Trace NG luminometer. Results are displayed in relative light units (RLU). RLU >1000 was considered as “not clean.” Differences in RLU values were compared between countries, hospitals, fomite groups and medical specialties. Results A total of 960 ATP measurements were performed, ranging from 60 up to 120 per hospital. The median RLU-value was 568 (range: 3 – 277,586) and 37.7% of the measurements were rated as not clean (RLU >1000). There were significant differences between countries, hospitals and fomite groups. Conclusion ATP measurements can be used as a more objective approach to determine the level of environmental contamination in hospitals. Significant differences in ATP levels were found between hospitals and between countries. Also, substantial differences were found between different fomite groups. These findings offer potential targets for improvement of cleanliness in healthcare facilities.

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Effectiveness of clinical surface cleaning and disinfection: evaluation methods

Cited by 11 publications

References 15 publications

The use of gloves by the nursing team in a hospital environment

The use of gloves by the nursing team in a hospital environment

ATP measurement as an objective method to measure environmental contamination in 9 hospitals in the Dutch/Belgian border area

ATP measurement as an objective method to measure environmental contamination in 9 hospitals in the Dutch/Belgian border area.

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