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临床表面清洁与消毒的效果:评估方法

Effectiveness of clinical surface cleaning and disinfection: evaluation methods.

作者信息

Frota Oleci Pereira, Ferreira Adriano Menis, Rigotti Marcelo Alessandro, Andrade Denise de, Borges Nájla Moreira Amaral, Ferreira Júnior Marcos Antonio

机构信息

Universidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil.

Universidade Federal de Mato Grosso do Sul. Três Lagoas, Mato Grosso do Sul, Brazil.

出版信息

Rev Bras Enferm. 2020 Feb 10;73(1):e20180623. doi: 10.1590/0034-7167-2018-0623. eCollection 2020.

DOI:10.1590/0034-7167-2018-0623
PMID:32049250
Abstract

OBJECTIVE

To discuss the methods employed to evaluate the effectiveness of clinical surface cleaning and disinfection (C&D).

METHOD

This is a theoretical reflection based on scientific studies and the experience of the authors. Knowledge and current gaps, the need for further studies, and practical application of the methods were approached.

RESULTS

There are four main methods used to evaluate the effectiveness of clinical surface C&D: visual inspection, fluorescent markers, microbiological cultures, and adenosine triphosphate (ATP) bioluminescence. The first two are used to evaluate the process and to predict adherence to protocols by the staff, and the last two are employed to evaluate the results, therefore being the most relevant to assess the risk of infection.

FINAL CONSIDERATIONS

The ideal method was not found, because all of them showed limitations. There is a need for strategies to optimize the precision of these methods.

摘要

目的

探讨用于评估临床表面清洁与消毒(C&D)效果的方法。

方法

这是基于科学研究和作者经验的理论思考。探讨了知识和当前的差距、进一步研究的必要性以及这些方法的实际应用。

结果

有四种主要方法用于评估临床表面C&D的效果:目视检查、荧光标记、微生物培养和三磷酸腺苷(ATP)生物发光。前两种用于评估过程并预测工作人员对规程的遵守情况,后两种用于评估结果,因此对于评估感染风险最为相关。

最终思考

未找到理想的方法,因为所有方法都存在局限性。需要采取策略来优化这些方法的精度。

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Effectiveness of clinical surface cleaning and disinfection: evaluation methods.临床表面清洁与消毒的效果:评估方法
Rev Bras Enferm. 2020 Feb 10;73(1):e20180623. doi: 10.1590/0034-7167-2018-0623. eCollection 2020.
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ATP measurement as an objective method to measure environmental contamination in 9 hospitals in the Dutch/Belgian border area.
使用 ATP 测量法作为客观方法,测量荷兰/比利时边境地区 9 家医院的环境污染程度。
Antimicrob Resist Infect Control. 2020 May 28;9(1):77. doi: 10.1186/s13756-020-00730-9.