Infectious Diseases Section, Department of Medicine, Boston University School of Medicine, Boston, MA, USA.
Am J Infect Control. 2010 Jun;38(5 Suppl 1):S41-50. doi: 10.1016/j.ajic.2010.03.004.
Recent studies using direct covert observation or a fluorescent targeting method have consistently confirmed that most near patient surfaces are not being cleaned in accordance with existing hospital policies while other studies have confirmed that patients admitted to rooms previously occupied by patients with hospital pathogens have a substantially greater risk of acquiring the same pathogen than patients not occupying such rooms. These findings, in the context recent studies that have shown disinfection cleaning can be improved on average more than 100% over baseline, and that such improvement has been associated with a decrease in environmental contamination of high touch surfaces, support the benefit of decreasing environmental contamination of such surfaces. This review clarifies the differences between measuring cleanliness versus cleaning practices; describes and analyzes conventional and enhanced monitoring programs; addresses the critical aspects of evaluating disinfection hygiene in light of guidelines and standards; analyzes current hygienic practice monitoring tools; and recommends elements that should be included in an enhanced monitoring program.
最近的研究使用直接隐蔽观察或荧光靶向方法一致证实，大多数接近患者的表面没有按照现有医院政策进行清洁，而其他研究则证实，与不入住此类房间的患者相比，入住先前被医院病原体患者占用的房间的患者感染相同病原体的风险大大增加。这些发现，结合最近的研究表明，消毒清洁可以在平均基础上提高 100%以上，并且这种改善与高接触表面的环境污染减少有关，支持减少这些表面的环境污染的益处。本综述阐明了衡量清洁度与清洁实践之间的差异;描述和分析传统和增强监测计划;根据指南和标准解决评估消毒卫生的关键方面;分析当前卫生实践监测工具;并建议在增强监测计划中应包括的要素。
