Cleaning and disinfecting environmental surfaces in health care: Toward an integrated framework for infection and occupational illness prevention
Cleaning and disinfecting environmental surfaces in health care: Toward an integrated framework for infection and occupational illness prevention
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DOI：
10.1016/j.ajic.2015.01.029
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发表时间：
2015-05-01
影响因子：
4.9
通讯作者：
Henneberger, Paul K.
中科院分区：
文献类型：
--
作者：
Quinn, Margaret M.;Henneberger, Paul K.
背景资料：美国国家职业安全与健康研究所的卫生保健清洁与消毒工作组（Cleaning and Disinfecting in Healthcare Working Group）是一个由感染预防和职业健康研究人员和从业人员组成的合作组织，其目标是提供一种更综合的方法来有效地进行环境表面清洁和消毒（C&D），同时保护卫生保健人员的呼吸系统健康。该工作组由来自4个国家的40多名成员组成，审查了现有知识，确定了知识差距和未来研究与实践的需求。结果：制定了一个综合框架，以指导更全面的努力，在不降低感染预防有效性的情况下，最大限度地减少有害的C&D暴露。基本知识和实践中的差距是综合方法的障碍，这些差距被分为两大领域，涉及需要更好地理解（1）环境表面C&D在减少卫生保健工作者和患者中传染病和定植发生率方面的有效性，以及（2）C&D对卫生保健工作者和患者的不利健康影响。每个领域内确定的具体需求涉及到基本知识，改进选择和使用的产品和做法，有效的危害沟通和培训，更安全的alternatives.Conclusion：一个更综合的方法可以支持多学科团队的能力，最大限度地提高有效和安全的C&D在医疗保健。版权所有（C）2015由感染控制和流行病学专业人员协会，Inc.爱思唯尔公司出版
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. Copyright (C) 2015 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc.