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Self-monitoring by Environmental Services May Not Accurately Measure Thoroughness of Hospital Room Cleaning

  • Lauren P. Knelson (a1), Gemila K. Ramadanovic (a1), Luke F. Chen (a1), Rebekah W. Moehring (a2), Sarah S. Lewis (a1), William A. Rutala (a3), David J. Weber (a3), Daniel J. Sexton (a1), Deverick J. Anderson (a1) and The CDC Prevention EpiCenters Program...

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Corresponding author

Address correspondence to Lauren P. Knelson, MSPH, Duke Infection Control Outreach Network, Division of Infectious Diseases, Duke University Medical Center, 330 Trent Drive, Durham, NC 27710 (laurenpknelson@gmail.com).

References

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1. Boyce, JM. Environmental contamination makes an important contribution to hospital infection. J Hosp Infect 2007;65(Suppl 2):5054.
2. Carling, PC, Parry, MM, Rupp, ME, et al. Improving cleaning of the environment surrounding patients in 36 acute care hospitals. Infect Control Hosp Epidemiol 2008;29:10351041.
3. Guh, A, Carling, P. Environmental Evaluation Workgroup. Options for evaluating environmental cleaning. Centers for Disease Control and Prevention website. https://www.cdc.gov/hai/toolkits/evaluating-environmental-cleaning.html. Published 2010. Accessed January 26, 2017.
4. Anderson, DJ, Chen, LF, Weber, DJ, et al. Enhanced terminal room disinfection and acquisition and infection caused by multidrug-resistant organisms and Clostridium difficile (the Benefits of Enhanced Terminal Room Disinfection study): a cluster-randomised, multicentre, crossover study. Lancet 2017;398:805814.
5. Huslage, K, Rutala, WA, Sickbert-Bennett, E, Weber, DJ. A quantitative approach to defining “high-touch” surfaces in hospitals. Infect Control Hosp Epidemiol 2010;31:850853.
6. Goodman, ER, Platt, R, Bass, R, Onderdonk, AB, Yokoe, DS, Huang, SS. Impact of an environmental cleaning intervention on the presence of methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci on surfaces in intensive care unit rooms. Infect Control Hosp Epidemiol 2008;29:593599.
7. Munoz-Price, LS, Fajardo-Aquino, Y, Arheart, KL. Ultraviolet powder versus ultraviolet gel for assessing environmental cleaning. Infect Control Hosp Epidemiol 2012;33:192195.
8. Boyce, JM, Havill, NL, Havill, HL, Mangione, E, Dumigan, DG, Moore, BA. Comparison of fluorescent marker systems with 2 quantitative methods of assessing terminal cleaning practices. Infect Control Hosp Epidemiol 2011;32:11871193.
9. Dhar, S, Tansek, R, Toftey, EA, et al. Observer bias in hand hygiene compliance reporting. Infect Control Hosp Epidemiol 2010;31:869870.

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