监测医院环境卫生服务的工具和战略。

IF 3.9 3区医学 Q1 INFECTIOUS DISEASES

Journal of Hospital Infection Pub Date : 2025-02-06 DOI:10.1016/j.jhin.2025.01.011

S. Gastaldi , D. Accorgi , F. D'Ancona

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引用次数: 0

摘要

背景：医院环境是医疗保健相关感染的重要来源，需要有效的清洁措施来降低风险。各种工具，包括荧光标记、三磷酸腺苷测定、微生物方法和直接观察，用于监测，但其相对有效性尚不清楚。方法：本综述遵循乔安娜布里格斯研究所指南和PRISMA-ScR标准。2000-2024年的文献来自PubMed、Web of Science和b谷歌Scholar，重点关注监测医院清洁服务的工具。纳入20项研究，并使用标准化数据提取框架进行分析。结果：荧光标记和三磷酸腺苷测定法用于常规监测和训练是可行的，但在检测微生物污染方面存在局限性。微生物学方法提供了准确的污染数据，但需要耗费大量资源。直接观察发现了工作人员遵守规定方面的差距，但受到观察员偏见的影响。研究报告了在标准、清洁时间和资源分配方面的可变性，而关于全职当量的数据有限。人工智能和物联网等数字技术为实时监控和优化提供了潜力。结论：建议采用目视检查、ATP测定和微生物学方法相结合的方法进行有效监测。需要合作努力建立全球标准，结合新兴技术来解决资源差距和改善环境卫生做法，最终提高患者安全。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Tools and strategies for monitoring hospital environmental hygiene services

Background

The hospital environment is a significant source of healthcare-associated infections, necessitating effective cleaning practices to mitigate risks. Various tools, including fluorescent markers, ATP assays, microbiological methods, and direct observation, are used for monitoring, but their comparative effectiveness remains unclear.

Aim

To identify and assess different monitoring approaches to inform evidence-based recommendations for healthcare facilities.

Methods

This scoping review followed Joanna Briggs Institute guidelines and PRISMA-ScR standards. Literature from 2000 to 2024 was sourced from PubMed, Web of Science, and Google Scholar, focusing on tools for monitoring hospital cleaning services. Twenty studies were included and analysed using a standardized data extraction framework.

Findings

Fluorescent markers and ATP assays were practical for routine monitoring and training but had limitations in detecting microbial contamination. Microbiological methods provided accurate contamination data but were resource intensive. Direct observation identified gaps in staff compliance but was subject to observer bias. Studies reported variability in standards, cleaning durations, and resource allocation, with limited data on full-time equivalents. Digital technologies, such as Artificial Intelligence and Internet of Things, offer potential for real-time monitoring and optimization.

Conclusion

A combination of visual inspection, ATP assays, and microbiological methods is recommended for effective monitoring. Collaborative efforts are needed to establish global standards, incorporating emerging technologies to address resource disparities and improve environmental hygiene practices, ultimately enhancing patient safety.

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来源期刊

Journal of Hospital Infection 医学-传染病学

CiteScore

12.70

自引率

5.80%

发文量

271

审稿时长

19 days

期刊介绍： The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience. The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that: provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings; provide new insight into cleaning, disinfection and decontamination; provide new insight into the design of healthcare premises; describe novel aspects of outbreaks of infection; throw light on techniques for effective antimicrobial stewardship; describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control; improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change; improve understanding of the use of IT systems in infection surveillance and prevention and control.