Practical Approaches for Assessment of Daily and Post-discharge Room Disinfection in Healthcare Facilities

被引：19

作者：

Deshpande, Abhishek ^{[1
,2
]}

Donskey, Curtis J. ^{[3
]}

机构：

[1] Cleveland Clin, Dept Med, Med Inst Ctr Value Based Care Res, Cleveland, OH 44195 USA

[2] Cleveland Clin, Dept Infect Dis, Cleveland, OH 44195 USA

[3] Cleveland Vet Affairs Med Ctr, Geriatr Res Educ & Clin Ctr, Cleveland, OH 44106 USA

来源：

CURRENT INFECTIOUS DISEASE REPORTS | 2017年 / 19卷 / 09期

关键词：

Daily disinfection; Terminal disinfection; Hospital surfaces; Environmental cleaning; Surface hygiene; ENVIRONMENTAL CLEANING INTERVENTION; VANCOMYCIN-RESISTANT ENTEROCOCCUS; CLOSTRIDIUM-DIFFICILE SPORES; HYDROGEN-PEROXIDE VAPOR; SURFACES; CONTAMINATION; ACQUISITION; IMPACT; DECONTAMINATION; BIOLUMINESCENCE;

D O I：

10.1007/s11908-017-0585-6

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Purpose of Review Cleaning and disinfection in healthcare facilities is essential to ensure patient safety. This review examines practical strategies used to assess and improve the effectiveness of daily and post-discharge manual cleaning in healthcare facilities. Recent Findings Effective implementation of cleaning interventions requires objective monitoring of staff performance with regular feedback on performance. Use of fluorescent markers to assess thoroughness of cleaning and measurement of residual ATP can provide rapid and objective feedback to personnel and have been associated with improved cleaning. Direct observation of cleaning and interviews with front-line staff are useful to identify variations and deficiencies in practice that may not be detected by other methods. Although not recommended for routine monitoring, cultures can be helpful for outbreak investigations. Summary Monitoring and feedback can be effective in improving cleaning and disinfection in healthcare facilities. Ongoing commitment within institutions is needed to sustain successful cleaning and disinfection programs.

引用

页数：7

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