Abstract
| Language | English |
|---|---|
| Pages | 357-364 |
| Number of pages | 7 |
| Journal | International Journal of Environmental Health Research |
| Volume | 18 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - Oct 2008 |
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Keywords
- hospital cleaning
- clinical environment
- staphylococci
- hospital-acquired infection
- surgical ward
- running head
- monitoring environmental cleanliness
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Monitoring environmental cleanliness on two surgical wards. / Dancer, S.J.; White, L.F.; Robertson, C.
In: International Journal of Environmental Health Research, Vol. 18, No. 5, 10.2008, p. 357-364.Research output: Contribution to journal › Article
TY - JOUR
T1 - Monitoring environmental cleanliness on two surgical wards
AU - Dancer, S.J.
AU - White, L.F.
AU - Robertson, C.
PY - 2008/10
Y1 - 2008/10
N2 - Ten hand-touch sites were screened weekly on two surgical wards over two consecutive six-month periods. The results were analysed using hygiene standards, which specify 1) an aerobic colony count (ACC) >2.5cfu/cm2, and 2) presence of coagulase-positive staphylococci, as hygiene failures. Sites most often failing the standards were beds and hoist (64%: 33 of 52 weeks), bedside lockers (62%: 32 of 52) and overbed tables (44%: 23 of 52). Methicillin-susceptible/resistant Staphylococcus aureus (MSSA/MRSA) were more often recovered from lockers, overbed tables and beds. Recovery of MSSA/MRSA at any site was significantly associated with an ACC>2.5cfu/cm2 from that site (p=0.001; OR: 3.35 (95% CI 1.79, 6.28)). In addition, total ACC's>2.5cfu/cm2 each week were significantly associated with weekly bed occupancies >95% (p=0.0004; OR: 2.94 (95% CI 1.44, 6.02)). Higher microbial growth levels from hand-touch sites reflect weekly bed occupancies and indicate a risk for both resistant and susceptible S.aureus. These organisms are more likely to be recovered from near-patient sites on the ward.
AB - Ten hand-touch sites were screened weekly on two surgical wards over two consecutive six-month periods. The results were analysed using hygiene standards, which specify 1) an aerobic colony count (ACC) >2.5cfu/cm2, and 2) presence of coagulase-positive staphylococci, as hygiene failures. Sites most often failing the standards were beds and hoist (64%: 33 of 52 weeks), bedside lockers (62%: 32 of 52) and overbed tables (44%: 23 of 52). Methicillin-susceptible/resistant Staphylococcus aureus (MSSA/MRSA) were more often recovered from lockers, overbed tables and beds. Recovery of MSSA/MRSA at any site was significantly associated with an ACC>2.5cfu/cm2 from that site (p=0.001; OR: 3.35 (95% CI 1.79, 6.28)). In addition, total ACC's>2.5cfu/cm2 each week were significantly associated with weekly bed occupancies >95% (p=0.0004; OR: 2.94 (95% CI 1.44, 6.02)). Higher microbial growth levels from hand-touch sites reflect weekly bed occupancies and indicate a risk for both resistant and susceptible S.aureus. These organisms are more likely to be recovered from near-patient sites on the ward.
KW - hospital cleaning
KW - clinical environment
KW - staphylococci
KW - hospital-acquired infection
KW - surgical ward
KW - running head
KW - monitoring environmental cleanliness
U2 - 10.1080/09603120802102465
DO - 10.1080/09603120802102465
M3 - Article
VL - 18
SP - 357
EP - 364
JO - International Journal of Environmental Health Research
T2 - International Journal of Environmental Health Research
JF - International Journal of Environmental Health Research
SN - 0960-3123
IS - 5
ER -