Multisite evaluation of environmental cleanliness of high-touch surfaces in intensive care unit patient rooms - 27/09/18
Doi : 10.1016/j.ajic.2018.03.031
Joost Hopman, MD a, * 
, Curtis J. Donskey, MD b, Icaro Boszczowski, MD, MSc c, Michelle J. Alfa, PhD d
, Curtis J. Donskey, MD b, Icaro Boszczowski, MD, MSc c, Michelle J. Alfa, PhD d a Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands
b Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH
c Hospital Epidemiologist Infection Control Dept, Hospital das Clinicas, University of Sao Paulo and Hospital Alemao Oswaldo Cruz, Sao Paulo, Brazil
d St Boniface Research Centre and University of Manitoba, Winnipeg, Manitoba, Canada
*Address correspondence to Joost Hopman, MD, Radboud University Medical Center, Geert Grooteplein 10, Postbus 9101, 6500 HB, Nijmegen, The Netherlands. (J. Hopman).Radboud University Medical CenterGeert Grooteplein 10, Postbus 9101Nijmegen6500 HBThe Netherlands
Highlights |
• | Large variations of environmental cleanliness of high-touch surfaces after discharge cleaning and disinfection are identified in ICU patient rooms in Brazil, Canada, the Netherlands and the US. |
• | Major differences exist in used cleaning and disinfection protocols, detergents and disinfectants. |
• | Monitoring of staff cleaning compliance using rapid methods such as reflective surface markers or adenosine triphosphate with ongoing staff feedback can ensure optimal cleaning and disinfection of high touch surfaces. |
• | The total aerobic count on high-touch surfaces provided limited value for routine cleanliness monitoring and should be used selectively during outbreaks. |
Abstract |
The efficacy of discharge cleaning and disinfection of high-touch surfaces of intensive care unit patient rooms in Brazil, Canada, the Netherlands, and the United States was evaluated and the effect of an educational intervention was determined. Significant site-to-site differences in cleaning regimens and baseline cleanliness levels were observed using ATP levels, colony-forming units, and reflective surface marker removal percent pass rates. An educational intervention that includes rapid feedback of the ATP measurements could significantly improve the quality of the cleaning and disinfection regimens.
Le texte complet de cet article est disponible en PDF.Key Words : ATP, reflective surface marker, educational intervention
Plan
| 3M provided research funding and supplies for each of the study sites. |
|
| Conflicts of interest: I.B. has served as a consultant on the scientific advisory board for 3M, and received support for travel to meetings for the study, payment for reviewing the manuscript, and provision of administrative support for this study from 3M. M.A. has served as a consultant on the scientific advisory board for 3M and has been a consultant on unrelated issues for Olympus, KARL STORZ, J&J, Novaflux, and MSPrebiotics Inc. M.A. receives royalties from the University of Manitoba for a patent licensed to Healthmark and has received honoraria as an invited speaker sponsored by Sealed Air-Diversey, Canadian Digestive Disease Week, International Association of Healthcare Central Service Material Management, Society of Gastroenterology Nurses and Associates, and te Association for Professionals in Infection Control and Epidemiology Inc. J.H. served as a Radboudumc consultant on the scientific advisory board for 3M during 2016 and received support for travel to meetings for the study from 3M. C.J.D. has served as a consultant on a scientific advisory board for 3M and has received research funding from EcoLab, Clorox, GOJO, Merck, and Altapure. |
© 2018
Association for Professionals in Infection Control and Epidemiology, Inc. Tous droits réservés.
Vol 46 - N° 10
P. 1198-1200 - octobre 2018 Retour au numéro
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