1394. More Cleaning, Less Screening:  Evaluation of the Time Required for Monitoring Versus Performing Daily Environmental Cleaning    
Session: Poster Abstract Session: Clostridium difficile
Saturday, October 5, 2013
Room: The Moscone Center: Poster Hall C
Posters
  • ID Week 2013 Poster 1 revised.png (279.2 kB)
  • Title:  More Cleaning, Less Screening:  Evaluation of the Time Required for Monitoring Versus Performing Daily Environmental Cleaning     

    Authors:  Sirisha Kundrapu MD and Curtis J. Donskey MD.

    Background:   Monitoring of cleaning with feedback to environmental services (EVS) personnel is recommended to ensure effectiveness of cleaning in healthcare facilities. However, limited data are available on the time required for monitoring and feedback interventions. Here, we compared the time required for monitoring and feedback on daily cleaning of Clostridium difficile infection (CDI) isolation rooms with the time required for research personnel to perform daily disinfection of high-touch surfaces in CDI rooms.

    Methods: EVS personnel were required to perform daily disinfection of high touch surfaces in CDI rooms with bleach wipes. During a 40-day period, a single monitor used fluorescent markers to monitor daily cleaning. The time required for monitoring, education of EVS personnel, providing feedback to EVS personnel and supervisors was calculated. The time required for the monitor to perform daily cleaning of CDI rooms was measured for a 2-week period in which all CDI rooms in the facility were cleaned by the monitor; based on the measured time, the time required for the monitor to perform daily disinfection of CDI rooms during the study period was estimated. 

    Results: During the study period, daily disinfection of a total of 226 CDI rooms was monitored (mean, 6 rooms per day). Based on fluorescent marker removal, 77% of high-touch surfaces were cleaned by EVS personnel during the study. The measured time for the monitor to perform daily cleaning was 25 minutes per room. The total estimated time for daily disinfection of the 226 CDI rooms by the monitor was 95 hours, whereas the total time spent on monitoring was 111 hours (Figure).

    Conclusion: Monitoring of daily disinfection by EVS staff may require a significant time commitment. Our results suggest that a dedicated EVS person or team that is highly motivated may result in improved room disinfection in less time (i.e., More Cleaning, Less Screening).

    Figure: Time spent monitoring versus cleaning

      

    Sirisha Kundrapu, M.D.1,2, Venkata C.K. Sunkesula, M.D., M.S1,3, Abhishek Deshpande, M.D., Ph.D.1 and Curtis J. Donskey, MD4, (1)Infectious Diseases, Case Western Reserve University, Cleveland, OH, (2)Infectious Diseases, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH, (3)Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH, (4)Case Western Reserve University, Cleveland, OH

    Disclosures:

    S. Kundrapu, None

    V. C. K. Sunkesula, None

    A. Deshpande, None

    C. J. Donskey, None

    Findings in the abstracts are embargoed until 12:01 a.m. PST, Oct. 2nd with the exception of research findings presented at the IDWeek press conferences.