Maintenance of Environmental Services Cleaning and Disinfection in the ICU After a Performance Improvement Project

Fitzgerald, Teresa; Sholtz, Lee; Marion, Nedra; Turner, Paul; Carling, Philip; Rupp, Mark E.

doi:10.1016/j.ajic.2012.04.281

Cited by 10 publications

(8 citation statements)

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“…Few studies have evaluated the sustainability of such systematic improvements. One study showed that cleaning performance measured by the removal of a fluorescent marker increased from a baseline of 52% to 80%-85% through training and monthly feedback [68]. However, compliance soon returned toward baseline (57%-66%) when the monthly feedback ceased.…”

Section: Limitations Of Conventional Cleaning and Disinfectionmentioning

confidence: 99%

An overview of automated room disinfection systems: When to use them and how to choose them

Otter

Yezli

Barbut

et al. 2020

Decontamination in Hospitals and Healthcare

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Section: Limitations Of Conventional Cleaning and Disinfectionmentioning

confidence: 99%

An overview of automated room disinfection systems: When to use them and how to choose them

Otter

Yezli

Barbut

et al. 2020

Decontamination in Hospitals and Healthcare

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“…There is a concern that these interventions might lose impact over time, since cleaning is physically demanding, poorly paid, and subject to inadequate staffing (17,265). Furthermore, there tends to be rapid turnover among janitorial and housekeeping staff, and this may be related to higher sickness levels as well as dissatisfaction with pay, status, and conditions (17).…”

Section: Observation Supervision and Education Of Housekeeping Staffmentioning

confidence: 99%

Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination

2014

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SUMMARY There is increasing interest in the role of cleaning for managing hospital-acquired infections (HAI). Pathogens such as vancomycin-resistant enterococci (VRE), methicillin-resistant Staphylococcus aureus (MRSA), multiresistant Gram-negative bacilli, norovirus, and Clostridium difficile persist in the health care environment for days. Both detergent- and disinfectant-based cleaning can help control these pathogens, although difficulties with measuring cleanliness have compromised the quality of published evidence. Traditional cleaning methods are notoriously inefficient for decontamination, and new approaches have been proposed, including disinfectants, steam, automated dispersal systems, and antimicrobial surfaces. These methods are difficult to evaluate for cost-effectiveness because environmental data are not usually modeled against patient outcome. Recent studies have reported the value of physically removing soil using detergent, compared with more expensive (and toxic) disinfectants. Simple cleaning methods should be evaluated against nonmanual disinfection using standardized sampling and surveillance. Given worldwide concern over escalating antimicrobial resistance, it is clear that more studies on health care decontamination are required. Cleaning schedules should be adapted to reflect clinical risk, location, type of site, and hand touch frequency and should be evaluated for cost versus benefit for both routine and outbreak situations. Forthcoming evidence on the role of antimicrobial surfaces could supplement infection prevention strategies for health care environments, including those targeting multidrug-resistant pathogens.

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“…This assertion is evidenced by a report in which environmental services (EVS) staff improved their cleaning performance from 52% to 83% after implementing fluorescent marker monitoring but regressed toward the baseline (57%) after monthly feedback ceased. 6 Current methods for quality control monitoring are retrospective and often are only intermittently performed; thus, it may be challenging to translate to timely feedback for EVS staff. To sustain a high level of cleaning compliance, a unique approach is needed, one that provides direct and immediate feedback to workers.…”

mentioning

confidence: 99%

“…Emergency department (ED) ILI data were obtained using the North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT), a statewide syndromic surveillance system. 6 Collective decisions were made to establish parameters for influenza season, which were then communicated through internal and external communication pathways.…”

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confidence: 99%

A novel color additive for bleach wipes indicates surface coverage and contact time to improve thoroughness of cleaning

Tyan

Jin

Kang

2018

Infect. Control Hosp. Epidemiol.

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Maintenance of Environmental Services Cleaning and Disinfection in the ICU After a Performance Improvement Project

Cited by 10 publications

References 0 publications

An overview of automated room disinfection systems: When to use them and how to choose them

An overview of automated room disinfection systems: When to use them and how to choose them

Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination

A novel color additive for bleach wipes indicates surface coverage and contact time to improve thoroughness of cleaning

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