Deshpande Abhishek, Donskey Curtis J
Department of Medicine, Medicine Institute Center for Value Based Care Research, Cleveland Clinic, Cleveland, OH, 44195, USA.
Department of Infectious Disease, Cleveland Clinic, Cleveland, OH, 44195, USA.
Curr Infect Dis Rep. 2017 Sep;19(9):32. doi: 10.1007/s11908-017-0585-6.
Cleaning and disinfection in healthcare facilities is essential to ensure patient safety. This review examines practical strategies used to assess and improve the effectiveness of daily and post-discharge manual cleaning in healthcare facilities.
Effective implementation of cleaning interventions requires objective monitoring of staff performance with regular feedback on performance. Use of fluorescent markers to assess thoroughness of cleaning and measurement of residual ATP can provide rapid and objective feedback to personnel and have been associated with improved cleaning. Direct observation of cleaning and interviews with front-line staff are useful to identify variations and deficiencies in practice that may not be detected by other methods. Although not recommended for routine monitoring, cultures can be helpful for outbreak investigations. Monitoring and feedback can be effective in improving cleaning and disinfection in healthcare facilities. Ongoing commitment within institutions is needed to sustain successful cleaning and disinfection programs.
医疗机构中的清洁与消毒对于确保患者安全至关重要。本综述探讨了用于评估和提高医疗机构日常及出院后手动清洁效果的实用策略。
清洁干预措施的有效实施需要对工作人员的表现进行客观监测，并定期提供绩效反馈。使用荧光标记物评估清洁彻底程度以及测量残留三磷酸腺苷（ATP）可为工作人员提供快速且客观的反馈，并且与清洁效果的改善相关。直接观察清洁过程以及与一线工作人员进行访谈，有助于发现其他方法可能无法检测到的实践差异和不足之处。虽然不建议用于常规监测，但培养物对于暴发调查可能会有帮助。监测和反馈有助于改善医疗机构中的清洁与消毒工作。各机构需要持续投入，以维持成功的清洁与消毒计划。
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