Sequential enhanced cleaning eliminates multidrug-resistant organisms in general intensive care unit of a traditional Chinese medicine hospital

Gan, Tieer; Xu, Hong; Wu, Jian; Zhu, Yue-xian; Wang, Lanfang; Jin, Hui; Ling-ya, Wei; Shen, Liming; Xiaoping, Ni; Cao, Junhui; Zhang, Ying

doi:10.1016/j.jcrc.2017.04.036

Cited by 10 publications

(13 citation statements)

References 24 publications

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“…environment, even in relation to multiresistant microorganisms. 5 This perspective is corroborated by the conclusion of a prospective study carried out in a hospital in which the authors stated that the choice of surface fluorescent dye and the use of the ATP method presented a better diagnosis of the quality of the L&D process performed. 24 However, it is demonstrated, as described in a review study, 20 that some substances that make up the markers can be seen in a small degree when placed on dark surfaces, and this aspect can corroborate the Hawthorne effect.…”

Section: Resultasmentioning

confidence: 78%

“…4 It should be noted that the contaminated environment plays a significant role in the spread of micro-organisms, including multiresistant pathogens, such as methicillinresistant Staphylococcus aureus (MRSA), among others. [5][6][7] It should be noted that surfaces considered to have a high frequency of touch, such as door handles, cables and switches, should pay special attention, 8 in addition to other surfaces that are close to the patient, for example: bed frame, headboards, pump of infusion, among others, that are in frequent contact with the hands of patients and/or professionals, functioning as a reservoir of microorganisms. 9 It should be emphasized that actions aimed at strengthening hand hygiene practice have contributed to the prevention of IRHC, however, the permanent adherence of professionals and patients to this practice is still a challenge to health services.…”

mentioning

confidence: 99%

“…8 In this context, it is based on adherence to a satisfactory cleaning in the environments, for the reduction of pathogens, thus strengthening patient safety. 5 Several methods of L & D monitoring are identified in the literature, the most used being: visual inspection, total colon count, ATP (Adenosine Triphosphate) quantification and the use of fluorescent markers. 7 The use of environmental markers is to apply a fluorescent dye (practically invisible to the naked eye) on the surface prior to the L&D process, and after the L&D is performed, with the aid of a black light, has been completely removed from the surface or if residues of the latter.…”

mentioning

confidence: 99%

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Marcadores fluorescentes para o monitoramento da limpeza e desinfecção de superficies

Santos

Gonzaga

Barbosa

et al. 2019

Rev enferm UFPE on line.

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RESUMO Objetivo: descrever o uso de marcadores fluorescentes para o monitoramento da limpeza e a desinfecção de superfícies. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa, realizado a partir das bases de dados LILACS, MEDLINE e na biblioteca virtual SciELO. Incluiram-se artigos nas línguas portuguesa, inglesa e espanhola, sem delimitação de período. Selecionaram-se, a partir da análise crítica dos resumos, dez (100%) artigos. Apresentaram-se os resultados em forma de figuras. Resultados: relata-se, com relação à caracterização dos artigos analisados, que quatro (40%) foram publicados no ano de 2008. Nota-se que sete (70%) apresentam como objetivo avaliar e melhorar as práticas de limpeza em diversos ambientes. Conclusão: sugerem-se novos estudos que vislumbrem demostrar o impacto de intervenções na limpeza com os indicadores de segurança do paciente, permitindo apontar exatamente os ganhos ao paciente. Descritores: Corantes Fluorescentes; Desinfecção; Serviço Hospitalar de Limpeza; Gestão da Qualidade; Auditoria de Enfermagem; Contaminação de Equipamentos.ABSTRACT Objective: to describe the use of fluorescent markers to monitor surface cleaning and disinfection. Method: this is a bibliographical study, type integrative review, carried out from LILACS, MEDLINE and the SciELO virtual library. Portuguese, English and Spanish articles were included, without delimitation of period. From the critical analysis of the abstracts, ten (100%) articles were selected. The results were presented in the form of figures. Results: four (40%) were published in the year 2008. It is noteworthy that seven (70%) have the objective of evaluating and improving cleaning practices in several environments. Conclusion: new studies are suggested that demonstrate the impact of cleaning interventions with the patient's safety indicators, allowing an accurate indication of the gains to the patient. Descriptors: Fluorescent dyes; Disinfection; Hospital Cleaning Service; Quality management; Nursing Audit; Equipment Contamination. RESUMEN Objetivo: describir el uso de marcadores fluorescentes para el monitoreo de la limpieza y la desinfección de superficies. Método: se trata de un estudio bibliográfico, tipo revisión integrativa, realizado a partir de las bases de datos LILACS, MEDLINE y en la biblioteca virtual SciELO. Se incluyeron los artículos en portugués, Inglés y Español sin periodo de delimitación. Se seleccionaron, a partir del análisis crítico de los resúmenes, diez (100%) artículos. Se presentaron los resultados en forma de figuras. Resultados: se relata, con relación a la caracterización de los artículos analizados, que cuatro (40%) fueron publicados en el año 2008. Se nota que siete (70%) presentan como objetivo evaluar y mejorar las prácticas de limpieza en diversos ambientes. Conclusión: se sugieren nuevos estudios que vislumbre demostrar el impacto de intervenciones en la limpieza con los indicadores de seguridad del paciente, permitiendo apuntar exactamente las ganancias al paciente. Descriptores: Colorantes Fluorescentes; Desinfección; Servicio de Limpieza en Hospital; Gestión de la Calidad; Auditoria de Enfermería; Contaminación de Equipos.

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Section: Resultasmentioning

confidence: 78%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Marcadores fluorescentes para o monitoramento da limpeza e desinfecção de superficies

Santos

Gonzaga

Barbosa

et al. 2019

Rev enferm UFPE on line.

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“…Sodium hypochlorite disinfection, which comprised any disinfection method specified as bleach or sodium hypochlorite, was identified in 19% of studies [20,44,60,61,75,89,95,97,100,104,109,. Other chlorine disinfectants were identified in 14% of studies [65,70,78,101,118,[135][136][137][138][139][140][141][142][143][144][145][146][147][148][149][150][151][152][153][154]. Other chlorines included demand-release chlorines such as sodium dichloroisocyanurate, chloramine, chlorine-dioxide, and bromochloro-dimethyl-hydantoin, as well as electrolyzed water, hypochlorous acid, and any unspecified chlorine-based disinfectant.…”

Section: Disinfection Typementioning

confidence: 99%

Evidence Map and Systematic Review of Disinfection Efficacy on Environmental Surfaces in Healthcare Facilities

Christenson¹,

Cronk

Atkinson³

et al. 2021

IJERPH

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Healthcare-associated infections (HAIs) contribute to patient morbidity and mortality with an estimated 1.7 million infections and 99,000 deaths costing USD $28–34 billion annually in the United States alone. There is little understanding as to if current environmental surface disinfection practices reduce pathogen load, and subsequently HAIs, in critical care settings. This evidence map includes a systematic review on the efficacy of disinfecting environmental surfaces in healthcare facilities. We screened 17,064 abstracts, 635 full texts, and included 181 articles for data extraction and study quality assessment. We reviewed ten disinfectant types and compared disinfectants with respect to study design, outcome organism, and fourteen indictors of study quality. We found important areas for improvement and gaps in the research related to study design, implementation, and analysis. Implementation of disinfection, a determinant of disinfection outcomes, was not measured in most studies and few studies assessed fungi or viruses. Assessing and comparing disinfection efficacy was impeded by study heterogeneity; however, we catalogued the outcomes and results for each disinfection type. We concluded that guidelines for disinfectant use are primarily based on laboratory data rather than a systematic review of in situ disinfection efficacy. It is critically important for practitioners and researchers to consider system-level efficacy and not just the efficacy of the disinfectant.

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“…Cleaning effectiveness can be measured by assessing the overall increase or decrease in CFU following cleaning. Some surfaces were cleaned more thoroughly than others, due to a Numerous other studies have shown variable compliance with cleaning and success in using cleaning and cleaning training interventions to reduce microbiological levels in hospitals [7][8][9].…”

mentioning

confidence: 99%

Surface sampling within a pediatric ward—how multiple factors affect cleaning efficacy

Rawlinson

Cloutman-Green

Asadi

et al. 2020

American Journal of Infection Control

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To assess the number of organisms present on different surfaces within a clinical environment before and after cleaning has taken place, and to identify the impact of cleaning. Design and Setting Extensive 2-week microbiological environmental monitoring of an entire ward before and after cleaning, within a pediatric hematology-oncology ward comprised of a day unit and outpatients ward. Methods Tryptone soya agar (TSA) contact plates were used to take a total of 1,160 surface samples before and after cleaning from 55 predetermined sites. Samples were taken from representative surfaces throughout the ward, including different materials, surfaces with varying heights, different functions, distance from patients, and both high-touch and infrequently touched surfaces. Results. Surface cleaning has been undertaken within the ward and there is a significant difference between CFU recovered before and after cleaning (P<0.0001). Cleaning produced an average reduction of 68% throughout the ward environment. The corridor was the most contaminated area within the ward. There is a difference in CFU between the different areas within the ward, and these were cleaned with varying efficiency. Surface material, who interacts with the surface, levels of initial contamination, perceived risk and perceived cleanability were all found to have a varying impact on how well cleaning was undertaken. Conclusions. To the authors current knowledge, this is the only study assessing cleaning within a pediatric ward taking samples directly before and after cleaning. The standard of 3 cleaning undertaken within the ward is open for discussion, and these data highlight the need for an improved cleaning intervention, and can provide insight into the multitude of factors that must be considered when designing an effective training protocol.

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Sequential enhanced cleaning eliminates multidrug-resistant organisms in general intensive care unit of a traditional Chinese medicine hospital

Cited by 10 publications

References 24 publications

Marcadores fluorescentes para o monitoramento da limpeza e desinfecção de superficies

Marcadores fluorescentes para o monitoramento da limpeza e desinfecção de superficies

Evidence Map and Systematic Review of Disinfection Efficacy on Environmental Surfaces in Healthcare Facilities

Surface sampling within a pediatric ward—how multiple factors affect cleaning efficacy

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