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Hospital cleaning disinfection

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https://www.readbyqxmd.com/read/27905620/-the-water-supply-of-a-pediatric-hospital-as-a-possible-source-of-an-outbreak-of-diarrhea-due-to-microsporidium-spp-in-immunocompromised-patients
#1
Paulina Coria, Claudia Urízar, Andrea Alba, Isabel Noemí, Anita Pino, José Luis Cerva
INTRODUCTION: The hospital water supply is a reservoir of a variety of potentially pathogenic microorganisms that can particularly affect children and immunocompromised patients. Potentially pathogenic Microsporidium spp. have been identified in water. Microsporidiosis is an emerging parasitic and opportunistic infection in immunocompromised patients. OBJECTIVE AND METHOD: to describe an outbreak of nosocomial diarrhea due to Microsporidium, species Encephalitozoon intestinalis...
August 2016: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
https://www.readbyqxmd.com/read/27861870/iatrogenic-burns-of-the-neckline-in-a-patient-with-tetraparesis-during-tracheotomy
#2
Anna Smędra, Ewa Meissner, Maciej Barzdo, Przemysław Grabowski, Michał Kartasiński, Wojciech Krajewski, Jarosław Berent
The paper presents a case of an atypical iatrogenic complication after tracheotomy analyzed on the basis of the case dossier materials submitted to the authors by the court of justice to prepare a forensic medical opinion concerning the correctness of the medical procedure. A 37-year-old woman was brought by the ambulance service to the hospital with acute respiratory failure due to post-tracheostomy tracheal stenosis. Tracheotomy was performed on an emergency basis. The patient suffered severe burns of the chest and neck...
November 10, 2016: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/27836449/microbial-flora-on-cell-phones-in-an-orthopedic-surgery-room-before-and-after-decontamination
#3
J Murgier, J-F Coste, E Cavaignac, X Bayle-Iniguez, P Chiron, P Bonnevialle, J-M Laffosse
INTRODUCTION: Cell-phones are the typical kind of object brought into the operating room from outside by hospital staff. A great effort is made to reduce the level of potentially contaminating bacteria in the operating room, and introducing these devices may run counter to good practice. The study hypothesis was that cell-phones are colonized by several strains of bacteria and may constitute a source of nosocomial contamination. The main study objective was to screen for bacterial colonies on the surfaces of cell-phones introduced in an orthopedic surgery room...
November 8, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27830624/environmental-cleaning
#4
(no author information available yet)
This article explores the effect of education on environmental cleaning based on adenosine triphosphate (ATP) readings in patient care areas of a community hospital. Over two months, an infection control practitioner monitored ATP readings in patient care areas, at any time, and regardless of the time of the previous disinfection.
November 10, 2016: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/27800753/improving-environmental-cleaning-in-clinical-areas-staff-education-based-on-adenosine-triphosphate-readings
#5
Ariadna Villanueva, Humberto Guanche
Aim To describe the effect of education on environmental cleaning in patient care areas using adenosine triphosphate (ATP) readings. Method A quality improvement initiative was developed in a community hospital in Qatar. Over a two-month period, an infection-control practitioner monitored ATP readings in patient care areas, at any time and regardless of the time of the previous disinfection. The initiative included staff education, use of ATP readings and the drawing up of quarterly quality reports. The ATP readings were considered 'pass', meaning well cleaned, or 'fail', meaning non-cleaned, according to the following standards:>250 relative light units (RLU) in non-critical units and<200RLU for critical units...
November 1, 2016: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/27773061/hospital-cleaning-detergent-or-disinfectant
#6
Stephanie Dancer
No abstract text is available yet for this article.
February 2016: Pathology
https://www.readbyqxmd.com/read/27771740/dynamic-change-of-surface-microbiota-with-different-environmental-cleaning-methods-between-two-wards-in-a-hospital
#7
Chang-Hua Chen, Chi-Chao Tu, Han-Yueh Kuo, Rong-Fong Zeng, Cheng-Sheng Yu, Henry Horng-Shing Lu, Ming-Li Liou
Terminal disinfection and daily cleaning have been performed in hospitals in Taiwan for many years to reduce the risks of healthcare-associated infections. However, the effectiveness of these cleaning approaches and dynamic changes of surface microbiota upon cleaning remain unclear. Here, we report the surface changes of bacterial communities with terminal disinfection and daily cleaning in a medical intensive care unit (MICU) and only terminal disinfection in a respiratory care center (RCC) using 16s ribosomal RNA (rRNA) metagenomics...
October 22, 2016: Applied Microbiology and Biotechnology
https://www.readbyqxmd.com/read/27731908/evaluation-of-the-efficacy-of-disinfectant-footmats-for-the-reduction-of-bacterial-contamination-on-footwear-in-a-large-animal-veterinary-hospital
#8
K J Hornig, B A Burgess, N T Saklou, V Johnson, A Malmlov, D C Van Metre, P S Morley, S R Byers
BACKGROUND: Infection control is critical to providing high-quality patient care. Many veterinary teaching hospitals (VTHs) utilize footbaths or footmats at entrances and key control points throughout the facility to decrease trafficking of pathogenic microorganism on contaminated footwear. HYPOTHESIS/OBJECTIVES: To compare efficacy of 4 disinfectants used in footmats for decreasing bacterial contamination of footwear in a large animal hospital. ANIMALS: A single adult dairy cow was housed in a stall for 4 days to facilitate stall contamination with fecal material...
November 2016: Journal of Veterinary Internal Medicine
https://www.readbyqxmd.com/read/27709647/multi-drug-resistant-acinetobacter-calcoaceticus-acinetobacter-baumannii-complex-infection-outbreak-in-dogs-and-cats-in-a-veterinary-hospital
#9
S Kuzi, S E Blum, N Kahane, A Adler, O Hussein, G Segev, I Aroch
BACKGROUND: Members of the Acinetobacter calcoaceticus-Acinetobacter baumannii complex cause severe outbreaks in humans, and are increasingly reported in animals. OBJECTIVE AND METHODS: A retrospective study, describing a severe outbreak in dogs and cats caused by a multidrug resistant member of the Acinetobacter calcoaceticus-Acinetobacter baumannii complex in a veterinary hospital, between July 2010 and November 2012. RESULTS: The study included 19 dogs and 4 cats...
October 5, 2016: Journal of Small Animal Practice
https://www.readbyqxmd.com/read/27707423/impact-of-ultraviolet-germicidal-irradiation-for-no-touch-terminal-room-disinfection-on-clostridium-difficile-infection-incidence-among-hematology-oncology-patients
#10
David A Pegues, Jennifer Han, Cheryl Gilmar, Brooke McDonnell, Steven Gaynes
OBJECTIVE To evaluate the impact of no-touch terminal room no-touch disinfection using ultraviolet wavelength C germicidal irradiation (UVGI) on C. difficile infection (CDI) rates on inpatient units with persistently high rates of CDI despite infection control measures. DESIGN Interrupted time-series analysis with a comparison arm. SETTING 3 adult hematology-oncology units in a large, tertiary-care hospital. METHODS We conducted a 12-month prospective valuation of UVGI. Rooms of patients with CDI or on contact precautions were targeted for UVGI upon discharge using an electronic patient flow system...
October 6, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27619896/understanding-barriers-to-optimal-cleaning-and-disinfection-in-hospitals-a-knowledge-attitudes-and-practices-survey-of-environmental-services-workers
#11
Daniel A Bernstein, Elizabeth Salsgiver, Matthew S Simon, William Greendyke, Daniel P Eiras, Masahiro Ito, Dean A Caruso, Timothy M Woodward, Odette T Perriel, Lisa Saiman, E Yoko Furuya, David P Calfee
In this study, we used an online survey to assess knowledge, attitudes, and practices related to environmental cleaning and other infection prevention strategies among environmental services workers (ESWs) at 5 hospitals. Our findings suggest that ESWs could benefit from additional education and feedback as well as new strategies to address workflow challenges. Infect Control Hosp Epidemiol 2016;1492-1495.
December 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27619507/assessment-of-the-overall-and-multidrug-resistant-organism-bioburden-on-environmental-surfaces-in-healthcare-facilities
#12
Alicia M Shams, Laura J Rose, Jonathan R Edwards, Salvatore Cali, Anthony D Harris, Jesse T Jacob, Anna LaFae, Lisa L Pineles, Kerri A Thom, L Clifford McDonald, Matthew J Arduino, Judith A Noble-Wang
OBJECTIVE To determine the typical microbial bioburden (overall bacterial and multidrug-resistant organisms [MDROs]) on high-touch healthcare environmental surfaces after routine or terminal cleaning. DESIGN Prospective 2.5-year microbiological survey of large surface areas (>1,000 cm2). SETTING MDRO contact-precaution rooms from 9 acute-care hospitals and 2 long-term care facilities in 4 states. PARTICIPANTS Samples from 166 rooms (113 routine cleaned and 53 terminal cleaned rooms). METHODS Using a standard sponge-wipe sampling protocol, 2 composite samples were collected from each room; a third sample was collected from each Clostridium difficile room...
December 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27548443/cell-phones-in-the-neonatal-intensive-care-unit-how-to-eliminate-unwanted-germs
#13
Sharon Kirkby, Christine Biggs
BACKGROUND: Infants admitted to the neonatal intensive care unit (NICU) are more susceptible to infections due to immature immune systems or invasive procedures that compromise protection from bacteria. These infants may stay in the NICU for extended periods of time, are exposed to many caregivers, and may be exposed to other infections. Cell phone use by both family and staff introduce unwanted bacteria into the NICU environment, thereby becoming a threat to this high-risk population...
December 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/27485396/elimination-of-biofilm-and-microbial-contamination-reservoirs-in-hospital-washbasin-u-bends-by-automated-cleaning-and-disinfection-with-electrochemically-activated-solutions
#14
J S Swan, E C Deasy, M A Boyle, R J Russell, M J O'Donnell, D C Coleman
BACKGROUND: Washbasin U-bends are reservoirs of microbial contamination in healthcare environments. U-Bends are constantly full of water and harbour microbial biofilm. AIM: To develop an effective automated cleaning and disinfection system for U-bends using two solutions generated by electrochemical activation of brine including the disinfectant anolyte (predominantly hypochlorous acid) and catholyte (predominantly sodium hydroxide) with detergent properties. METHODS: Initially three washbasin U-bends were manually filled with catholyte followed by anolyte for 5min each once weekly for five weeks...
October 2016: Journal of Hospital Infection
https://www.readbyqxmd.com/read/27462306/outbreak-of-extended-spectrum-beta-lactamase-producing-enterobacter-cloacae-with-high-mics-of-quaternary-ammonium-compounds-in-a-hematology-ward-associated-with-contaminated-sinks
#15
Angélique Chapuis, Lucie Amoureux, Julien Bador, Arthur Gavalas, Eliane Siebor, Marie-Lorraine Chrétien, Denis Caillot, Marion Janin, Claire de Curraize, Catherine Neuwirth
OBJECTIVE: To investigate an outbreak of extended-spectrum beta-lactamase (ESBL) producing Enterobacter cloacae that occurred in the Hematology ward (24-bed unit) of the François Mitterrand University Hospital (Dijon, France) between January 2011 and December 2013. The outbreak involved 43 patients (10 infected and 33 colonized). DESIGN: We performed environmental analysis to detect multiresistant E. cloacae for comparison with clinical isolates (genotyping by pulsed-field gel electrophoresis and MLST as well as ESBL-typing) and determined the MICs of the quaternary ammonium compounds (QACs) alkyldimethylbenzylammonium chloride (ADBAC) and didecyldimethylammonium chloride (DDAC)...
2016: Frontiers in Microbiology
https://www.readbyqxmd.com/read/27458712/outbreak-of-pulmonary-pseudomonas%C3%A2-aeruginosa-and-stenotrophomonas%C3%A2-maltophilia-infections-related-to-contaminated-bronchoscope-suction-valves-lyon-france-2014
#16
Marine Guy, Philippe Vanhems, Cédric Dananché, Michel Perraud, Anne Regard, Monique Hulin, Olivier Dauwalder, Xavier Bertrand, Jullien Crozon-Clauzel, Bernard Floccard, Laurent Argaud, Pierre Cassier, Thomas Bénet
In April 2014, pulmonary Pseudomonas aeruginosa and Stenotrophomonas maltophilia co-infections potentially related to bronchoscopic procedures were identified in the intensive care units of a university hospital in Lyon, France. A retrospective cohort of 157 patients exposed to bronchoscopes from 1 December 2013 to 17 June 2014 was analysed. Environmental samples of suspected endoscopes were cultured. Bronchoscope disinfection was reviewed. Ten cases of pulmonary P. aeruginosa/S. maltophilia co-infections were identified, including two patients with secondary pneumonia...
July 14, 2016: Euro Surveillance: Bulletin Européen sur les Maladies Transmissibles, European Communicable Disease Bulletin
https://www.readbyqxmd.com/read/27355305/moments-for-hand-hygiene-in-material-and-sterilization-center
#17
Francine Vieira Pires, Anaclara Ferreira Veiga Tipple, Lucimara Rodrigues de Freitas, Adenícia Custódia Silva E Souza, Milca Severino Pereira
OBJECTIVE: to characterize the moments when there is a need for hand hygiene (HH) by employees who work in Material and Sterilization Center (MSC). METHOD: we conducted a descriptive cross-sectional study in the MSC of a large hospital, from July to November 2012, in Goiânia, state of Goiás, Brazil. Data obtained through observation of workers, following a previously evaluated and tested checklist. RESULTS: to the dirty area, standardized moments of HH were enough...
June 2016: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/27280772/transfer-and-decontamination-of-s-aureus-in-transmission-routes-regarding-hands-and-contact-surfaces
#18
Pernilla Arinder, Pär Johannesson, Ingela Karlsson, Elisabeth Borch
Hand hygiene, cleaning and disinfection are pre-requirements for hygiene management in hospital settings and the food industry. In order to facilitate risk management, different contamination scenarios and interventions need to be evaluated. In the present study data on transfer rates and reductions of Staphylococcus aureus were provided in an experimental set-up using artificial skin. Using this methodology, test persons were not exposed with pathogenic bacteria. An exposure assessment model was developed and applied to evaluate different contamination routes and hygiene interventions...
2016: PloS One
https://www.readbyqxmd.com/read/27272734/dos-and-don-ts-for-hospital-cleaning
#19
Stephanie J Dancer
PURPOSE OF REVIEW: More evidence is emerging on the role of cleaning and decontamination for reducing hospital-acquired infection. Timely and adequate removal of environmental pathogens leads to measurable clinical benefits for patients. This article considers studies published from 2013 examining hospital decontamination technologies and evidence for cost-effectiveness. RECENT FINDINGS: Novel biocides and cleaning products, antimicrobial coatings, monitoring practices and automated equipment are widely accessible...
August 2016: Current Opinion in Infectious Diseases
https://www.readbyqxmd.com/read/27269930/-study-on-the-situation-regarding-endoscope-cleaning-and-disinfection-in-the-department-of-otolaryngology-in-hunan-hospitals
#20
Fang Wang, Wei Li, Rong Li, Guolin Tan, Dan Luo
OBJECTIVE: To investigate the situation regarding the cleaning and sterilization of endonasal endoscopes in department of otolaryngology in Hunan Province, and to provide strategy for improving the level of sterilization and management of endonasal endoscopes.
 METHODS: A total of 100 medical institutions were investigated by spot assessment, check and sampling. Data was analyzed by multivariate analysis.
 RESULTS: The qualified rate of rules and regulations for endoscopy was 28...
May 2016: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
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