Cleaning and disinfecting environmental surfaces in health care: toward an integrated framework for infection and occupational illness prevention

Details

• Personal Author:
  Braun B ; Delclos GL ; Fagan K ; Henneberger, Paul K. ; Hogan Mitchell A ; Huang V ; Knaack JLS ; Kusek L ; Le Moual N ; Lee S-J ; Maher KAE ; McCrone, Susan H. ; Pechter E ; Quinn, Margaret M. ; Rosenman, Kenneth D. ; Sehulster L ; Stephens AC ; Wilburn S ; Zock J-P
• Description:
  Background: The Cleaning and Disinfecting in Healthcare Working Group of the National Institute for Occupational Safety and Health, National Occupational Research Agenda, is a collaboration of infection prevention and occupational health researchers and practitioners with the objective of providing a more integrated approach to effective environmental surface cleaning and disinfection (C&D) while protecting the respiratory health of health care personnel. Methods: The Working Group, comprised of >40 members from 4 countries, reviewed current knowledge and identified knowledge gaps and future needs for research and practice. Results: An integrated framework was developed to guide more comprehensive efforts to minimize harmful C&D exposures without reducing the effectiveness of infection prevention. Gaps in basic knowledge and practice that are barriers to an integrated approach were grouped in 2 broad areas related to the need for improved understanding of the (1) effectiveness of environmental surface C&D to reduce the incidence of infectious diseases and colonization in health care workers and patients and (2) adverse health impacts of C&D on health care workers and patients. Specific needs identified within each area relate to basic knowledge, improved selection and use of products and practices, effective hazard communication and training, and safer alternatives. Conclusion: A more integrated approach can support multidisciplinary teams with the capacity to maximize effective and safe C&D in health care. [Description provided by NIOSH]
• Subjects:
  Asthma Asthma, Occupational Communicable Diseases Disinfectants Health Care Facilities Workforce And Services Health Personnel Occupational Exposure Occupational Health Respiratory Protective Devices Safety
• Keywords:
  Author Keywords: Disinfection Cleaning Compounds Green Cleaning Health Care Facilities Health Care Personnel Infection Control Infection Prevention Medical Facilities Occupational Exposure Respiratory Protection Work Practices

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• ISSN:
  0196-6553
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Arizona ; California ; District of Columbia ; Georgia ; Illinois ; Massachusetts ; Michigan ; New Jersey ; OSHA Region 1 ; OSHA Region 10 ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 5 ; OSHA Region 6 ; OSHA Region 9 ; Texas ; Washington ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DRDS - Division of Respiratory Disease Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  424-434
• Volume:
  43
• Issue:
  5
• NIOSHTIC Number:
  nn:20045961
• Citation:
  Am J Infect Control 2015 May; 43(5):424-434
• Contact Point Address:
  Margaret M. Quinn, ScD, CIH, Department of Work Environment, University of Massachusetts Lowell, 1 University Ave, Lowell, MA 01854
• Email:
  Margaret_Quinn@uml.edu
• Federal Fiscal Year:
  2015
• Performing Organization:
  Michigan State University
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  American Journal of Infection Control
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:221cc5be50d4994e2622f7e7828b49989c836af163b211da4c70b95d14e3c1fd579ffdca3e30ce8cb402ba48053d5beefc3c2e61e3ecac102087bd860b74c1c1
• Download URL:
  https://stacks.cdc.gov/view/cdc/201168/cdc_201168_DS1.pdf
• File Type:
  [PDF - 363.07 KB ]