Martin U, Sonntag A-K, Neuhaus B, Karch H
Gesundheitsamt der Stadt Duisburg.
Gesundheitswesen. 2004 Oct;66(10):682-7. doi: 10.1055/s-2004-813605.
The effectiveness of cleaning and disinfection of environmental surfaces was evaluated in three nursing homes using bacteriological monitoring. Samples from inmates (nose, throat and wounds) and surface cleaning equipment were also taken. Cleaning solutions, disinfectants and cleaning clothes were found to be highly contaminated in two of three institutions. Referring to the surfaces in some cases disinfection didn't reduce bacterial colony counts and seeded MRSA as a potential pathogen in one nursing home. Six MRSA-positive inmates and identical strains were registered in the environment. MRSA can be used as a marker organism to demonstrate effectiveness of cleaning. To achieve further improvement bacteriological monitoring can help in focussing special cleaning and disinfection related problems.
通过细菌学监测对三家养老院环境表面的清洁和消毒效果进行了评估。还采集了住客（鼻子、喉咙和伤口处）以及表面清洁设备的样本。在三家机构中的两家，发现清洁溶液、消毒剂和清洁布受到高度污染。在某些情况下，提及表面消毒并未降低细菌菌落数，并且在一家养老院中，耐甲氧西林金黄色葡萄球菌（MRSA）作为潜在病原体被接种。在环境中登记了6名MRSA阳性住客以及相同菌株。MRSA可用作指示生物来证明清洁效果。为了实现进一步改善，细菌学监测有助于聚焦与清洁和消毒相关的特殊问题。
