Monitoring environmental cleanliness on two surgical wards

Dancer, S.J.; White, Liza; Robertson, Chris

doi:10.1080/09603120802102465

Cited by 90 publications

(95 citation statements)

References 24 publications

(14 reference statements)

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“…Hospital pathogens survive in the hospital environment until removed through some cleaning process but the best way to achieve this remains elusive [1,3,4]. Many studies have demonstrated persistent contamination following domestic attention, including high-risk hand-touch sites beside the patient [5][6][7][8][9]10 & ]. If a patient is admitted into a room previously occupied by a patient colonized or infected with a specific pathogen, then the new admission has an increased risk of acquiring the same organism [11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Dos and don’ts for hospital cleaning

Dancer

2016

Current Opinion in Infectious Diseases

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Purpose of review More evidence is emerging on the role of cleaning and decontamination for reducing hospital-acquired infection. Timely and adequate removal of environmental pathogens leads to measurable clinical benefits for patients. This article considers studies published from 2013 examining hospital decontamination technologies and evidence for cost-effectiveness. Recent findings Novel biocides and cleaning products, antimicrobial coatings, monitoring practices and automated equipment are widely accessible. They do not necessarily remove all environmental pathogens, however, and most have yet to be comprehensively assessed against patient outcome. Some studies are confounded by concurrent infection control and/or antimicrobial stewardship initiatives. Few contain data on costs. Summary As automated dirt removal is assumed to be superior to human effort, there is a danger that traditional cleaning methods are devalued or ignored. Fear of infection encourages use of powerful disinfectants for eliminating real or imagined pathogens in hospitals without appreciating toxicity or cost benefit. Furthermore, efficacy of these agents is compromised without prior removal of organic soil. Microbiocidal activity should be compared and contrasted against physical removal of soil in standardized and controlled studies to understand how best to manage contaminated healthcare environments.

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Section: Introductionmentioning

confidence: 99%

Dos and don’ts for hospital cleaning

Dancer

2016

Current Opinion in Infectious Diseases

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“…40,41 Although MRSA can be found on numerous sites in hospital rooms occupied by patients colonised or infected with the organism, sites such as linen, curtains, beds, lockers and overbed tables have been found to harbour MRSA more frequently than others with contamination of near-patient hand-touch sites providing the largest risk. [42][43][44][45][46] Transmission of MRSA from environmental surfaces to gloves or hands of healthcare workers has been documented. Forty-two per cent of 12 nurses contaminated their gloves by touching objects in rooms of patients with MRSA in a wound or urine, even if they had no direct patient contact.…”

Section: Do Not Sit On the Bedmentioning

confidence: 99%

Wearing white coats and sitting on beds: why should it matter?

Hill

2011

Clinical Medicine

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“…9 The second standard was not used in the present study. The choice between 2.5 cfu/cm 2 (as in this study) vs 5 cfu/cm 2 (as originally suggested) does not necessarily represent a significant problem; several studies have examined both and little difference overall was found.…”

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confidence: 99%

Pitfalls in Microbiological Sampling of the Healthcare Environment. A Response to “Evaluating a New Paradigm for Comparing Surface Disinfection in Clinical Practice”

Monitoring environmental cleanliness on two surgical wards

Abstract: SummaryTen hand-touch sites were screened weekly on two surgical wards over two consecutive six-month periods. The results were analysed using hygiene standards, which specify 1) an aerobic colony count (ACC) >2.5cfu/cm 2 , and 2) presence of

Cited by 90 publications

References 24 publications

Dos and don’ts for hospital cleaning

Dos and don’ts for hospital cleaning

Wearing white coats and sitting on beds: why should it matter?

Pitfalls in Microbiological Sampling of the Healthcare Environment. A Response to “Evaluating a New Paradigm for Comparing Surface Disinfection in Clinical Practice”

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