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Hospital cleaning disinfection

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https://www.readbyqxmd.com/read/29331170/implementation-lessons-learned-from-the-benefits-of-enhanced-terminal-room-betr-disinfection-study-process-and-perceptions-of-enhanced-disinfection-with-ultraviolet-disinfection-devices
#1
Deverick J Anderson, Lauren P Knelson, Rebekah W Moehring, Sarah S Lewis, David J Weber, Luke F Chen, Patricia F Triplett, Michael Blocker, R Marty Cooney, J Conrad Schwab, Yuliya Lokhnygina, William A Rutala, Daniel J Sexton
OBJECTIVE To summarize and discuss logistic and administrative challenges we encountered during the Benefits of Enhanced Terminal Room (BETR) Disinfection Study and lessons learned that are pertinent to future utilization of ultraviolet (UV) disinfection devices in other hospitals DESIGN Multicenter cluster randomized trial SETTING AND PARTICIPANTS Nine hospitals in the southeastern United States METHODS All participating hospitals developed systems to implement 4 different strategies for terminal room disinfection...
January 14, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29324492/life-cycle-assessment-and-costing-methods-for-device-procurement-comparing-reusable-and-single-use-disposable-laryngoscopes
#2
Jodi D Sherman, Lewis A Raibley, Matthew J Eckelman
BACKGROUND: Traditional medical device procurement criteria include efficacy and safety, ease of use and handling, and procurement costs. However, little information is available about life cycle environmental impacts of the production, use, and disposal of medical devices, or about costs incurred after purchase. Reusable and disposable laryngoscopes are of current interest to anesthesiologists. Facing mounting pressure to quickly meet or exceed conflicting infection prevention guidelines and oversight body recommendations, many institutions may be electively switching to single-use disposable (SUD) rigid laryngoscopes or overcleaning reusables, potentially increasing both costs and waste generation...
January 9, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29306489/efficacy-of-manual-cleaning-and-an-ultraviolet-c-room-decontamination-device-in-reducing-health-care-associated-pathogens-on-hospital-floors
#3
Aishat Mustapha, Heba Alhmidi, Jennifer L Cadnum, Annette L Jencson, Curtis J Donskey
Recent studies suggest that floors may be an underappreciated source for transmission of health care-associated pathogens. However, there are limited data on the effectiveness of current cleaning and disinfection methods in reducing floor contamination. We demonstrated that manual postdischarge cleaning by environmental services personnel significantly reduced floor contamination, and an automated ultraviolet C room disinfection device was effective as an adjunct to manual cleaning.
January 4, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29278668/evaluation-of-the-influenza-risk-reduction-from-antimicrobial-spray-application-on-porous-surfaces
#4
Alexandre Chabrelie, Jade Mitchell, Joan Rose, Duane Charbonneau, Yoshiki Ishida
Antimicrobial spray products are used by millions of people around the world for cleaning and disinfection of commonly touched surfaces. Influenza A is a pathogen of major concern, leading to up to 49,000 deaths and 114,000 hospitalizations per year in the United States alone. One of the recognized routes of transmission for influenza A is by transfer of viruses from surfaces to hands and subsequently to mucous membranes. Therefore, routine cleaning and disinfection of surfaces is an important part of the environmental management of influenza A...
December 26, 2017: Risk Analysis: An Official Publication of the Society for Risk Analysis
https://www.readbyqxmd.com/read/29225957/limited-sterile-processing-capabilities-for-safe-surgery-in-low-income-and-middle-income-countries-experience-in-the-republic-of-congo-madagascar-and-benin
#5
REVIEW
Olive Fast, Christina Fast, Dan Fast, Suzanne Veltjens, Zouliha Salami, Michelle C White
It is highly difficult to perform safe surgery without sterile instruments, yet the capacity to adequately clean, disinfect and sterilise surgical instruments in low-income and middle-income countries is largely unknown. Sterile Processing Education Charitable Trust developed an assessment tool and, in partnership with Mercy Ships, evaluated the sterile processing capacity in 59 facilities in Madagascar, Benin and the Republic of Congo. This data-driven analysis paper illustrates how lack of sterile processing capacity acts as a barrier to safe surgical care...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29224205/healthcare-acquired-infections-prevention-strategies
#6
Shelanah A Fernando, Timothy J Gray, Thomas Gottlieb
Healthcare-acquired infections (HAI) impact on patient care and have cost implications for the Australian healthcare system. The management of HAI is exacerbated by rising rates of antimicrobial resistance (AMR). Health-care workers and a contaminated hospital environment are increasingly implicated in the transmission and persistence of multi-resistant organisms (MRO), as well as other pathogens, such as Clostridium difficile. This has resulted in a timely focus on a range of HAI prevention actions. Core components include antimicrobial stewardship, to reduce overuse and ensure evidence-based antimicrobial use; infection prevention strategies, to control MRO - particularly methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus spp...
December 2017: Internal Medicine Journal
https://www.readbyqxmd.com/read/29217187/epidemiologic-surveillance-of-multidrug-resistant-bacteria-in-a-teaching-hospital-a-3-year-experience
#7
Mirian Nicéa Zarpellon, Giselle Fukita Viana, Cecília Saori Mitsugui, Bruno Buranello Costa, Nathalie Kira Tamura, Elisabeth Eyko Aoki, Cesar Helbel, Sheila Alexandra Belini Nishiyama, Silvia Maria Dos Santos Saalfeld, Maria Cristina Bronharo Tognim
BACKGROUND: The objective of this prospective study was to verify the effectiveness of a multidisciplinary surveillance program that was implemented in a teaching hospital in southern Brazil, to prevent and control the spread of multidrug-resistant organisms. METHODS: The program implemented involved establishment of prevention guidelines, hand-hygiene promotion, isolation of patients colonized or infected by such organisms, enforced contact precautions, and terminal cleaning and disinfection of isolation rooms...
December 4, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29206963/occupational-exposure-to-alcohol-based-hand-sanitizers-the-diagnostic-role-of-alcohol-biomarkers-in-hair
#8
A Salomone, A Bozzo, D Di Corcia, E Gerace, M Vincenti
Ethyl glucuronide (EtG) and fatty acid ethyl esters (FAEEs) in hair are effective direct biomarkers of ethanol ingestion, whose analytical determination can be used to discriminate between chronic and occasional ethanol intake. Ethanol is a compound widely used in some workplaces (e.g., clinics, hospitals) and is present in considerable amounts in mouthwash for oral cleaning, medications, cosmetic products, hydro-alcoholic disinfectants and antiseptics for hands. This study examined the ethyl alcohol exposure derived from hand disinfectants (in gel form) by simulating the typical occupational situation of medical-health workers (healthcare workers, nurses, surgeons, etc...
December 1, 2017: Journal of Analytical Toxicology
https://www.readbyqxmd.com/read/29162493/outbreak-of-gentamicin-resistant-meticillin-susceptible-staphlococcus-aureus-on-a-neonatal-unit
#9
Sahar Eldirdiri, Jennifer Lee, Ann Jack, Alison Wright, Alison Findlay, Gabby Phillips
BACKGROUND: This report describes an outbreak of gentamicin-resistant meticillin-resistant Staphylococcus aureus (GR MSSA) which occurred on a 21-bed neonatal unit (NNU) in Ninewells Hospital, Dundee, Scotland. METHODS: An outbreak investigation was triggered by two new GR MSSA isolates from babies admitted directly to the unit who had acquired this organism during their stay. Data on MSSA cases and antibiograms of patient isolates were flagged as an alert and microbiology records trawled to detect previous cases...
November 18, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29149432/ebola-in-the-netherlands-2014-2015-costs-of-preparedness-and-response
#10
Anita W M Suijkerbuijk, Corien M Swaan, Marie-Josee J Mangen, Johan J Polder, Aura Timen, Wilhelmina L M Ruijs
The recent epidemic of Ebola virus disease (EVD) resulted in countries worldwide to prepare for the possibility of having an EVD patient. In this study, we estimate the costs of Ebola preparedness and response borne by the Dutch health system. An activity-based costing method was used, in which the cost of staff time spent in preparedness and response activities was calculated based on a time-recording system and interviews with key professionals at the healthcare organizations involved. In addition, the organizations provided cost information on patient days of hospitalization, laboratory tests, personal protective equipment (PPE), as well as the additional cleaning and disinfection required...
November 17, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29143704/identification-of-clostridium-difficile-reservoirs-in-the-patient-environment-and-efficacy-of-aerial-hydrogen-peroxide-decontamination
#11
Samuel Yui, Shanom Ali, Monika Muzslay, Annette Jeanes, A Peter R Wilson
OBJECTIVE To identify, using a novel enhanced method of recovery, environmental sites where spores of Clostridium difficile persist despite cleaning and hydrogen peroxide aerial decontamination. DESIGN Cohort study. SETTING Tertiary referral center teaching hospital. METHODS In total, 16 sites representing high-frequency contact or difficult-to-clean surfaces in a single-isolation room or bed area in patient bed bays were sampled before and after terminal or hydrogen peroxide disinfection using a sponge swab...
November 16, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29112710/interventions-to-reduce-the-incidence-of-hospital-onset-clostridium-difficile-infection-an-agent-based-modeling-approach-to-evaluate-clinical-effectiveness-in-adult-acute-care-hospitals
#12
Anna K Barker, Oguzhan Alagoz, Nasia Safdar
Background: Despite intensified efforts to reduce hospital-onset Clostridium difficile infection (C. difficile; HO-CDI), its clinical and economic impacts continue to worsen. Many institutions have adopted bundled interventions that vary considerably in composition, strength of evidence, and effectiveness. Considerable gaps remain in our knowledge of intervention effectiveness and disease transmission, which hinders HO-CDI prevention. Methods: We developed an agent-based model of C...
November 3, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29102556/title-environmental-cleaning-and-disinfection-of-patient-areas
#13
REVIEW
Michelle Doll, Michael Stevens, Gonzalo Bearman
The healthcare setting is predisposed to harbor potential pathogens, which in return can pose a great risk to patients. Routine cleaning of the patient environment is critical to reduce the risk of hospital-acquired infections. While many approaches to environmental cleaning exist, manual cleaning, supplemented with ongoing assessment and feedback, may be most feasible for healthcare facilities with limited resources.
November 1, 2017: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29077798/respiratory-symptoms-in-hospital-cleaning-staff-exposed-to-a-product-containing-hydrogen-peroxide-peracetic-acid-and-acetic-acid
#14
Brie Hawley, Megan Casey, Mohammed Abbas Virji, Kristin J Cummings, Alyson Johnson, Jean Cox-Ganser
Cleaning and disinfecting products consisting of a mixture of hydrogen peroxide (HP), peracetic acid (PAA), and acetic acid (AA) are widely used as sporicidal agents in health care, childcare, agricultural, food service, and food production industries. HP and PAA are strong oxidants and their mixture is a recognized asthmagen. However, few exposure assessment studies to date have measured HP, PAA, and AA in a health care setting. In 2015, we performed a health and exposure assessment at a hospital where a new sporicidal product, consisting of HP, PAA, and AA was introduced 16 months prior...
October 25, 2017: Annals of Work Exposures and Health
https://www.readbyqxmd.com/read/29056329/patient-and-health-care-worker-perceptions-of-daily-use-of-ultraviolet-c-technology-as-an-adjunct-to-daily-cleaning-in-an-academic-hospital-secondary-study-of-ultra-violet-c-light-evaluation-as-an-adjunct-to-removing-multi-drug-resistant-organisms
#15
Clare Rock, Melanie S Curless, Kathryn A Carson, Elaine Nowakowski, Verna Scheeler, Lisa L Maragakis
A cluster randomized crossover trial is in progress at The Johns Hopkins Hospital to investigate the impact of daily ultraviolet (UV)-C light disinfection on the acquisition of health care-associated pathogens. To understand perceptions and challenges to daily use of UV-C, we surveyed health care workers (HCWs) and patients. Most HCWs think daily UV-C decreases the patients' risk of acquiring infection. Daily UV-C is acceptable to patients and may enhance their overall hospital experience.
October 19, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29017457/evaluation-of-a-pulsed-xenon-ultraviolet-disinfection-system-to-decrease-bacterial-contamination-in-operating-rooms
#16
Lynn El Haddad, Shashank S Ghantoji, Mark Stibich, Jason B Fleming, Cindy Segal, Kathy M Ware, Roy F Chemaly
BACKGROUND: Environmental cleanliness is one of the contributing factors for surgical site infections in the operating rooms (ORs). To decrease environmental contamination, pulsed xenon ultraviolet (PX-UV), an easy and safe no-touch disinfection system, is employed in several hospital environments. The positive effect of this technology on environmental decontamination has been observed in patient rooms and ORs during the end-of-day cleaning but so far, no study explored its feasibility between surgical cases in the OR...
October 10, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28964884/a-cross-sectional-point-prevalence-survey-to-study-the-environmental-contamination-of-nosocomial-pathogens-in-intensive-care-units-under-real-life-conditions
#17
I Wille, A Mayr, P Kreidl, C Brühwasser, G Hinterberger, A Fritz, W Posch, S Fuchs, A Obwegeser, D Orth-Höller, C Lass-Flörl
BACKGROUND: In intensive care units (ICUs) inanimate surfaces and equipment may be contaminated by nosocomial pathogens, including multi-drug resistant microorganisms. AIMS: To assess the degree of patients' close and distant environmental contamination including healthcare workers' (HCWs) hands with nosocomial pathogens under real life situations and to investigate potential transmission events. METHODS: For the course of three weeks agar contact samples were taken close and distant to the patient area and from HCWs' hands in eight ICUs of a tertiary care hospital in Innsbruck, Austria...
September 27, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28951015/effectiveness-of-an-ultraviolet-c-disinfection-system-for-reduction-of-healthcare-associated-pathogens
#18
Jui-Hsuan Yang, Un-In Wu, Huei-Min Tai, Wang-Huei Sheng
BACKGROUND: Healthcare-associated infections caused by multidrug-resistant (MDR) pathogens are significantly associated with increased mortality and morbidity. Environmental cleaning can reduce transmission of these pathogens but is often inadequate. Adjunctive methods are warranted to enhance the effectiveness of disinfection particularly in hospital settings where healthcare-associated infections are of major concern. METHODS: We conducted a study to examine the effectiveness of a mobile, automatic device, Hyper Light Disinfection Robot (model: Hyper Light P3), which utilized ultraviolet-C (UV-C) to kill MDR-Pseudomonas aeruginosa, MDR- Acinetobacter baumannii, methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus faecium (VRE), Mycobacterium abscessus and Aspergillus fumigatus...
September 18, 2017: Journal of Microbiology, Immunology, and Infection, Wei Mian Yu Gan Ran za Zhi
https://www.readbyqxmd.com/read/28853390/national-survey-of-environmental-cleaning-and-disinfection-in-hospitals-in-thailand
#19
Anucha Apisarnthanarak, David J Weber, David Ratz, Sanjay Saint, Thana Khawcharoenporn, M Todd Greene
More than 90% of Thai hospitals surveyed reported implementing environmental cleaning and disinfection (ECD) protocols. Hospital epidemiologist presence was associated with the existence of an ECD checklist (P=.01) and of ECD auditing (P=.001), while good and excellent hospital administrative support were associated with better adherence to ECD protocols (P<.001) and ECD checklists (P=.005). Infect Control Hosp Epidemiol 2017;38:1250-1253.
October 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28853136/reprocessing-practices-for-gastrointestinal-endoscopes-a-multicentre-study-in-egyptian-university-hospitals
#20
Rehab H El-Sokkary, Ahmed A Wegdan, Ahmed A Mosaad, Rasha H Bassyouni, Wael M Awad
The aim of this study was to assess the practices of health care workers during gasterointestinal endoscope reprocessing, evaluate their knowledge about reprocessing, and verify their compliance with laboratory and microbiological tests in endoscopy units at Zagazig University and Fayoum University hospitals. All nursing staff on duty from 10 endoscopy units, with 16 flexible endoscopes, were included. Knowledge and practice were assessed by a questionnaire and a checklist. The mean knowledge score was 7.5 (SD 1...
August 27, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
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