School of Health Services Management, Ted Rogers School of Management, Ryerson University, Toronto, ON, Canada.
School of Health Services Management, Ted Rogers School of Management, Ryerson University, Toronto, ON, Canada.
Am J Infect Control. 2021 Jan;49(1):40-43. doi: 10.1016/j.ajic.2020.06.187. Epub 2020 Jun 26.
The COVID-19 outbreak has highlighted the role of hospital-acquired infections in spreading epidemics. Adequately cleaning surfaces in patient rooms is an essential part of this fight to reduce the spread. Traditional audits, however, are insufficient. This study assesses surface cleaning practices using ultravoilet (UV) marker technology and the extent to which this technology can help improve cleaning audits and practices.
One hundred and forty-four audits (1,235 surfaces) were retrieved. UV-marker cleaning audits conducted at a major teaching hospital in 2018 after implementing a new cleaning protocol. In addition, semi-structured interviews were conducted with cleaning staff and supervisors.
On average, 63% of surfaces were appropriately cleaned. Toilet handles (80%) and toilet seats underside (83%) scored highest while main room sink fixtures (54%), light switch (55%), and bedrails (56%) scored lowest. Training, staffing and time constraints may play a role in low cleaning rates.
The high-touch patient surfaces in the bedroom remain neglected and a potential source of infections. UV marker audits provided an objective measure of cleaning practices that managers and staff were unaware of.
UV-markers audits can play a key role in revealing deficiencies in cleaning practices and help in raising awareness of these deficiencies and improving cleaning practices.
COVID-19 疫情凸显了医院获得性感染在传播疫情方面的作用。充分清洁病房表面是减少传播的重要组成部分。然而，传统的审核是不够的。本研究使用紫外线（UV）标记技术评估表面清洁情况，以及该技术在多大程度上有助于改善清洁审核和实践。
共检索到 144 次审核（1235 个表面）。在实施新的清洁方案后，对一家主要教学医院的 UV 标记清洁审核进行了审核。此外，还对清洁人员和主管进行了半结构化访谈。
平均而言，63%的表面得到了适当的清洁。马桶把手（80%）和马桶座下面（83%）得分最高，而主房间水槽固定装置（54%）、电灯开关（55%）和床栏杆（56%）得分最低。培训、人员配备和时间限制可能是清洁率低的原因。
卧室中高接触的病人表面仍然被忽视，是感染的潜在来源。紫外线标记审核提供了一种对清洁实践的客观衡量标准，而管理人员和工作人员对此并不了解。
紫外线标记审核可以在揭示清洁实践中的缺陷方面发挥关键作用，并有助于提高对这些缺陷的认识，改善清洁实践。
