Reduction of Clostridium Difficile and vancomycin-resistant Enterococcus contamination of environmental surfaces after an intervention to improve cleaning methods
2007

Improving Cleaning Methods to Reduce Pathogen Contamination

Sample size: 26 publication 10 minutes Evidence: moderate

Author Information

Author(s): Brittany C Eckstein, Daniel A Adams, Elizabeth C Eckstein, Agam Rao, Ajay K Sethi, Gopala K Yadavalli, Curtis J Donskey

Primary Institution: Louis Stokes Cleveland Veterans Affairs Medical Center

Hypothesis

Can an educational intervention improve cleaning practices and reduce environmental contamination in healthcare settings?

Conclusion

Educational interventions for housekeeping staff can significantly improve the decontamination of environmental surfaces in healthcare settings.

Supporting Evidence

  • 94% of rooms with VRE had positive cultures before cleaning, reduced to 71% after cleaning.
  • 100% of CDAD rooms had positive cultures before cleaning, reduced to 78% after cleaning.
  • None of the rooms had positive cultures after bleach disinfection.

Takeaway

Teaching cleaning staff better ways to clean can help make sure that hospital rooms are less dirty and safer for patients.

Methodology

The study involved culturing surfaces in patient rooms before and after cleaning and disinfection, comparing results before and after an educational intervention for housekeeping staff.

Potential Biases

Potential bias due to the study being conducted in a single institution and reliance on self-reported cleaning practices.

Limitations

The study was conducted in only one hospital, and the long-term impact of the intervention on infection rates was not assessed.

Participant Demographics

All participants were male, with an average age of 70 for VRE patients and 63.8 for CDAD patients.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1471-2334-7-61

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