Manual cleaning of hospital mattresses: an observational study comparing high- and low-resource settings
Hospital-associated infections (HAIs) are more frequently encountered in low- than in high-resource settings. There is a need to identify and implement feasible and sustainable approaches to strengthen HAI prevention in low-resource settings. To evaluate the biological contamination of routinely cleaned mattresses in both high- and low-resource settings. In this two-stage observational study, routine manual bed cleaning was evaluated at two university hospitals using adenosine triphosphate (ATP). Standardized training of cleaning personnel was achieved in both high- and low-resource settings. Qualitative analysis of the cleaning process was performed to identify predictors of cleaning outcome in low-resource settings. Mattresses in low-resource settings were highly contaminated prior to cleaning. Cleaning significantly reduced biological contamination of mattresses in low-resource settings (P < 0.0001). After training, the contamination observed after cleaning in both the high- and low-resource settings seemed comparable. Cleaning with appropriate type of cleaning materials reduced the contamination of mattresses adequately. Predictors for mattresses that remained contaminated in a low-resource setting included: type of product used, type of ward, training, and the level of contamination prior to cleaning. In low-resource settings mattresses were highly contaminated as noted by ATP levels. Routine manual cleaning by trained staff can be as effective in a low-resource setting as in a high-resource setting. We recommend a multi-modal cleaning strategy that consists of training of domestic services staff, availability of adequate time to clean beds between patients, and application of the correct type of cleaning products..
Medienart: |
Artikel |
---|
Erscheinungsjahr: |
2016 |
---|---|
Erschienen: |
2016 |
Enthalten in: |
Zur Gesamtaufnahme - volume:92 |
---|---|
Enthalten in: |
The journal of hospital infection - 92(2016), 1, Seite 14 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Hopman, J [VerfasserIn] |
---|
Links: |
---|
BKL: |
---|
Förderinstitution / Projekttitel: |
|
---|
PPN (Katalog-ID): |
OLC1970920416 |
---|
LEADER | 01000caa a2200265 4500 | ||
---|---|---|---|
001 | OLC1970920416 | ||
003 | DE-627 | ||
005 | 20230517174657.0 | ||
007 | tu | ||
008 | 160212s2016 xx ||||| 00| ||eng c | ||
028 | 5 | 2 | |a PQ20160430 |
035 | |a (DE-627)OLC1970920416 | ||
035 | |a (DE-599)GBVOLC1970920416 | ||
035 | |a (PRQ)p835-c21fffe035cd05a9bef55460f6fe192905c17c9a37c19e9c9e5d2f3ef14184fb0 | ||
035 | |a (KEY)0099851620160000092000100014manualcleaningofhospitalmattressesanobservationals | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
082 | 0 | 4 | |a 610 |q DNB |
084 | |a 44.17 |2 bkl | ||
100 | 1 | |a Hopman, J |e verfasserin |4 aut | |
245 | 1 | 0 | |a Manual cleaning of hospital mattresses: an observational study comparing high- and low-resource settings |
264 | 1 | |c 2016 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
338 | |a Band |b nc |2 rdacarrier | ||
520 | |a Hospital-associated infections (HAIs) are more frequently encountered in low- than in high-resource settings. There is a need to identify and implement feasible and sustainable approaches to strengthen HAI prevention in low-resource settings. To evaluate the biological contamination of routinely cleaned mattresses in both high- and low-resource settings. In this two-stage observational study, routine manual bed cleaning was evaluated at two university hospitals using adenosine triphosphate (ATP). Standardized training of cleaning personnel was achieved in both high- and low-resource settings. Qualitative analysis of the cleaning process was performed to identify predictors of cleaning outcome in low-resource settings. Mattresses in low-resource settings were highly contaminated prior to cleaning. Cleaning significantly reduced biological contamination of mattresses in low-resource settings (P < 0.0001). After training, the contamination observed after cleaning in both the high- and low-resource settings seemed comparable. Cleaning with appropriate type of cleaning materials reduced the contamination of mattresses adequately. Predictors for mattresses that remained contaminated in a low-resource setting included: type of product used, type of ward, training, and the level of contamination prior to cleaning. In low-resource settings mattresses were highly contaminated as noted by ATP levels. Routine manual cleaning by trained staff can be as effective in a low-resource setting as in a high-resource setting. We recommend a multi-modal cleaning strategy that consists of training of domestic services staff, availability of adequate time to clean beds between patients, and application of the correct type of cleaning products. | ||
540 | |a Nutzungsrecht: Copyright © 2015 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved. | ||
700 | 1 | |a Hakizimana, B |4 oth | |
700 | 1 | |a Meintjes, W A J |4 oth | |
700 | 1 | |a Nillessen, M |4 oth | |
700 | 1 | |a de Both, E |4 oth | |
700 | 1 | |a Voss, A |4 oth | |
700 | 1 | |a Mehtar, S |4 oth | |
773 | 0 | 8 | |i Enthalten in |t The journal of hospital infection |d Kidlington [u.a.] : Elsevier, 1980 |g 92(2016), 1, Seite 14 |w (DE-627)168589044 |w (DE-600)779366-2 |w (DE-576)016104099 |x 0195-6701 |7 nnns |
773 | 1 | 8 | |g volume:92 |g year:2016 |g number:1 |g pages:14 |
856 | 4 | 2 | |u http://www.ncbi.nlm.nih.gov/pubmed/26607236 |
912 | |a GBV_USEFLAG_A | ||
912 | |a SYSFLAG_A | ||
912 | |a GBV_OLC | ||
912 | |a SSG-OLC-PHA | ||
912 | |a SSG-OLC-DE-84 | ||
912 | |a GBV_ILN_4012 | ||
912 | |a GBV_ILN_4219 | ||
936 | b | k | |a 44.17 |q AVZ |
951 | |a AR | ||
952 | |d 92 |j 2016 |e 1 |h 14 |