Najafi Saleh Hossein, Kavosi Ali, Pakdel Manizhe, Yousefi Mahmood, Baghal Asghari Farzaneh, Mohammadi Ali Akbar
Department of Environmental Health Engineering School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
Nursing Research Center, Faculty Member, Golestan University of Medical Sciences, Gorgan, Iran.
MethodsX. 2018 Oct 23;5:1364-1372. doi: 10.1016/j.mex.2018.10.016. eCollection 2018.
This study was conducted to evaluate the health status of medical equipment's in Neyshabur hospital's intensive care units (ICU) before and after daily cleaning in order to compare the efficiency of the observational and microbial methods in evaluating hygienic conditions and cleaning of the environmental surfaces at the hospitals in Neyshabur. The study was performed in a ten-week period, twice a week before and after daily cleaning according to the ICNA observational method and the ACC microbial method were performed on the selected sites. (before and after daily cleaning in order to compare ICNA observational method and the ACC microbial method which performed on the selected sites). Result showed in total, 826 ICNA checklists were completed in this research for the 13 studied spots, 27.12% of the spots were contaminated before cleaning procedures, which dropped to 7.75% after cleaning. Data of the samples using the ACC index revealed that 74.82 were contaminated and 7.75% were clean. Bottle suction with 8.2% and Electroshock with 1% were the most and the least contaminated spots, respectively. As the results proved, the microorganism of Staphylococcus epidermises is the most grown organism in the intensive care unit. This study suggests that visual assessment is not enough to ensure quality of the process and it is necessary to document the level of cleanliness by quantitative methods. Also preparing the integrated instructions and guidelines of cleaning and disinfection and its continuous monitoring with standard methods would be effective in reducing the microbial contamination.
本研究旨在评估内沙布尔医院重症监护病房（ICU）日常清洁前后医疗设备的健康状况，以比较观察法和微生物法在评估内沙布尔医院环境表面卫生状况和清洁效果方面的效率。该研究为期十周，每周两次，在日常清洁前后，根据ICNA观察法和ACC微生物法对选定部位进行检测。（在日常清洁前后，为比较ICNA观察法和在选定部位执行的ACC微生物法）。结果显示，本研究共完成了针对13个研究部位的826份ICNA检查表，清洁程序前27.12%的部位被污染，清洁后降至7.75%。使用ACC指数的样本数据显示，74.82%被污染，7.75%清洁。瓶式吸引器污染率为8.2%，电击器污染率为1%，分别是污染最严重和最轻微的部位。结果证明，表皮葡萄球菌是重症监护病房中生长最多的微生物。本研究表明，视觉评估不足以确保过程质量，有必要通过定量方法记录清洁水平。此外，制定清洁和消毒的综合指南并采用标准方法进行持续监测，将有效减少微生物污染。
