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Swab Sampling Method for the Detection of Human Norovirus on Surfaces
Published on: February 6, 2017
Identifying potential areas of infectivity on high-touch locations in the OR
LoAnn Vande Leest1, Rick Kawczynski, Fawn Esser Lipp
1The Surgery Center, LLC, Franklin, WI, USA.
Abstract:
Personnel at an ambulatory surgery center in Franklin, Wisconsin, used the nationwide emphasis on minimizing health care-associated infections as the impetus to set up an investigation to determine the effectiveness of cleaning procedures for the OR and stationary OR equipment. During the course of one week, we examined areas that we considered to be high touch (ie, with the greatest frequency of multiple hand contacts) for effective cleaning and decontamination in one OR by using a commercial cleaning verification system commonly used in the food service industry and standard culture methods. As a result of this project, we determined that the cleaning and disinfection at our facility was effective. In the process, we gained insight into the dynamics of the cleaning procedure under actual conditions. This project reports a simple method of maintaining or improving cleaning protocols in a cost-effective manner.
Insights
This study found that cleaning and disinfection procedures in an ambulatory surgery center were effective in reducing healthcare-associated infections. The investigation utilized a commercial cleaning verification system and standard culture methods to assess high-touch surfaces in the operating room (OR).
Area of Science:
- Healthcare-associated infection prevention
- Surgical site infection control
- Environmental hygiene in healthcare settings
Background:
- Healthcare-associated infections (HAIs) pose a significant risk to patient safety.
- Effective cleaning and disinfection of operating rooms (ORs) and equipment are critical for preventing HAIs.
- Ambulatory surgery centers require robust protocols to maintain a sterile environment.
Purpose of the Study:
- To evaluate the effectiveness of current cleaning and disinfection procedures in an ambulatory surgery center's OR.
- To assess the efficacy of cleaning high-touch surfaces within the OR environment.
- To identify simple, cost-effective methods for maintaining or improving cleaning protocols.
Main Methods:
- A one-week investigation was conducted in a single OR.
- A commercial cleaning verification system, typically used in the food service industry, was employed.
- Standard microbiological culture methods were used to assess surface contamination.
- High-touch areas with frequent hand contact were specifically examined.
Main Results:
- The cleaning and disinfection protocols at the facility were determined to be effective.
- The study provided insights into the practical dynamics of cleaning procedures under real-world conditions.
- The commercial cleaning verification system proved useful in assessing decontamination efficacy.
Conclusions:
- The implemented cleaning and disinfection procedures effectively minimize the risk of HAIs in the OR.
- The study demonstrates a simple and cost-effective approach to maintaining and enhancing OR cleaning protocols.
- Continuous monitoring and verification of cleaning practices are essential for patient safety.
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