The intensive care unit (ICU) and specialist High dependency units (HDU) have the highest rate of patient acquisition of methicillin-resistant Staphylococcus aureus (MRSA) and other multi-resistant pathogens in the hospital. Nosocomial pathogens reach patients by various routes, with healthcare workers' (HCW) hands considered the most likely vector. The contribution of cross-contamination to HCW hands from the patient environment is considered to be a contributory factor. Therefore the cleanliness of environmental surfaces and frequency of decontamination are critical factors, both for daily cleaning and terminal discharge of patients. There is a direct correlation between the bioburden found in the patient environment and HCW hands.
This presentation will describe Three case studies – Validation and integration of novel cleaning technologies (dry steam vapour and microfibre textiles); A 12 month, randomized cross-over study in two UK hospitals’ ICU departments to evaluate the impact of enhanced microfibre cleaning on contamination of the near patient environment; A pilot study conducted in a KSA Hospital HDU – measures of quality improvement, efficiency and reallocation of resources to patient safety initiatives.
Methods of cleaning and area decontamination and challenges to successful implementation and performance sustainability will be evidenced.
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