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Evaluating accuracy of sampling strategies for fluorescent gel monitoring of patient room cleaning

Published online by Cambridge University Press:  07 June 2019

Clare Rock*
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland
Bryce A. Small
Affiliation:
Johns Hopkins University School of Medicine, Baltimore, Maryland
Yea-Jen Hsu
Affiliation:
Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland
Ayse P. Gurses
Affiliation:
Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland
Anping Xie
Affiliation:
Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland
Verna Scheeler
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
Stephanie Cummings
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
Polly Trexler
Affiliation:
Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland
Aaron M. Milstone
Affiliation:
Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland Division of Infectious Diseases, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland
Lisa L. Maragakis
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland
Sara E. Cosgrove
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland
for the CDC Prevention Epicenters Program
Affiliation:
Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, Maryland Johns Hopkins University School of Medicine, Baltimore, Maryland Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland Division of Infectious Diseases, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland
*
Author for correspondence: Clare Rock, E-mail: Clare.Rock@jhmi.edu

Abstract

We compared the fluorescent gel removal rate using fewer high-touch surfaces (HTSs) and rooms and determined the optimum number of HTSs and rooms needed to ensure accuracy using 2,942 HTSs in 228 rooms on 13 units. Randomly selecting 3 HTS in 2 rooms predicted the optimal removal rate.

Type
Concise Communication
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

Ray, AJ, Deshpande, A, Fertelli, D, et al. A multicenter randomized trial to determine the effect of an environmental disinfection intervention on the incident of healthcare-associated infection. Infect Control Hosp Epidemiol 2017;38:777783.CrossRefGoogle Scholar
Weinstein, RA, Hota, B. Contamination, disinfection, and cross-colonization: are hospital surfaces reservoirs for nosocomial infection? Clin Infect Dis 2004;39:11821189.CrossRefGoogle Scholar
Appendices to the conceptual program model for environmental evaluation. Toolkits. Preventing HAIs. HAI. Centers for Disease Control and Prevention website. https://www.cdc.gov/hai/toolkits/appendices-evaluating-environ-cleaning.html. Published 2010. Accessed April 11, 2019.Google Scholar
Carling, PC, Briggs, JL, Perkins, J, Highlander, D. Improved cleaning of patient rooms using a new targeting method. Clin Infect Dis 2006;42:385388.CrossRefGoogle ScholarPubMed
Rock, C, Xie, A, Andonian, J, et al. Evaluation of environmental cleaning of patient rooms: Impact of different fluorescent gel markers. Infect Control Hosp Epidemiol 2019;40:100102.CrossRefGoogle ScholarPubMed
Carling, PC, Parry, MF, Von Beheren, SM. Identifying opportunities to enhance environmental cleaning in 23 acute care hospitals. Infect Control Hosp Epidemiol 2008;29:17.CrossRefGoogle ScholarPubMed
Carling, PC, Herwaldt, LA. The Iowa disinfection cleaning project: opportunities, successes, and challenges of a structured intervention program in 56 hospitals. Infect Control Hosp Epidemiol 2017;38:960965.CrossRefGoogle ScholarPubMed
Carling, PC, Parry, MM, Rupp, ME, Po, JL, Dick, B, Von Beheren, S. Improving cleaning of the environment surrounding patients in 36 acute care hospitals. Infect Control Hosp Epidemiol 2008;29:10351041.CrossRefGoogle ScholarPubMed
Rock, C, Cosgrove, SE, Keller, SC, et al. Using a human factors engineering approach to improve patient room cleaning and disinfection. Infect Control Hosp Epidemiol 2016;37:15021506.CrossRefGoogle ScholarPubMed