Cleaning and Disinfection in Home Care: A Comparison of 2 Commercial Products with Potentially Different Consequences for Respiratory Health

Details

• Personal Author:
  Beato-Melendez C ; Galligan C ; Goodyear N ; Gore R ; Markkanen, Pia ; Mohamed H ; Quinn M ; Sama S
• Description:
  Background: Home care aides perform personal care and homemaking services in client homes, including cleaning and disinfection (C&D). Although C&D are performed to remove soil and dust, they are increasingly performed for infection prevention. Many C&D products contain respiratory irritants. The objective of this study was to evaluate 2 commercial products for C&D effectiveness on common household surfaces in seniors' homes. Methods: Two C&D visits were conducted in 46 seniors' homes. One visit applied a bleach-containing cleaning product and the other applied an environmentally preferable product. Before and after C&D, the study team performed organic soil bioluminometer measurements on surfaces and collected cotton swab and wipe samples for total bacteria count, Staphylococcus aureus, and Clostridium difficile identification. Results: Both products removed microorganisms from tested surfaces. S aureus was found in 7 households, 1 strain of which was methicillin-resistant. Both products removed S aureus from all surfaces. Bleachcontaining products removed somewhat more soil than environmentally preferable products, although results were statistically significant for only 1 surface. Conclusions: The study showed similar, not identical, C&D performance for 2 cleaning products with potentially different consequences for respiratory health. Additional research is needed to develop robust recommendations for safe, effective C&D in home care. [Description provided by NIOSH]
• Subjects:
  Communicable Diseases Disinfectants Health Personnel Home Care Services Household Work Occupational Health Respiratory System Safety
• Keywords:
  Author Keywords: Home Care Aides Cleaning Compounds Clostridium Difficilce Health Care Workers Home Health Care Housekeeping Products Infection Control Infection Prevention MRSA MSSA Respiratory Health Respiratory Irritants Staphylococcus Aureus

  More +
• ISSN:
  0196-6553
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  410-416
• Volume:
  46
• Issue:
  4
• NIOSHTIC Number:
  nn:20052291
• Citation:
  Am J Infect Control 2018 Apr; 46(4):410-416
• Contact Point Address:
  Pia Markkanen, ScD, Department of Public Health, College of Health Sciences, University of Massachusetts Lowell, One University Ave, Lowell, MA 01854
• Email:
  Pia_Markkanen@uml.edu
• Federal Fiscal Year:
  2018
• NORA Priority Area:
  Healthcare and Social Assistance
• Performing Organization:
  University of Massachusetts - Lowell
• Peer Reviewed:
  True
• Start Date:
  20040901
• Source Full Name:
  American Journal of Infection Control
• End Date:
  20230831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:883e3a8b2712f5f695a3b35d40ecda7267712eac8a7c656097c0c23ee6990421c94089f02662fc5b9724af53a612dc8402c45447ceec1b39ec3c134c893ee31a
• Download URL:
  https://stacks.cdc.gov/view/cdc/211841/cdc_211841_DS1.pdf
• File Type:
  [PDF - 591.55 KB ]