Research priorities to strengthen environmental cleaning in healthcare facilities: the CLEAN Group Consensus.


Journal

Antimicrobial resistance and infection control
ISSN: 2047-2994
Titre abrégé: Antimicrob Resist Infect Control
Pays: England
ID NLM: 101585411

Informations de publication

Date de publication:
27 Sep 2024
Historique:
received: 09 01 2024
accepted: 07 09 2024
medline: 28 9 2024
pubmed: 28 9 2024
entrez: 28 9 2024
Statut: epublish

Résumé

Environmental cleaning is essential to patient and health worker safety, yet it is a substantially neglected area in terms of knowledge, practice, and capacity-building, especially in resource-limited settings. Public health advocacy, research and investment are urgently needed to develop and implement cost-effective interventions to improve environmental cleanliness and, thus, overall healthcare quality and safety. We outline here the CLEAN Group Consensus exercise yielding twelve urgent research questions, grouped into four thematic areas: standards, system strengthening, behaviour change, and innovation.

Identifiants

pubmed: 39334226
doi: 10.1186/s13756-024-01463-9
pii: 10.1186/s13756-024-01463-9
doi:

Types de publication

Journal Article Letter

Langues

eng

Sous-ensembles de citation

IM

Pagination

112

Informations de copyright

© 2024. The Author(s).

Références

World Health Organization, United Nations Children’s Fund (UNICEF). Water, sanitation, hygiene, waste and electricity services in health care facilities: progress on the fundamentals. 2023 global report. Geneva 2023.
WHO. Environmental cleaning and infection prevention and control in health care facilities in low- and middle-income countries. Geneva: World Health Organization; 2022.
Ogunsola FT, Mehtar S. Challenges regarding the control of environmental sources of contamination in healthcare settings in low-and middle-income countries-a narrative review. Antimicrob Resist Infect Control. 2020;9:81. https://doi.org/10.1186/s13756-020-00747-0 .
doi: 10.1186/s13756-020-00747-0 pubmed: 32517810 pmcid: 7285732
Gon G, Kabanywanyi AM, Blinkhoff P, et al. The clean pilot study: evaluation of an environmental hygiene intervention bundle in three Tanzanian hospitals. Antimicrob Resist Infect Control. 2021;10:1–14. https://doi.org/10.1186/s13756-020-00866-8 .
doi: 10.1186/s13756-020-00866-8
Dramowski A, Aucamp M, Bekker A, et al. NeoCLEAN: a multimodal strategy to enhance environmental cleaning in a resource-limited neonatal unit. Antimicrob Resist Infect Control. 2021;10:35. https://doi.org/10.1186/s13756-021-00905-y .
doi: 10.1186/s13756-021-00905-y pubmed: 33579364 pmcid: 7881651
Furlan MCR, Ferreira AM, da Silva BL, et al. Evaluation of disinfection of surfaces at an outpatient unit before and after an intervention program. BMC Infect Dis. 2019;19:355. https://doi.org/10.1186/s12879-019-3977-4 .
doi: 10.1186/s12879-019-3977-4 pubmed: 31035961 pmcid: 6489196
Peters A, Schmid MN, Parneix P, et al. Impact of environmental hygiene interventions on healthcare-associated infections and patient colonization: a systematic review. Antimicrob Resist Infect Control. 2022;11:38. https://doi.org/10.1186/s13756-022-01075-1 .
doi: 10.1186/s13756-022-01075-1 pubmed: 35183259 pmcid: 8857881
Chau JPC, Liu X, Lo SHS, et al. Effects of environmental cleaning bundles on reducing healthcare-associated Clostridioides difficile infection: a systematic review and meta-analysis. J Hosp Infect. 2020;106:734–44. https://doi.org/10.1016/j.jhin.2020.08.019 .
doi: 10.1016/j.jhin.2020.08.019 pubmed: 32861741
Thomas RE, Thomas BC, Conly J, et al. Cleaning and disinfecting surfaces in hospitals and long-term care facilities for reducing hospital- and facility-acquired bacterial and viral infections: a systematic review. J Hosp Infect. 2022;122:9–26. https://doi.org/10.1016/j.jhin.2021.12.017 .
doi: 10.1016/j.jhin.2021.12.017 pubmed: 34998912
World Health Organization. WHO guidelines on hand hygiene in health care: first global patient safety challenge clean care is safer care. Geneva: WHO; 2009.
Harbarth S, Maiwald M, Dancer SJ. The environment and healthcare-acquired infections: why accurate reporting and evaluation of biological plausibility are important. Infect Control Hosp Epidemiol. 2013;34:996–7. https://doi.org/10.1086/671741 .
doi: 10.1086/671741 pubmed: 23917919
Fardousi N, Hornsey E, Dramowski A, et al. PROSPERO protocol: effectiveness of interventions to improve cleanliness in hospital environments in low-and middle-income countries–a systematic review. 2022. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022324137 (accessed 29 September 2022)
Tomczyk S, Storr J, Kilpatrick C, et al. Infection prevention and control (IPC) implementation in low-resource settings: a qualitative analysis. Antimicrob Resist Infect Control. 2021;10:113. https://doi.org/10.1186/s13756-021-00962-3 .
doi: 10.1186/s13756-021-00962-3 pubmed: 34332622 pmcid: 8325287
Tong A, Synnot A, Crowe S, et al. Reporting guideline for priority setting of health research (REPRISE). BMC Med Res Methodol. 2019;19:243. https://doi.org/10.1186/s12874-019-0889-3 .
doi: 10.1186/s12874-019-0889-3 pubmed: 31883517 pmcid: 6935471
Storr J, Kilpatrick C, Lee K. Time for a renewed focus on the role of cleaners in achieving safe health care in low- and middle-income countries. Antimicrob Resist Infect Control. 2021;10:59. https://doi.org/10.1186/s13756-021-00922-x .
doi: 10.1186/s13756-021-00922-x pubmed: 33762000 pmcid: 7989693
Dancer SJ. Hospital cleaning: past, present, and future. Antimicrob Resist Infect Control. 2023;12:80. https://doi.org/10.1186/s13756-023-01275-3 .
doi: 10.1186/s13756-023-01275-3 pubmed: 37608396 pmcid: 10464435
Gon G, et al. Clean briefing paper: research priorities for healthcare cleaning in resource-limited settings. London: UK Public Health Rapid Support Team, UK Health Security Agency/LSHTM; 2023.
WHO. Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level. Geneva: WHO; 2016.
WHO. Global action plan on antimicrobial resistance. Geneva: WHO; 2015.
WHO. Draft global action plan and monitoring framework on infection prevention and control (IPC), 2024–2030. 2024. Available at: https://www.who.int/teams/integrated-health-services/infection-prevention-control/draft-global-action-plan-and-monitoring-framework-on-ipc .
CDC, ICAN. Best practices for environmental cleaning in healthcare facilities in resource-limited settings. Atlanta, GA: US Department of Health and Human Services, CDC; Cape Town, South Africa: Infection Control Africa Networ 2019.

Auteurs

Giorgia Gon (G)

London School of Hygiene and Tropical Medicine, London, UK. giorgia.gon@lshtm.ac.uk.

Angela Dramowski (A)

Stellenbosch University, Stellenbosch, South Africa.

Emilio Hornsey (E)

UK Health Security Agency, London, UK.

Wendy Graham (W)

London School of Hygiene and Tropical Medicine, London, UK.

Nasser Fardousi (N)

London School of Hygiene and Tropical Medicine, London, UK.

Alexander Aiken (A)

London School of Hygiene and Tropical Medicine, London, UK.

Benedetta Allegranzi (B)

Infection Prevention and Control Unit, Integrated Health Services, World Health Organisation (WHO) HQ, Geneva, Switzerland.

Darcy Anderson (D)

The Water Institute, University of North Carolina at Chapel Hill, Chapel Hill, USA.

James Bartram (J)

University of Leeds, Leeds, UK.

Sanjay Bhattacharya (S)

Tata Medical Center, Kolkata, India.

John Brogan (J)

Helvetas, Zurich, Switzerland.

An Caluwaerts (A)

IPC Consultant, Brussels, Belgium.

Maria Clara Padoveze (MC)

Universidade de São Paulo, São Paulo, Brazil.

Nizam Damani (N)

Southern Health and Social Care Trust, Portadown, UK.

Stephanie Dancer (S)

NHS Lanarkshire, Bothwell, UK.
Edinburgh Napier University, Edinburgh, UK.

Miranda Deeves (M)

Infection Prevention and Control Unit, Integrated Health Services, World Health Organisation (WHO) HQ, Geneva, Switzerland.

Lindsay Denny (L)

United Nations Children's Fund, New York, USA.

Nicholas Feasey (N)

Liverpool School of Tropical Medicine, Liverpool, UK.
Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi.

Lisa Hall (L)

University of Queensland, Brisbane, Australia.

Joost Hopman (J)

Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands.

Laxman Kharal Chettry (LK)

Terre des Hommes, Geneva, Switzerland.

Martin Kiernan (M)

Richard Wells Research Centre, University of West London, London, UK.

Claire Kilpatrick (C)

KSHealthcare Consulting, Glasgow, UK.

Shaheen Mehtar (S)

Infection Control Africa Network, Cape Town, South Africa.

Christine Moe (C)

Emory University, Atlanta, USA.

Stephen Nurse-Findlay (S)

World Health Organization, Geneva, Switzerland.

Folasade Ogunsola (F)

Infection Control Africa Network, Cape Town, South Africa.
University of Lagos, Lagos, Nigeria.

Tochi Okwor (T)

Nigeria Centre for Disease Control, Abuja, Nigeria.

Bruno Pascual (B)

Terre des Hommes, Geneva, Switzerland.

Molly Patrick (M)

Centers for Disease Control and Prevention, Atlanta, USA.

Oliver Pearse (O)

Liverpool School of Tropical Medicine, Liverpool, UK.

Alexandra Peters (A)

University of Geneva, Geneva, Switzerland.

Didier Pittet (D)

University of Geneva, Geneva, Switzerland.

Julie Storr (J)

KSHealthcare Consulting, Glasgow, UK.

Sara Tomczyk (S)

Robert Koch Institute, Berlin, Germany.

Thomas G Weiser (TG)

Stanford University, Stanford, USA.

Habib Yakubu (H)

Emory University, Atlanta, USA.

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