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Am J Infect Control. 2015 May 1;43(5):424-34. doi: 10.1016/j.ajic.2015.01.029. Epub 2015 Mar 16.

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

Author information

1
Department of Work Environment, University of Massachusetts Lowell, Lowell, MA. Electronic address: Margaret_Quinn@uml.edu.
2
Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV.
3
Department of Health Services Research, The Joint Commission, Oakbrook Terrace, IL.
4
Division of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas School of Public Health, Houston, TX.
5
Office of Occupational Medicine, Occupational Safety and Health Administration, Washington, DC.
6
Department of Pharmacy Practice, Midwestern University College of Pharmacy-Glendale, Glendale, AZ.
7
Department of Pharmaceutical Sciences, Mercer University College of Pharmacy, Atlanta, GA.
8
Department of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, CA.
9
Inserm and University of Paris-Sud 11, Centre for Research in Epidemiology and Population Health, UMRS 1018, Respiratory and Environmental Epidemiology Team, Villejuif, France.
10
Employee Health Services, University of Washington Medicine, Harborview Medical Center, Seattle, WA.
11
School of Nursing, West Virginia University, Morgantown, WV.
12
Medical Affairs, Advanced Sterilization Products, Johnson & Johnson, Irvine, CA.
13
Occupational Health Surveillance Program, Massachusetts Department of Public Health, Boston, MA.
14
Department of Medicine, Michigan State University, East Lansing, MI.
15
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
16
Environmental and Occupational Health Surveillance Program, New Jersey Department of Health, Trenton, NJ.
17
Department of Public Health, World Health Organization, Geneva, Switzerland.
18
Netherlands Institute for Health Services Research, Utrecht, The Netherlands.

Abstract

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.

KEYWORDS:

Asthma; Disinfection; Green cleaning; Infection prevention; Occupational exposure

PMID:
25792102
DOI:
10.1016/j.ajic.2015.01.029
[Indexed for MEDLINE]
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