Introduction of enhanced infection prevention and environmental cleaning workshops for hospital cleaning staff

2018 ◽  
Vol 23 ◽  
pp. S18
Author(s):  
Kate Smith ◽  
Carla De Marco
Keyword(s):  
Infection Prevention ◽  
Environmental Cleaning ◽  
Cleaning Staff ◽  
Hospital Cleaning

scholarly journals Respiratory Symptoms in Hospital Cleaning Staff Exposed to a Product Containing Hydrogen Peroxide, Peracetic Acid, and Acetic Acid

2018 ◽  
Vol 64 (8) ◽  
pp. 911-911
Author(s):  
Brie Hawley ◽  
Megan Casey ◽  
Mohammed Abbas Virji ◽  
Kristin J Cummings ◽  
Alyson Johnson ◽  
...  
Keyword(s):  
Hydrogen Peroxide ◽  
Acetic Acid ◽  
Peracetic Acid ◽  
Respiratory Symptoms ◽  
Cleaning Staff ◽  
Hospital Cleaning

scholarly journals Cost-effectiveness of an Environmental Cleaning Bundle for Reducing Healthcare-associated Infections

2019 ◽  
Vol 70 (12) ◽  
pp. 2461-2468 ◽  
Author(s):  
Nicole M White ◽  
Adrian G Barnett ◽  
Lisa Hall ◽  
Brett G Mitchell ◽  
Alison Farrington ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Cost Savings ◽  
Cost Effective ◽  
Cost Effectiveness Ratio ◽  
Environmental Cleaning ◽  
Monetary Benefit ◽  
Healthcare Associated ◽  
The Cost ◽  
Net Monetary Benefit ◽  
Hospital Cleaning

Abstract Background Healthcare-associated infections (HAIs) remain a significant patient safety issue, with point prevalence estimates being ~5% in high-income countries. In 2016–2017, the Researching Effective Approaches to Cleaning in Hospitals (REACH) study implemented an environmental cleaning bundle targeting communication, staff training, improved cleaning technique, product use, and audit of frequent touch-point cleaning. This study evaluates the cost-effectiveness of the environmental cleaning bundle for reducing the incidence of HAIs. Methods A stepped-wedge, cluster-randomized trial was conducted in 11 hospitals recruited from 6 Australian states and territories. Bundle effectiveness was measured by the numbers of Staphylococcus aureus bacteremia, Clostridium difficile infection, and vancomycin-resistant enterococci infections prevented in the intervention phase based on estimated reductions in the relative risk of infection. Changes to costs were defined as the cost of implementing the bundle minus cost savings from fewer infections. Health benefits gained from fewer infections were measured in quality-adjusted life-years (QALYs). Cost-effectiveness was evaluated using the incremental cost-effectiveness ratio and net monetary benefit of adopting the cleaning bundle over existing hospital cleaning practices. Results Implementing the cleaning bundle cost $349 000 Australian dollars (AUD) and generated AUD$147 500 in cost savings. Infections prevented under the cleaning bundle returned a net monetary benefit of AUD$1.02 million and an incremental cost-effectiveness ratio of $4684 per QALY gained. There was an 86% chance that the bundle was cost-effective compared with existing hospital cleaning practices. Conclusions A bundled, evidence-based approach to improving hospital cleaning is a cost-effective intervention for reducing the incidence of HAIs.

scholarly journals Experience and Challenges in Establishing Quarantine Facility for Suspected COVID-19 Cases: Field Briefing

2021 ◽  
Vol 06 (03) ◽  
pp. 1-8
Author(s):  
Shubha Garg ◽  
Keyword(s):  
Waste Management ◽  
Prevention And Control ◽  
Infection Prevention ◽  
Medical Waste ◽  
Infection Prevention And Control ◽  
Successful Operation ◽  
Environmental Cleaning ◽  
The World ◽  
Medical Waste Management ◽  
And Control

Introduction: Due to the unprecedented SARS-CoV-2 pandemic, in late January 2020, many countries in the world imposed a travel ban. Governments across the world initiated repatriation operations for stranded nationals. It was important to instantly develop quarantine facilities for evacuees. As the disease was fairly new, data on it was sparse to fulfil the requirement. Objectives: We are sharing our experience of establishing and managing India’s first quarantine facility for repatriate nationals focusing on key parameters including infection prevention and control, environmental cleaning, and bio-medical waste management along with basic living requirements. Results: The facility housed a total of 617 evacuees from China and Italy. Among them, 17 were found to be positive on initial testing and one tested positive on the 14th day of testing. 25 contacts were traced and prescribed an additional quarantine period of fourteen days in the facility, and were discharged accordingly. All evacuees were put on community surveillance. Supply of logistics, manpower management, and ensuring compliance to protocols were some of the major challenges faced, for which appropriate actions were taken. Conclusion: Impeccable collaboration and coordination among different stakeholders is the most essential ingredient for the successful operation of any quarantine facility in the context of the current pandemic.

scholarly journals Hazards of hospital cleaners in a tertiary health facility in Southwest Nigeria

2015 ◽  
Vol 4 (1) ◽  
pp. 5-10
Author(s):  
Olayinka Stephen Ilesanmi ◽  
Bridget Omotoso ◽  
Darlington Falana
Keyword(s):  
Low Income ◽  
Tertiary Education ◽  
Cross Sectional Study ◽  
Work Place ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Related ◽  
Southwest Nigeria ◽  
Cleaning Staff ◽  
Hospital Cleaning

Introduction: Hospital cleaning job is outsourced to companies that employ unskilled cleaners. Despite the importance of hospital cleaners little attention is paid to the work place hazards they are exposed to.Objective: This study therefore aimed at determining the prevalence of and factors associated with occurrence of work related hazards among hospital cleaners at Federal Medical Centre, Owo, Ondo State, Nigeria.Methods: A cross-sectional study of 249 hospital cleaning staff was conducted. A semi-structured interviewer administered questionnaires were used to obtain information on sociodemographic characteristics and work place related hazards. Descriptive statistics were done and associations were explored with the chi square test at 5% level of significance.Result: The mean age of respondent was 34 ± 7 years, (range 20 - 60 years), 142(57.0%) attended secondary school. In all, 67.7% of the cleaners spent less than 8 hours at work daily. Chemical hazards affected 79.1% females compared to 57.9% of the males (p=0.03). Also, 60% of those with primary education had mechanical hazards compared to 39.1% of those with tertiary education. (p=0.02). Mechanical hazards occur in 53.8% cleaners sitting for < 5hours compared to 38.1% sitting ≥ 5hours at work daily (p=0.03). Hazards of greatest concern were dust 13.3%, and insect bite 4.8%. Respondents were exposed to physical, chemical, mechanical, and biological hazards. Low income was a major source of concern to 80% of them.Conclusion: Various forms of hazards were reported by the cleaners studied. Research examining ways to reduce it should be done.  DOI: http://dx.doi.org/10.3126/ijosh.v4i1.10083 

Impact of a Practical Training Program for Hospital Cleaning Staff on Prevention of Hospital Acquired Infection.

2014 ◽  
Vol 42 (6) ◽  
pp. S90 ◽  
Author(s):  
Adriana Felix ◽  
Karoline Mello Gama ◽  
Maria Clara Padoveze ◽  
Evandro Penteado Villar Felix
Keyword(s):  
Training Program ◽  
Practical Training ◽  
Hospital Acquired Infection ◽  
Cleaning Staff ◽  
Hospital Cleaning ◽  
Hospital Acquired

scholarly journals Impact of a Comprehensive SARS-CoV-2 Infection Prevention Bundle on Rates of Hospital-Acquired Respiratory Viral Infections

2021 ◽  
Vol 1 (S1) ◽  
pp. s81-s81
Author(s):  
Jessica Seidelman ◽  
Becky Smith ◽  
Ibukunoluwa Akinboyo ◽  
Sarah Lewis
Keyword(s):  
Incidence Rate ◽  
Infection Prevention ◽  
Respiratory Virus ◽  
Viral Infections ◽  
Contact Tracing ◽  
Environmental Cleaning ◽  
Density Control ◽  
Symptom Screening ◽  
Rate Ratios ◽  
The Impact

Background: We evaluated the impact of a comprehensive SARS-CoV-2 (COVID-19) infection prevention (IP) bundle on rates of non–COVID-19 healthcare-acquired respiratory viral infection (HA-RVI). Methods: We performed a retrospective analysis of prospectively collected respiratory viral data using an infection prevention database from April 2017 to January 2021. We defined HA-RVI as identification of a respiratory virus via nasal or nasopharyngeal swabs collected on or after hospital day 7 for COVID-19 and non–COVID-19 RVI. We compared incident rate ratios (IRRs) of HA-RVI for each of the 3 years (April 2017 to March 2020) prior to and 10 months (April 2020 to January 2021) following full implementation of a comprehensive COVID-19 IP bundle at Duke University Health System. The COVID-19 IP bundle consists of the following elements: universal masking; eye protection; employee, patient, and visitor symptom screening; contact tracing; admission and preprocedure testing; visitor restrictions; discouraging presenteeism; population density control and/or physical distancing; and ongoing attention to basic horizontal IP strategies including hand hygiene, PPE compliance, and environmental cleaning. Results: During the study period, we identified 715 HA-RVIs over 1,899,700 inpatient days, for an overall incidence rate of 0.38 HA-RVI per 1,000 inpatient days. The HA-RVI IRR was significantly higher during each of the 3 years prior to implementing the COVID-19 IP bundle (Table 1). The incidence rate of HA-RVI decreased by 60% after bundle implementation. COVID-19 became the dominant HA-RVI, and no cases of HA-influenza occurred in the postimplementation period (Figure 1). Conclusions: Implementation of a comprehensive COVID-19 IP bundle likely contributed to a reduction in HA-RVI for hospitalized patients in our healthcare system. Augmenting traditional IP interventions in place during the annual respiratory virus season may be a future strategy to reduce rates of HA-RVI for inpatients.

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