Failure analysis in the identification of synergies between cleaning monitoring methods

Whiteley, Greg S.; Derry, Chris; Glasbey, Trevor

doi:10.1016/j.ajic.2014.10.026

Cited by 15 publications

(9 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…(9) Despite this fact, the lack of correlation with specific pathogens cannot be considered a flaw of the ATP bioluminescence method, given that a high RLU value is a warning to improve cleaning and disinfection. (16) The results of the present study allow to infer that it is necessary to combine monitoring methods in outpatient settings, because it provided an opportunity to mitigate the negative points of each type of procedure. Objective feedback about cleaning and disinfection of surfaces is fundamental for the continuing education of healthcare teams regarding the recommended practices of daily cleansing.…”

Section: Discussionmentioning

confidence: 80%

“…(22) Despite its limitations, visual inspection still plays an important role in the esthetic evaluation of the facility and may identify deteriorated areas of surfaces and equipment, which are possibly microorganism reservoirs. (16) Regarding the proportion of surfaces considered dirty when assessed using ATP bioluminescence and ACC, the percentages were similar. There was a significant correlation, although discrete, between the ATP quantification and microbial count methods for the reception desk (rho=0.598; p=0.002) and the stretcher (rho=0.422; p=0.040).…”

Section: Discussionmentioning

confidence: 86%

“…Therefore, their combined application is preferable to their use in isolation. (13)(14)(15)(16)(17) Consequently, it is fundamental to correlate the available monitoring methods, especially in outpatient settings, for which studies are scarce, to obtain evidence to implement good practices for prevention and control of HAIs.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Correlação entre métodos de monitoramento de limpeza e desinfecção de superfícies ambulatoriais

et al. 2019

View full text Add to dashboard Cite

Objectives: To evaluate the correlation among microbiological culture, ATP bioluminescence assay, and visual inspection in monitoring the effectiveness of surface cleaning and disinfection in an outpatient facility and determine the ATP bioluminescence cutoff capable of indicating a clean surface regarding microbiological evaluation. Methods: Exploratory, cross-sectional, and correlation study consisting of 720 evaluations in fi ve surfaces before and after cleaning and disinfection. The results were used to run two-proportions tests, calculate Spearman's correlation, and plot the receiver operating characteristic curve. Results: Similar proportions (p≥0.05) occurred for non-approval rates between ATP-bioluminescence and aerobic colony count only when the evaluations of all the surfaces before and after cleaning and disinfection were put together. There was a signifi cant correlation between the ATP quantifi cation and microbial count methods for the reception desk and the stretcher. Receiver operating characteristic analysis indicated that ATP quantifi cation showed a signifi cant result in comparison with aerobic colony count (p=0.044). Conclusion: There was a discrete correlation between the ATP quantifi cation and microbial count methods for two surfaces. It is suggested that surfaces showing values ≤49 relative light units are clean. ResumoObjetivo: Avaliar a correlação entre cultura microbiológica, teste de ATP por bioluminescência e inspeção visual na monitorização da efi ciência da limpeza e da desinfecção de superfícies de uma unidade ambulatorial e determinar o valor de corte de ATP-bioluminescência capaz de indicar superfície limpa em relação à avaliação microbiológica. Métodos: Estudo exploratório, longitudinal e correlacional. Foram realizadas 720 avaliações em cinco superfícies antes e após a limpeza e a desinfecção. Nos resultados, foram realizadas análises de duas proporções, a correlação de Spearman e a curva ROC. Resultados: Ocorreram proporções semelhantes (p≥0,05) entre as taxas de reprovação apenas entre ATP-bioluminescência e contagem de colônias aeróbias (CCA) quando somadas as avaliações de todas as superfícies antes e depois da limpeza e da desinfecção. Houve correlação signifi cativa entre os métodos de quantifi cação de ATP e a contagem microbiana para o balcão da recepção e a maca. A análise ROC indicou que a quantifi cação de ATP apresentou resultado signifi cativo na comparação com a CCA (p=0,044). Conclusão: Embora discreta, houve correlação signifi cativa entre os métodos de quantifi cação de ATP e contagem microbiana para duas superfícies. Sugere-se que superfícies que apresentam valores ≤49 unidades relativas de luz estão limpas. ResumenObjetivo: Analizar la correlación entre cultivo microbiológico, prueba de ATP por bioluminiscencia e inspección visual en el monitoreo de la efi ciencia de la limpieza y desinfección de superfi cies en una unidad ambulatoria y determinar el valor de referencia de ATP-bioluminiscencia que indique que la superfi cie está limpia con relación a la eva...

show abstract

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 86%

See 1 more Smart Citation

Correlação entre métodos de monitoramento de limpeza e desinfecção de superfícies ambulatoriais

et al. 2019

View full text Add to dashboard Cite

show abstract

“…12 An interim way to manage the impact of variability with ATP devices is to manage the sampling plan through the sequential and parallel use of different methods of cleaning monitoring. 34 The results presented here were obtained with the advantages of controlled conditions, multiple repetitions, large numbers of swabs used in a wide array of concentrations across the entire reading range of the devices. Unfortunately, this strictly controlled approach probably underestimates the level of variation that occurs in uncontrolled field-based studies; for example, swab technique adds additional variability.…”

Section: Discussionmentioning

confidence: 99%

The Perennial Problem of Variability In Adenosine Triphosphate (ATP) Tests for Hygiene Monitoring Within Healthcare Settings

Whiteley

Derry

Glasbey³

et al. 2015

Infect. Control Hosp. Epidemiol.

Self Cite

View full text Add to dashboard Cite

show abstract

“…In a study of cleaning in a health care environment, Whiteley et al found a synergistic effect when combining four different monitoring methods. By combining visual inspection, microbial recovery, rapid adenosine triphosphate bioluminometry, and fluorescent assessments, limitations of any given monitoring method were compensated by the strengths of other methods.…”

Section: Synergism In Health Carementioning

confidence: 99%

Synergism in Perioperative Services

Elliott-Dawe¹

2018

AORN Journal

View full text Add to dashboard Cite

This article presents an analysis of the concept of synergism in perioperative services. Perioperative services can account for a hospital's highest expenditures and net income or loss, and leaders must understand how to maximize outcomes by creating value above expectations. Using Walker and Avant's methodology, I examined the use of synergism in the literature across multiple databases. The concept has been used in business, information technology, psychology, engineering, and theology. In health care, it is used to explain the effects of combined medications, teamwork, biological systems, patient care, cleaning effectiveness, and health promotion partnerships. I identified two attributes: an emergent property and increased positivity. Optimized outcomes, increased patient and employee satisfaction, and high net revenue are evidence of perioperative synergism. Synergism in this context is dependent on team cohesion, communication, workplace adaptability, and the tactical allocation of resources to ensure unimpeded flow of the patient through the system.

show abstract

Failure analysis in the identification of synergies between cleaning monitoring methods

Cited by 15 publications

References 33 publications

Correlação entre métodos de monitoramento de limpeza e desinfecção de superfícies ambulatoriais

Correlação entre métodos de monitoramento de limpeza e desinfecção de superfícies ambulatoriais

The Perennial Problem of Variability In Adenosine Triphosphate (ATP) Tests for Hygiene Monitoring Within Healthcare Settings

Synergism in Perioperative Services

Contact Info

Product

Resources

About