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Cleaning, Sterilization, and Disinfection01:30

Cleaning, Sterilization, and Disinfection

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Cleaning, disinfection, and sterilization are the methods that help to break the infection chain and prevent disease.
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
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Standard Precaution01:26

Standard Precaution

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
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Hand hygiene01:23

Hand hygiene

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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
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Handwashing I: Introduction and Types of Equipment01:18

Handwashing I: Introduction and Types of Equipment

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Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional equipment.
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
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Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
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Position statement: integrating planetary health into infection prevention and control in healthcare settings-towards a balanced and evidence-based approach.

Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases·2026
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Re: 'Another important lesson unlearned post-COVID-19'.

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Related Experiment Video

Updated: Jul 18, 2025

Author Spotlight: Microbial Control and Monitoring Strategies for Cleanroom Environments and Cellular Therapies
09:30

Author Spotlight: Microbial Control and Monitoring Strategies for Cleanroom Environments and Cellular Therapies

Published on: March 17, 2023

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Hospital cleaning: past, present, and future.

Stephanie J Dancer1

  • 1Department of Microbiology, NHS Lanarkshire & School of Applied Sciences, Edinburgh Napier University, Scotland, UK. stephanie.dancer@lanarkshire.scot.nhs.uk.

Antimicrobial Resistance and Infection Control
|August 23, 2023
PubMed
Summary

Hospital cleaning is crucial for controlling healthcare-associated infections (HAIs). Further research is needed to optimize cleaning methods and environmental monitoring for effective HAI prevention.

Keywords:
Healthcare environmentHospital cleaningMicrobiological standardsMonitoring

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Area of Science:

  • Healthcare-associated infection (HAI) control
  • Environmental hygiene in healthcare settings

Background:

  • Hospital cleaning's role in controlling healthcare-associated infections (HAIs) is historically underestimated due to social factors and definitional confusion.
  • Differentiating and quantifying endogenous and exogenous infections, crucial for targeted interventions, remains challenging.
  • Patient vulnerability and the complexity of environmental reservoirs complicate the assessment of cleaning efficacy.

Purpose of the Study:

  • To review the recent history and current status of hospital cleaning practices.
  • To highlight the need for standardized methods to assess cleaning and cleanliness.
  • To emphasize the importance of managing environmental reservoirs for HAI reduction.

Main Methods:

  • This study is a narrative review of existing literature on hospital cleaning and HAI control.
  • Analysis of challenges in quantifying cleaning effectiveness and establishing universal standards.
  • Discussion of the distinction between cleaning (soil removal) and cleanliness (residual soil).

Main Results:

  • The importance of hospital cleaning for HAI control is now widely acknowledged.
  • Standardized methods for measuring cleaning and cleanliness are lacking, hindering evidence-based practice.
  • Disproportionate focus has been placed on endogenous infections over environmental reservoirs.

Conclusions:

  • Hospital cleaning practices require further refinement regarding optimal methods, timing, and locations.
  • Developing tangible benchmarks for cleaning and surface types is essential for effective domestic planning and monitoring.
  • Renewed focus on surface bioburden removal and monitoring can embed risk-based practices globally.