How can health care workers still adequately disinfect a room in a short period of time?
In 2010, the Centers for Disease Control and Prevention published a guideline
on environmental monitoring, and they have a page dedicated to cleaning the environment, which is based on their original 2008 environmental cleaning and hygiene standard that they came out with to direct health care facilities on appropriate cleaning.
The health institution should have an assessment program that uses some type of a monitoring system, like the DAZO [Fluorescent Marker Method
] that Dr. Carling developed—which is available from a company—and perform DAZO sampling. That would be completed by the supervisors to monitor their staff. The other is adenosine triphosphate (ATP), where they can take a swab and put it into a meter, and it gives them the units of how many bacteria have been killed or are still alive; however, sometimes it’s difficult to interpret the results.
There’s also something as simple as Glo Germ
that you can buy. It’s a powder or a lotion with fluorescent dye in it. Also, you can purchase on Amazon what are called glo pens, which are fluorescent pens, and they have a little black light that you can just, in a very inexpensive way, put your initials onto a high-touch surface, come back the next day, and see if they’re there.
That’s what should be put into the program, some sort of an assessment; a built-in assessment program, not done by the infection preventionists, but done by the EVS supervisors, since they’ll be supervising the staff who are not cleaning the rooms adequately.
Stay tuned for Part 3 of the Q & A, which will touch on how reducing antibiotics may be the key to preventing C. diff
infections (CDIs). Read the first part of the interview on preventing and controlling CDIs in hospitals, here
To stay informed on the latest in infectious disease news and developments, please sign up for our weekly newsletter.