Practical recommendations for routine cleaning and disinfection procedures in healthcare institutions: a narrative review
Saved in:
| Title: | Practical recommendations for routine cleaning and disinfection procedures in healthcare institutions: a narrative review |
|---|---|
| Authors: | Assadian, O, Harbarth, Stéphan Juergen, Vos, M, Knobloch, J K, Asensio, A, Widmer, A F |
| Source: | Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid Consejería de Sanidad de la Comunidad de Madrid |
| Publisher Information: | Elsevier BV, 2021. |
| Publication Year: | 2021 |
| Subject Terms: | Cross Infection / prevention & control, 0301 basic medicine, Cross Infection, Practical recommendation, Environmental cleaning, Hygiene, Equipment Contamination / prevention & control, Healthcare-associated infections, 3. Good health, Disinfection, 03 medical and health sciences, 0302 clinical medicine, Equipment Contamination, Humans, Frequently touched surfaces, Delivery of Health Care, Disinfectants |
| Description: | Healthcare-associated infections (HAIs) are the most common adverse outcomes due to delivery of medical care. HAIs increase morbidity and mortality, prolong hospital stay, and are associated with additional healthcare costs. Contaminated surfaces, particularly those that are touched frequently, act as reservoirs for pathogens and contribute towards pathogen transmission. Therefore, healthcare hygiene requires a comprehensive approach whereby different strategies may be implemented together, next to targeted, risk-based approaches, in order to reduce the risk of HAIs for patients. This approach includes hand hygiene in conjunction with environmental cleaning and disinfection of surfaces and clinical equipment. This review focuses on routine environmental cleaning and disinfection including areas with a moderate risk of contamination, such as general wards. As scientific evidence has not yet resulted in universally accepted guidelines nor led to universally accepted practical recommendations pertaining to surface cleaning and disinfection, this review provides expert guidance for healthcare workers in their daily practice. It also covers outbreak situations and suggests practical guidance for clinically relevant pathogens. Key elements of environmental cleaning and disinfection, including a fundamental clinical risk assessment, choice of appropriate disinfectants and cleaning equipment, definitions for standardized cleaning processes and the relevance of structured training, are reviewed in detail with a focus on practical topics and implementation. |
| Document Type: | Article |
| File Description: | application/pdf |
| Language: | English |
| ISSN: | 0195-6701 |
| DOI: | 10.1016/j.jhin.2021.03.010 |
| Access URL: | http://www.journalofhospitalinfection.com/article/S0195670121001055/pdf https://pubmed.ncbi.nlm.nih.gov/33744383 https://hdl.handle.net/20.500.12530/83098 https://www.sciencedirect.com/science/article/pii/S0195670121001055 https://www.sciencedirect.com/science/article/abs/pii/S0195670121001055 https://search.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/en/covidwho-1531580 https://www.mendeley.com/catalogue/864ffb9a-5421-3baa-a2a0-b0b7d7de885c/ https://repub.eur.nl/pub/136211 https://europepmc.org/article/MED/33744383 |
| Rights: | CC BY |
| Accession Number: | edsair.doi.dedup.....00c8e53a2e7866c3ca8ad6894bb10db7 |
| Database: | OpenAIRE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstract: | Healthcare-associated infections (HAIs) are the most common adverse outcomes due to delivery of medical care. HAIs increase morbidity and mortality, prolong hospital stay, and are associated with additional healthcare costs. Contaminated surfaces, particularly those that are touched frequently, act as reservoirs for pathogens and contribute towards pathogen transmission. Therefore, healthcare hygiene requires a comprehensive approach whereby different strategies may be implemented together, next to targeted, risk-based approaches, in order to reduce the risk of HAIs for patients. This approach includes hand hygiene in conjunction with environmental cleaning and disinfection of surfaces and clinical equipment. This review focuses on routine environmental cleaning and disinfection including areas with a moderate risk of contamination, such as general wards. As scientific evidence has not yet resulted in universally accepted guidelines nor led to universally accepted practical recommendations pertaining to surface cleaning and disinfection, this review provides expert guidance for healthcare workers in their daily practice. It also covers outbreak situations and suggests practical guidance for clinically relevant pathogens. Key elements of environmental cleaning and disinfection, including a fundamental clinical risk assessment, choice of appropriate disinfectants and cleaning equipment, definitions for standardized cleaning processes and the relevance of structured training, are reviewed in detail with a focus on practical topics and implementation. |
|---|---|
| ISSN: | 01956701 |
| DOI: | 10.1016/j.jhin.2021.03.010 |