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How Clean Are the Clinics? Assessment of Environmental Cleanliness in Ambulatory Care

BACKGROUND: The patient care environment plays an important role in the transmission of potential pathogens. Efforts to improve the thoroughness of environmental cleaning and disinfection have largely concentrated on ICUs and other inpatient units. The purpose of this study was to ascertain baseline...

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Autores principales: Rupp, Mark E, Olson, Courtney, Cavalieri, R Jennifer, Lyden, Elizabeth, Carling, Philip
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5631767/
http://dx.doi.org/10.1093/ofid/ofx163.338
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author Rupp, Mark E
Olson, Courtney
Cavalieri, R Jennifer
Lyden, Elizabeth
Carling, Philip
author_facet Rupp, Mark E
Olson, Courtney
Cavalieri, R Jennifer
Lyden, Elizabeth
Carling, Philip
author_sort Rupp, Mark E
collection PubMed
description BACKGROUND: The patient care environment plays an important role in the transmission of potential pathogens. Efforts to improve the thoroughness of environmental cleaning and disinfection have largely concentrated on ICUs and other inpatient units. The purpose of this study was to ascertain baseline data on the thoroughness of cleaning in ambulatory care clinics. METHODS: High touch surfaces (exam tables, chair arms, light switches, etc.) in patient rooms, waiting rooms, and clinic common areas were marked with an invisible, UV-tagged gel (DAZO(®), Ecolab) in the AM and PM to assess thoroughness of cleaning by both Environmental Services (EVS) workers and clinical care medical assistants (MA). Surveys were conducted in 8 ambulatory care clinics for five consecutive days (Monday–Friday). RESULTS: Results are summarized in Table 1. A total of 14,288 environmental surfaces were assessed in the 8 ambulatory clinics and the overall rate of cleaning ranged from 31% to 74%, 29% to 77%, and 0% to 22% for examination rooms, common clinic areas, and waiting rooms, respectively. The thoroughness of cleaning for EVS workers vs. Medical Assistants (MA) was 49% vs. 46% (examination rooms) and 46% vs. 43% (common clinical areas). Waiting room surfaces were cleaned at a rate of only 6.8%. While many high touch objects were regularly cleaned, some were consistently missed by both groups (eg ophthalmoscopes, keyboards, and stethoscopes). CONCLUSION: In ambulatory care clinics there is wide variability in the thoroughness of cleaning from clinic-to-clinic and between EVS workers and MAs as well as great room for improvement. DISCLOSURES: P. Carling, Ecolab: Consultant, Royalty
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spelling pubmed-56317672017-11-07 How Clean Are the Clinics? Assessment of Environmental Cleanliness in Ambulatory Care Rupp, Mark E Olson, Courtney Cavalieri, R Jennifer Lyden, Elizabeth Carling, Philip Open Forum Infect Dis Abstracts BACKGROUND: The patient care environment plays an important role in the transmission of potential pathogens. Efforts to improve the thoroughness of environmental cleaning and disinfection have largely concentrated on ICUs and other inpatient units. The purpose of this study was to ascertain baseline data on the thoroughness of cleaning in ambulatory care clinics. METHODS: High touch surfaces (exam tables, chair arms, light switches, etc.) in patient rooms, waiting rooms, and clinic common areas were marked with an invisible, UV-tagged gel (DAZO(®), Ecolab) in the AM and PM to assess thoroughness of cleaning by both Environmental Services (EVS) workers and clinical care medical assistants (MA). Surveys were conducted in 8 ambulatory care clinics for five consecutive days (Monday–Friday). RESULTS: Results are summarized in Table 1. A total of 14,288 environmental surfaces were assessed in the 8 ambulatory clinics and the overall rate of cleaning ranged from 31% to 74%, 29% to 77%, and 0% to 22% for examination rooms, common clinic areas, and waiting rooms, respectively. The thoroughness of cleaning for EVS workers vs. Medical Assistants (MA) was 49% vs. 46% (examination rooms) and 46% vs. 43% (common clinical areas). Waiting room surfaces were cleaned at a rate of only 6.8%. While many high touch objects were regularly cleaned, some were consistently missed by both groups (eg ophthalmoscopes, keyboards, and stethoscopes). CONCLUSION: In ambulatory care clinics there is wide variability in the thoroughness of cleaning from clinic-to-clinic and between EVS workers and MAs as well as great room for improvement. DISCLOSURES: P. Carling, Ecolab: Consultant, Royalty Oxford University Press 2017-10-04 /pmc/articles/PMC5631767/ http://dx.doi.org/10.1093/ofid/ofx163.338 Text en © The Author 2017. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Abstracts
Rupp, Mark E
Olson, Courtney
Cavalieri, R Jennifer
Lyden, Elizabeth
Carling, Philip
How Clean Are the Clinics? Assessment of Environmental Cleanliness in Ambulatory Care
title How Clean Are the Clinics? Assessment of Environmental Cleanliness in Ambulatory Care
title_full How Clean Are the Clinics? Assessment of Environmental Cleanliness in Ambulatory Care
title_fullStr How Clean Are the Clinics? Assessment of Environmental Cleanliness in Ambulatory Care
title_full_unstemmed How Clean Are the Clinics? Assessment of Environmental Cleanliness in Ambulatory Care
title_short How Clean Are the Clinics? Assessment of Environmental Cleanliness in Ambulatory Care
title_sort how clean are the clinics? assessment of environmental cleanliness in ambulatory care
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5631767/
http://dx.doi.org/10.1093/ofid/ofx163.338
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