How do we assess hospital cleaning? A proposal for microbiological standards for surface hygiene in hospitals.
How do we assess hospital cleaning? A proposal for microbiological standards for surface hygiene in hospitals.
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DOI：
10.1016/j.jhin.2003.09.017
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发表时间：
2004-01
期刊：
影响因子：
--
通讯作者：
Dancer SJ
中科院分区：
文献类型：
--
作者：
Dancer SJ
在过去十年中，越来越多的医院获得性感染引起了人们的广泛关注。公众将所谓的“超级细菌”与他们在肮脏医院的经历联系起来，但清洁在控制这些生物体中的确切作用尚不清楚。因此，清洁环境的重要性很可能仍然是推测性的，除非它成为一门以证据为基础的科学。这一建议是一个呼吁细菌学标准，以评估临床表面卫生在医院，根据那些由食品工业使用。第一个标准涉及任何特定的“指示”生物体的发现，其存在表明需要增加清洁。指标将包括金黄色葡萄球菌，包括耐甲氧西林的S。金黄色葡萄球菌、艰难梭菌、万古霉素耐药肠球菌和各种革兰氏阴性杆菌。第二个标准涉及医院中频繁手接触表面上<5 cfu/cm 2的定量需氧菌落计数。这一原则与HACCP等现代风险管理系统有关，并反映了令人关注的病原体广泛存在的事实。需要进一步的工作来评估和完善这些标准，并确定医院环境的感染风险。
Increasing numbers of hospital-acquired infections have generated much attention over the last decade. The public has linked the so-called ‘superbugs’ with their experience of dirty hospitals, but the precise role of cleaning in the control of these organisms in unknown. Hence the importance of a clean environment is likely to remain speculative unless it becomes an evidence-based science. This proposal is a call for bacteriological standards with which to assess clinical surface hygiene in hospitals, based on those used by the food industry. The first standard concerns any finding of a specific ‘indicator’ organism, the presence of which suggests a requirement for increased cleaning. Indicators would include Staphylococcus aureus, including methicillin-resistant S. aureus, Clostridium difficile, vancomycin-resistant enterococci and various Gram-negative bacilli. The second standard concerns a quantitative aerobic colony count of <5 cfu/cm2 on frequent hand touch surfaces in hospitals. The principle relates to modern risk management systems such as HACCP, and reflects the fact that pathogens of concern are widespread. Further work is required to evaluate and refine these standards and define the infection risk from the hospital environment.
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影响因子：
6.9
作者：
Das, I;Lambert, P;Elliott, T
通讯作者：
Elliott, T
影响因子：
2.2
作者：
Cohen, HA;Amir, J;Barzilai, A
通讯作者：
Barzilai, A
DOI：
10.1078/s1438-4639(04)70035-8
发表时间：
2001-03-01
影响因子：
6
作者：
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通讯作者：
Lütticken, R
影响因子：
6.9
作者：
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通讯作者：
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影响因子：
--
作者：
CASEWELL, M;PHILLIPS, I
通讯作者：
PHILLIPS, I