Environmental Cleaning for the Prevention of Healthcare-Associated Infections

Project Summary Title and Description

Environmental Cleaning for the Prevention of Healthcare-Associated Infections
The cleaning of hard surfaces in hospital rooms is essential for reducing the risk of healthcare-associated infections (HAIs). Many methods are available for cleaning and monitoring cleanliness, but their comparative effectiveness is not well understood. This Technical Brief summarizes the evidence base addressing environmental cleaning of high-touch surfaces in hospital rooms and highlights future research directions.
Authors of Report
Methodology description
Technical Brief
AHRQ Report available at: http://www.effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productid=2103 Publication: PMID 26290935 Data entered retrospectively
Funding Source
Agency for Healthcare Research and Quality (AHRQ)

Key Questions

1. Overview of Modalities Currently Used to Clean, Disinfect, and Monitor Cleanliness of Patient Rooms
2. Context in Which Cleaning, Disinfecting, and Monitoring Modalities Are Implemented
3. Current Evidence for Each Cleaning, Disinfecting, and Monitoring Modality
4. Future Directions for Research on Environmental Cleaning, Disinfecting, and Monitoring of Cleanliness in Patient Rooms

Associated Extraction Forms

Associated Studies (each link opens a new tab)

Effectiveness of deep cleaning followed by hydrogen peroxide decontamination during high Clostridium difficile infection incidence.2014
Evaluation of two organosilane products for sustained antimicrobial activity on high-touch surfaces in patient rooms.
Implementation and impact of ultraviolet environmental disinfection in an acute care setting.2014
Evaluation of a pulsed-xenon ultraviolet room disinfection device for impact on contamination levels of methicillin-resistant Staphylococcus aureus.
Controlling methicillin-resistant Staphylococcus aureus (MRSA) in a hospital and the role of hydrogen peroxide decontamination: an interrupted time series analysis.
Transmission of Clostridium difficile spores in isolation room environments and through hospital beds.2014
The value of ready-to-use disinfectant wipes: compliance, employee time, and costs.2014
Decontamination of targeted pathogens from patient rooms using an automated ultraviolet-C-emitting device.
Evaluation of a new hydrogen peroxide wipe disinfectant.
The effectiveness of a single-stage versus traditional three-staged protocol of hospital disinfection at eradicating vancomycin-resistant Enterococci from frequently touched surfaces.2013
Environment cleaning without chemicals in clinical settings.2013
A randomized controlled trial of enhanced cleaning to reduce contamination of healthcare worker gowns and gloves with multidrug-resistant bacteria.
The effect of portable pulsed xenon ultraviolet light after terminal cleaning on hospital-associated Clostridium difficile infection in a community hospital.
First UK evaluation of an automated ultraviolet-C room decontamination device (Tru-D™).2013
Implementation of hospital-wide enhanced terminal cleaning of targeted patient rooms and its impact on endemic Clostridium difficile infection rates.2013
An evaluation of environmental decontamination with hydrogen peroxide vapor for reducing the risk of patient acquisition of multidrug-resistant organisms.2013
Persistence of mixed staphylococci assemblages following disinfection of hospital room surfaces.2013
An environmental disinfection odyssey: evaluation of sequential interventions to improve disinfection of Clostridium difficile isolation rooms.2013
Lack of enhanced effect of a chlorine dioxide-based cleaning regimen on environmental contamination with Clostridium difficile spores.2012
Significant reduction in vancomycin-resistant enterococcus colonization and bacteraemia after introduction of a bleach-based cleaning-disinfection programme.2012
Comparison of the microbiological efficacy of hydrogen peroxide vapor and ultraviolet light processes for room decontamination.2012
The antimicrobial efficacy of copper alloy furnishing in the clinical environment: a crossover study.2012
Daily disinfection of high-touch surfaces in isolation rooms to reduce contamination of healthcare workers' hands.2012
Patient environment microbial burden reduction: a pilot study comparison of 2 terminal cleaning methods.2012
Sustained reduction of microbial burden on common hospital surfaces through introduction of copper.2012
Terminal decontamination of patient rooms using an automated mobile UV light unit.2011
Tackling C difficile with environmental cleaning.-- Not Found --
Evaluation of the biological efficacy of hydrogen peroxide vapour decontamination in wards of an Australian hospital.2011
A targeted strategy to wipe out Clostridium difficile.2011
Reduction in the microbial load on high-touch surfaces in hospital rooms by treatment with a portable saturated steam vapor disinfection system.2011
The impact of enhanced cleaning within the intensive care unit on contamination of the near-patient environment with hospital pathogens: a randomized crossover study in critical care units in two hospitals.2011
Improved eradication of Clostridium difficile spores from toilets of hospitalized patients using an accelerated hydrogen peroxide as the cleaning agent.
Role of copper in reducing hospital environment contamination.
Significant impact of terminal room cleaning with bleach on reducing nosocomial Clostridium difficile.2010
Performance of ultramicrofibre cleaning technology with or without addition of a novel copper-based biocide.2010
Reduction of bacterial surface contamination in the hospital environment by application of a new product with persistent effect.2010
Evaluation of an automated ultraviolet radiation device for decontamination of Clostridium difficile and other healthcare-associated pathogens in hospital rooms.2010
Room decontamination with UV radiation.2010
Floor cleaning: effect on bacteria and organic materials in hospital rooms.2009
Use of hypochlorite solution to decrease rates of Clostridium difficile-associated diarrhea.2007
Designing a protocol that eliminates Clostridium difficile: a collaborative venture.2007
Comparison of floor sanitation methods.2006
Comparison of the effect of detergent versus hypochlorite cleaning on environmental contamination and incidence of Clostridium difficile infection.2003
Disinfection of hospital rooms contaminated with vancomycin-resistant Enterococcus faecium.1998
Diagnostic assessment of different environmental cleaning monitoring methods.2013
Effectiveness of visual inspection compared with non-microbiologic methods to determine the thoroughness of post-discharge cleaning.2013
Finding a benchmark for monitoring hospital cleanliness.2011
Use of UV powder for surveillance to improve environmental cleaning.2011
Improving environmental hygiene in 27 intensive care units to decrease multidrug-resistant bacterial transmission.2010
UV-visible marker confirms that environmental persistence of Clostridium difficile spores in toilets of patients with C. difficile-associated diarrhea is associated with lack of compliance with cleaning protocol.e.2008
How clean is clean? Proposed methods for hospital cleaning assessment.2008
Use of a fluorescent chemical as a quality indicator for a hospital cleaning program.2008
Identifying opportunities to enhance environmental cleaning in 23 acute care hospitals .2008
An evaluation of patient area cleaning in 3 hospitals using a novel targeting methodology.2006
Use of audit tools to evaluate the efficacy of cleaning systems in hospitals.2003
Direct feedback with the ATP luminometer as a process improvement tool for terminal cleaning of patient rooms.2014
Prevention of hospital-onset Clostridium difficile infection in the New York metropolitan region using a collaborative intervention model.-- Not Found --
Improving hospital staff compliance with environmental cleaning behavior.2014
Optimum outlier model for potential improvement of environmental cleaning and disinfection.2014
Impact of adenosine triphosphate detection and feedback on hospital room cleaning.2014
War on the spore: Clostridium difficile disease among patients in a long-term acute care hospital.-- Not Found --
Continuing performance feedback and use of the ultraviolet visible marker to assess cleaning compliance in the healthcare environment.
Use of audit and feedback with fluorescent targeting to achieve rapid improvements in room cleaning in the intensive care unit and ward settings.2012
Environmental cleaning intervention and risk of acquiring multidrug-resistant organisms from prior room occupants.2011
Interventional evaluation of environmental contamination by vancomycin-resistant enterococci: failure of personnel, product, or procedure?2009
Dangerous cows: an analysis of disinfection cleaning of computer keyboards on wheels.2009
Improving cleaning of the environment surrounding patients in 36 acute care hospitals.2008
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.2008
Reduction of Clostridium Difficile and vancomycin-resistant Enterococcus contamination of environmental surfaces after an intervention to improve cleaning methods.2007
Reduction in acquisition of vancomycin-resistant enterococcus after enforcement of routine environmental cleaning measures.2006

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