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Cleanliness audit of clinical surfaces and equipment: who cleans what?

Anderson, R E and Young, V and Stewart, M and Robertson, Christopher and Dancer, S J (2011) Cleanliness audit of clinical surfaces and equipment: who cleans what? Journal of Hospital Infection, 78 (3). pp. 178-81. ISSN 1532-2939

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Abstract

Current guidelines recommend regular cleaning of clinical equipment. We monitored items on a surgical ward for predominant user, hand-touch frequency, cleaning responsibilities and measurement of organic soil. Equipment was assessed in triplicate against a cleanliness benchmark of 100 relative light units (RLU) using the Hygiena® ATP system. There were 44 items, of which 21 were cleaned by clinical support workers (CSWs), five by domestic staff; three by nurses, three by doctors, and 12 with no designated cleaning responsibility. Geometric mean RLUs ranged from 60 to 550/100 cm² for small items such as hand-gel containers, bed control, blood pressure cuff and clinical notes; with similar values of 80-540/100 cm² RLU for larger items such as electrocardiogram machine, defibrillator, trolleys and tables. Overall geometric mean was 249/100 cm² RLU for all surfaces, with 84% (37 of 44) items exceeding the 100RLU benchmark. Of 27 items cleaned by clinical staff, 24 (89%) failed the benchmark. Of 12 sites with no cleaning specification, 11 (92%) failed the benchmark. Three of seven 'clean' sites (

Item type: Article
ID code: 38280
Notes: Copyright © 2011 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
Keywords: decontamination, environmental microbiology, equipment and supplies, health services research, humans, quality assurance, Probabilities. Mathematical statistics, Microbiology, Infectious Diseases, Microbiology (medical)
Subjects: Science > Mathematics > Probabilities. Mathematical statistics
Science > Microbiology
Department: Faculty of Science > Mathematics and Statistics
Related URLs:
Depositing user: Pure Administrator
Date Deposited: 07 Mar 2012 15:17
Last modified: 27 Mar 2014 10:00
URI: http://strathprints.strath.ac.uk/id/eprint/38280

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