Assessment of hospital daily cleaning practices using ATP bioluminescence in a developing country

Detalhes bibliográficos
Autor(a) principal: Zambrano,Alejandra A.
Data de Publicação: 2014
Outros Autores: Jones,Alex, Otero,Paula, Ajenjo,Maria Cristina, Labarca,Jaime A.
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Brazilian Journal of Infectious Diseases
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000600675
Resumo: Visual assessment of surfaces may not be enough to document the level of cleanliness in the hospital setting. It is necessary to introduce quantitative methods to document the results of this practice.Objective:To evaluate the efficacy of hospital terminal cleaning procedures, using an adenosine triphosphate (ATP) bioluminescence method in a teaching hospital.Method:During 2008 we conducted an evaluation using ATP bioluminescence LIGHTNING MVP™ (Arquimed) of external and internal housekeeping service. After conducting an initial evaluation we implemented education of cleaning practices and finally we did a post intervention evaluation. Using chi-square method we compared prior versus after cleaning, quality of cleaning performed by external versus internal personnel, single versus double terminal cleaning procedures and prior versus after intervention. A finding of three RLU or less was considered a clean surface.Results:We performed 198 evaluations in 33 patient units and nine OR. Internal personnel accomplished 25.37% of clean surfaces before and 80% after the education intervention (p = 0.01). In contrast, external personnel obtained 68.8% before and 73.33% after intervention (p = 0.3).Conclusions: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.
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spelling Assessment of hospital daily cleaning practices using ATP bioluminescence in a developing countryATP bioluminescenceCleaningBacterial resistanceNosocomial infectionsVisual assessment of surfaces may not be enough to document the level of cleanliness in the hospital setting. It is necessary to introduce quantitative methods to document the results of this practice.Objective:To evaluate the efficacy of hospital terminal cleaning procedures, using an adenosine triphosphate (ATP) bioluminescence method in a teaching hospital.Method:During 2008 we conducted an evaluation using ATP bioluminescence LIGHTNING MVP™ (Arquimed) of external and internal housekeeping service. After conducting an initial evaluation we implemented education of cleaning practices and finally we did a post intervention evaluation. Using chi-square method we compared prior versus after cleaning, quality of cleaning performed by external versus internal personnel, single versus double terminal cleaning procedures and prior versus after intervention. A finding of three RLU or less was considered a clean surface.Results:We performed 198 evaluations in 33 patient units and nine OR. Internal personnel accomplished 25.37% of clean surfaces before and 80% after the education intervention (p = 0.01). In contrast, external personnel obtained 68.8% before and 73.33% after intervention (p = 0.3).Conclusions: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.Brazilian Society of Infectious Diseases2014-12-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000600675Brazilian Journal of Infectious Diseases v.18 n.6 2014reponame:Brazilian Journal of Infectious Diseasesinstname:Brazilian Society of Infectious Diseases (BSID)instacron:BSID10.1016/j.bjid.2014.06.008info:eu-repo/semantics/openAccessZambrano,Alejandra A.Jones,AlexOtero,PaulaAjenjo,Maria CristinaLabarca,Jaime A.eng2015-09-01T00:00:00Zoai:scielo:S1413-86702014000600675Revistahttps://www.bjid.org.br/https://old.scielo.br/oai/scielo-oai.phpbjid@bjid.org.br||lgoldani@ufrgs.br1678-43911413-8670opendoar:2015-09-01T00:00Brazilian Journal of Infectious Diseases - Brazilian Society of Infectious Diseases (BSID)false
dc.title.none.fl_str_mv Assessment of hospital daily cleaning practices using ATP bioluminescence in a developing country
title Assessment of hospital daily cleaning practices using ATP bioluminescence in a developing country
spellingShingle Assessment of hospital daily cleaning practices using ATP bioluminescence in a developing country
Zambrano,Alejandra A.
ATP bioluminescence
Cleaning
Bacterial resistance
Nosocomial infections
title_short Assessment of hospital daily cleaning practices using ATP bioluminescence in a developing country
title_full Assessment of hospital daily cleaning practices using ATP bioluminescence in a developing country
title_fullStr Assessment of hospital daily cleaning practices using ATP bioluminescence in a developing country
title_full_unstemmed Assessment of hospital daily cleaning practices using ATP bioluminescence in a developing country
title_sort Assessment of hospital daily cleaning practices using ATP bioluminescence in a developing country
author Zambrano,Alejandra A.
author_facet Zambrano,Alejandra A.
Jones,Alex
Otero,Paula
Ajenjo,Maria Cristina
Labarca,Jaime A.
author_role author
author2 Jones,Alex
Otero,Paula
Ajenjo,Maria Cristina
Labarca,Jaime A.
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Zambrano,Alejandra A.
Jones,Alex
Otero,Paula
Ajenjo,Maria Cristina
Labarca,Jaime A.
dc.subject.por.fl_str_mv ATP bioluminescence
Cleaning
Bacterial resistance
Nosocomial infections
topic ATP bioluminescence
Cleaning
Bacterial resistance
Nosocomial infections
description Visual assessment of surfaces may not be enough to document the level of cleanliness in the hospital setting. It is necessary to introduce quantitative methods to document the results of this practice.Objective:To evaluate the efficacy of hospital terminal cleaning procedures, using an adenosine triphosphate (ATP) bioluminescence method in a teaching hospital.Method:During 2008 we conducted an evaluation using ATP bioluminescence LIGHTNING MVP™ (Arquimed) of external and internal housekeeping service. After conducting an initial evaluation we implemented education of cleaning practices and finally we did a post intervention evaluation. Using chi-square method we compared prior versus after cleaning, quality of cleaning performed by external versus internal personnel, single versus double terminal cleaning procedures and prior versus after intervention. A finding of three RLU or less was considered a clean surface.Results:We performed 198 evaluations in 33 patient units and nine OR. Internal personnel accomplished 25.37% of clean surfaces before and 80% after the education intervention (p = 0.01). In contrast, external personnel obtained 68.8% before and 73.33% after intervention (p = 0.3).Conclusions: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.
publishDate 2014
dc.date.none.fl_str_mv 2014-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000600675
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000600675
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.bjid.2014.06.008
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Brazilian Society of Infectious Diseases
publisher.none.fl_str_mv Brazilian Society of Infectious Diseases
dc.source.none.fl_str_mv Brazilian Journal of Infectious Diseases v.18 n.6 2014
reponame:Brazilian Journal of Infectious Diseases
instname:Brazilian Society of Infectious Diseases (BSID)
instacron:BSID
instname_str Brazilian Society of Infectious Diseases (BSID)
instacron_str BSID
institution BSID
reponame_str Brazilian Journal of Infectious Diseases
collection Brazilian Journal of Infectious Diseases
repository.name.fl_str_mv Brazilian Journal of Infectious Diseases - Brazilian Society of Infectious Diseases (BSID)
repository.mail.fl_str_mv bjid@bjid.org.br||lgoldani@ufrgs.br
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