Spencer Maureen, Vignari Michelle, Bryce Elizabeth, Johnson Helen Boehm, Fauerbach Loretta, Graham Denise
Universal Health Services, King of Prussia, PA.
Thompson Health and the University of Rochester Medical Center, Rochester, NY.
Am J Infect Control. 2017 Mar 1;45(3):288-292. doi: 10.1016/j.ajic.2016.11.016. Epub 2016 Dec 23.
Environmental disinfection has become the new frontier in the ongoing battle to reduce the risk of health care-associated infections. Evidence demonstrating the persistent contamination of environmental surfaces despite traditional cleaning and disinfection methods has led to the widespread acceptance that there is both a need for reassessing traditional cleaning protocols and for using secondary disinfection technologies. Ultraviolet-C (UV-C) disinfection is one type of no-touch technology shown to be a successful adjunct to manual cleaning in reducing environmental bioburden. The dilemma for the infection preventionist, however, is how to choose the system best suited for their facility among the many UV-C surface disinfection delivery systems available and how to build a case for acquisition to present to the hospital administration/C-suite. This article proposes an approach to these dilemmas based in part on the experience of 2 health care networks.
在降低医疗保健相关感染风险的持续斗争中，环境消毒已成为新的前沿领域。尽管采用了传统的清洁和消毒方法，但有证据表明环境表面仍存在持续污染，这使得人们普遍认为既需要重新评估传统清洁方案，也需要使用二次消毒技术。紫外线-C（UV-C）消毒是一种非接触式技术，已被证明是手动清洁的成功辅助手段，可减少环境生物负荷。然而，对于感染预防人员来说，两难的是如何在众多可用的UV-C表面消毒输送系统中选择最适合其设施的系统，以及如何为采购构建一个案例以提交给医院管理层/高管层。本文部分基于两个医疗保健网络的经验，提出了应对这些两难问题的方法。
