Intervention Studies on Object Surface Cleaning Compliance in the Ward Environment_West China Medical Journal

Authors：

 ZhuangHongdi ¹ , QiaoFu ¹ , HuangWenzhi ¹ ,  YinWeijia ¹ , ZongZhiyong ^1,2

1. Department of Nosocomial Infection Management;West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Center of Infectious Disease;West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

YinWeijia, Email: 525989261@qq.com

Keywords：

Cleaning; Fluorescent marking; Compliance

DOI：

10.7507/1002-0179.201600120

Video：

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Objective To analyze the status quo, problems and weak points of cleaning compliance in the Intensive Care Unit (ICU), and assess the intervention effects by evaluating the object surface cleaning quality in the ICU. Methods Between September 1st and December 1st, 2014, fluorescence marker was used to mark the surfaces of medical instruments and objects in the ward which were supposed to be cleaned by the nursing and cleaning staff. The assessment of cleaning compliance was performed through observing the residual fluorescence. Then, targeted intervention was carried out for situations with a low cleaning compliance. Results Before the intervention, the thorough cleaning rates of medical instruments in the Comprehensive ICU, Neurological ICU (NICU), and Chest ICU were respectively 43.3%, 31.4%, and 23.8%, and the thorough surface cleaning rates for those units in order were 67.1%, 60.5%, and 48.4%, respectively. After the first intervention, the cleaning rate of medical instruments in the Comprehensive ICU was 47.1%, which had no significant change (P=0.345), but the rate in the NICU and Chest ICU reached respectively 65.3% and 35.1%, which was significantly improved (P<0.05). The object surface cleaning rates were 73.3% and 58.1% in the Comprehensive ICU and Chest ICU after the first intervention, and there was no significant difference compared with those before the intervention (P>0.05), but the object surface cleaning rate in the NICU was significantly improved to 85.5% (P<0.05). After the second intervention, the medical equipment cleaning rates were 66.9%, 83.3%, and 57.4%, respectively for those three units, and compared with those before intervention, all the three were significantly improved (P<0.05). The object surface cleaning rates for NICU and Chest ICU were significantly raised to 85.6% and 84.2% (P<0.05), while it was 65.7% in the Comprehensive ICU and was not significantly improved (P=0.767). Conclusion Observation and supervision through a feedback system can raise the cleaning compliance, which is helpful in controlling and preventing nosocomial infection.

Citation： ZhuangHongdi, QiaoFu, HuangWenzhi, YinWeijia, ZongZhiyong. Intervention Studies on Object Surface Cleaning Compliance in the Ward Environment. West China Medical Journal, 2016, 31(3): 444-447. doi: 10.7507/1002-0179.201600120 Copy

1.	中華人民共和國衛生部. 關于印發醫院感染診斷標準(試行)的通知[EB/OL]. (2001-01-03)[2015-06-23]. http://www.nhfpc.gov.cn/yzygj/s3593/200804/e19e4448378643a09913ccf2a055c79d.shtml.
2.	胡瑩, 楊紅英, 楊旭. 2005至2009年銅綠假單胞菌感染分布及耐藥性分析[J]. 檢驗醫學, 2011, 26(11):797-798.
3.	Goodman ER, Platt R, Bass R, et al. Impact of an environmental cleaning intervention on the presence of methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci on surfaces in intensive care unit rooms[J]. Infect Control Hosp Epidemiol, 2008, 29(7):593-599.
4.	Carling PC, Parry MM, Rupp ME, et al. Improving cleaning of the environment surrounding patients in 36 acute care hospitals[J]. Infect Control Hosp Epidemiol, 2008, 29(11):1035-1041.
5.	谷繼榮. 環境及物體表面消毒在預防和控制醫院感染中的作用[J]. 中國感染控制雜志, 2012, 11(3):231-235.
6.	李陽. 熒光標記法在環境物表清潔效果評價中的應用[J]. 江蘇衛生事業管理, 2014, 6(25):41-42.
7.	王太華, 南秀榮, 劉慧, 等. 醫院感染管理模式初步探討[J]. 中國醫院管理, 2001, 21(3):47.
8.	胡必杰, 倪曉平, 覃金愛. 醫院環境物體表面清潔與消毒最佳實踐[M]. 上海:上海科學技術出版社, 2012:27-40.
9.	楊華明. 醫院消毒與滅菌應逐步達到規范化要求[J]. 中國消毒學雜志, 2005, 22(1):100-102.
10.	王麗香, 侯佳玲, 陳玉, 等. 三磷酸腺苷熒光檢測在醫療器械清洗質量控制中的應用[J]. 華西醫學, 2015, 30(1):105-107.
11.	汪陽林, 韓宇洲, 楊靜, 等. 醫院環境清潔熒光檢測的量化評估研究[J]. 華西醫學, 2015, 30(7):1277-1279.
12.	Khan A, Lampitoc M, Salaripour M, et al. Rapid control of a methicillin resistant Staphylococcus aureus (MRSA) outbreak in a medical surgical intensive care unit (ICU)[J]. Can J Infect Control, 2009, 24(1):12-16.
13.	Wilson AP, Smyth D, Moore G, et al. The impact of enhanced cleaningwithin the intensive care unit on contamination of the near-patientenvironment with hospital pathogens:a randomized crossover study in critical care units in two hospitals[J]. Crit Care Med, 2011, 39:651-658.
14.	尤洪蘭. 重癥監護室物體表面清潔消毒方案的改進及消毒效果觀察[J]. 環境與健康雜志, 2012, 3(29):273-274.

1. 中華人民共和國衛生部. 關于印發醫院感染診斷標準(試行)的通知[EB/OL]. (2001-01-03)[2015-06-23]. http://www.nhfpc.gov.cn/yzygj/s3593/200804/e19e4448378643a09913ccf2a055c79d.shtml.
2. 胡瑩, 楊紅英, 楊旭. 2005至2009年銅綠假單胞菌感染分布及耐藥性分析[J]. 檢驗醫學, 2011, 26(11):797-798.
3. Goodman ER, Platt R, Bass R, et al. Impact of an environmental cleaning intervention on the presence of methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci on surfaces in intensive care unit rooms[J]. Infect Control Hosp Epidemiol, 2008, 29(7):593-599.
4. Carling PC, Parry MM, Rupp ME, et al. Improving cleaning of the environment surrounding patients in 36 acute care hospitals[J]. Infect Control Hosp Epidemiol, 2008, 29(11):1035-1041.
5. 谷繼榮. 環境及物體表面消毒在預防和控制醫院感染中的作用[J]. 中國感染控制雜志, 2012, 11(3):231-235.
6. 李陽. 熒光標記法在環境物表清潔效果評價中的應用[J]. 江蘇衛生事業管理, 2014, 6(25):41-42.
7. 王太華, 南秀榮, 劉慧, 等. 醫院感染管理模式初步探討[J]. 中國醫院管理, 2001, 21(3):47.
8. 胡必杰, 倪曉平, 覃金愛. 醫院環境物體表面清潔與消毒最佳實踐[M]. 上海:上海科學技術出版社, 2012:27-40.
9. 楊華明. 醫院消毒與滅菌應逐步達到規范化要求[J]. 中國消毒學雜志, 2005, 22(1):100-102.
10. 王麗香, 侯佳玲, 陳玉, 等. 三磷酸腺苷熒光檢測在醫療器械清洗質量控制中的應用[J]. 華西醫學, 2015, 30(1):105-107.
11. 汪陽林, 韓宇洲, 楊靜, 等. 醫院環境清潔熒光檢測的量化評估研究[J]. 華西醫學, 2015, 30(7):1277-1279.
12. Khan A, Lampitoc M, Salaripour M, et al. Rapid control of a methicillin resistant Staphylococcus aureus (MRSA) outbreak in a medical surgical intensive care unit (ICU)[J]. Can J Infect Control, 2009, 24(1):12-16.
13. Wilson AP, Smyth D, Moore G, et al. The impact of enhanced cleaningwithin the intensive care unit on contamination of the near-patientenvironment with hospital pathogens:a randomized crossover study in critical care units in two hospitals[J]. Crit Care Med, 2011, 39:651-658.
14. 尤洪蘭. 重癥監護室物體表面清潔消毒方案的改進及消毒效果觀察[J]. 環境與健康雜志, 2012, 3(29):273-274.

West China Medical Journal

Intervention Studies on Object Surface Cleaning Compliance in the Ward Environment

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