Environmental disinfection interventions range from simple
interventions involving substitution of one disinfectant product
for another to intensive efforts to improve cleaning performance
through education plus monitoring and feedback to housekeepers.
In this regard, disinfection interventions are analogous to antimi-
crobial stewardship interventions, which range from formulary
substitutions to formal stewardship programs that include moni-
toring and feedback. For the purposes of this review, disinfection
interventionsweredividedinto3categories:(1)disinfectantproduct
substitutions (ie, Although efforts may be undertaken to improve
cleaning, the primary intervention is a change to a disinfectant
with improved effectiveness against a particular pathogen), (2)
interventions to improve effectiveness of cleaning and disinfection
practices, and (3) use of automated disinfection technologies. In
practice,disinfectantproductsubstitutionshavemostofteninvolved
substitution of sporicidal for nonsporicidal products as a control
strategy for C difficile. Interventions to improve effectiveness of
cleaning and disinfection have more often been implemented for
control of pathogens that are susceptible to a wide range of disin-
fectants (eg, MRSA, VRE, and gram-negative bacilli). Studies were
included in this review if the impact of the intervention on rates
acquisition and/or infection was assessed.
Environmental disinfection interventions range from simpleinterventions involving substitution of one disinfectant productfor another to intensive efforts to improve cleaning performancethrough education plus monitoring and feedback to housekeepers.In this regard, disinfection interventions are analogous to antimi-crobial stewardship interventions, which range from formularysubstitutions to formal stewardship programs that include moni-toring and feedback. For the purposes of this review, disinfectioninterventionsweredividedinto3categories:(1)disinfectantproductsubstitutions (ie, Although efforts may be undertaken to improvecleaning, the primary intervention is a change to a disinfectantwith improved effectiveness against a particular pathogen), (2)interventions to improve effectiveness of cleaning and disinfectionpractices, and (3) use of automated disinfection technologies. Inpractice,disinfectantproductsubstitutionshavemostofteninvolvedsubstitution of sporicidal for nonsporicidal products as a controlstrategy for C difficile. Interventions to improve effectiveness ofcleaning and disinfection have more often been implemented forcontrol of pathogens that are susceptible to a wide range of disin-fectants (eg, MRSA, VRE, and gram-negative bacilli). Studies wereincluded in this review if the impact of the intervention on rates acquisition and/or infection was assessed.
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