Cleaning and disinfecting environmental surfaces in health care: Toward an integrated framework for infection and occupational illness prevention

Publié le 13 avril 2015 • Catégorie(s) : En accès libre, Hygiène et gestion des risques •

Auteur    Margaret M. Quinn
Auteur    Paul K. Henneberger
Auteur    Barbara Braun
Auteur    George L. Delclos
Auteur    Kathleen Fagan
Auteur    Vanthida Huang
Auteur    Jennifer L. S. Knaack
Auteur    Linda Kusek
Auteur    Soo-Jeong Lee
Auteur    Nicole Le Moual
Auteur    Kathryn A. E. Maher
Auteur    Susan H. McCrone
Auteur    Amber Hogan Mitchell
Auteur    Elise Pechter
Auteur    Kenneth Rosenman
Auteur    Lynne Sehulster
Auteur    Alicia C. Stephens
Auteur    Susan Wilburn
Auteur    Jan-Paul Zock
Résumé    Background The Cleaning and Disinfecting in Healthcare Working Group of the National Institute for Occupational Safety and Health, National Occupational Research Agenda, is a collaboration of infection prevention and occupational health researchers and practitioners with the objective of providing a more integrated approach to effective environmental surface cleaning and disinfection (C&D) while protecting the respiratory health of health care personnel. Methods The Working Group, comprised of >40 members from 4 countries, reviewed current knowledge and identified knowledge gaps and future needs for research and practice. Results An integrated framework was developed to guide more comprehensive efforts to minimize harmful C&D exposures without reducing the effectiveness of infection prevention. Gaps in basic knowledge and practice that are barriers to an integrated approach were grouped in 2 broad areas related to the need for improved understanding of the (1) effectiveness of environmental surface C&D to reduce the incidence of infectious diseases and colonization in health care workers and patients and (2) adverse health impacts of C&D on health care workers and patients. Specific needs identified within each area relate to basic knowledge, improved selection and use of products and practices, effective hazard communication and training, and safer alternatives. Conclusion A more integrated approach can support multidisciplinary teams with the capacity to maximize effective and safe C&D in health care.