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TASMANIAN INFECTION PREVENTION AND CONTROL UNIT

Evaluating environmental cleanliness in hospitals and other healthcare settings What are the most effective and efficient methods to use?

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Evaluating environmental cleanliness in hospitals and other healthcare settings What are the most effective and efficient methods to use? Tasmanian Infection Prevention and Control Unit (TIPCU) Department of Health and Human Services, Tasmania

Published 2012 Copyright—Department of Health and Human Services Permission to copy is granted provided the source is acknowledged ISBN 978-0-9872195-2-7

Contact:

TIPCU GPO Box 125 Hobart, Tasmania, Australia, 7001 Email: tipcu@dhhs.tas.gov.au Website: www.dhhs.tas.gov.au/tipcu

Author affiliations: • Brett Mitchell, Tasmanian Infection Prevention and Control Unit, Department of Health and Human Services, Tasmania and Australian Catholic University, School of Nursing Midwifery and Paramedicine. Fiona Wilson, Tasmanian Infection Prevention and Control Unit, Department of Health and Human Services, Tasmania. Chris Ware, formerly of Tasmanian Infection Prevention and Control Unit, Department of Health and Human Services, Tasmania. Saffron Brown, formerly of Tasmanian Infection Prevention and Control Unit, Department of Health and Human Services, Tasmania. Dr Alistair McGregor, Tasmanian Infection Prevention and Control Unit, Department of Health and Human Services, Tasmania. Dr Stephanie Dancer, Consultant Microbiologist, National Health Service, Lanarkshire, Scotland, UK.

• • • • •

Editors: • • • • Brett Mitchell, TIPCU Fiona Wilson, TIPCU Dr Alistair McGregor, TIPCU Dr Stephanie Dancer, Consultant Microbiologist, National Health Service, Lanarkshire, Scotland, UK. Page 1 of 31

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Contents
Contents ............................................................................................................. 3 Foreword ............................................................................................................ 4 1. Overview ........................................................................................................ 5 2. The Importance of the Environment and HAI Prevention ...................... 6 2.1 Summary ...................................................................................................................................................... 8

3. Why Evaluate Environmental Cleanliness? ................................................ 9 4. Methods of Assessment .............................................................................. 10 4.1 Monitoring the cleaning process.......................................................................................................... 10 4.2 Measuring the outcome of cleaning .................................................................................................... 12

5. Summary of Audit Methodologies ............................................................ 15 6. Local, National and International Practices............................................. 16 6.1 Tasmanian practices................................................................................................................................ 16 6.2 Australian jurisdictional practices........................................................................................................ 17 6.3 Summary .................................................................................................................................................... 19

7. Local and International Guidelines ........................................................... 20 8. Acknowledgements..................................................................................... 21 References ........................................................................................................ 22 Appendix 1: Suggested Standards for Microbial Sampling of the Healthcare Environment...
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