sanitary areas during an outbreak of gastrointestinal infection. Depending on the type of outbreak in the healthcare facility, certain areas will require more frequent cleaning and disinfection, e.g. This will entail cleaning/disinfecting the environment including frequently touched surfaces such as bed tables, bed rails, the arms of chairs, sinks, call bells, door handles and push plates, and any area/piece of equipment that may potentially be contaminated. Enhanced Cleaning?ĭuring an outbreak of infection or an unusual increase in the incidence of a particular organism, enhanced routine cleaning (minimum twice daily) is recommended. If using a hypochlorite solution the area should then be rinsed and dried although this is not required with some chlorine dioxide solutions.Always ensure that surfaces that are being disinfected are compatible with the product being used. If soiling (with blood and/or bodily fluids) is evident, then general cleaning should be followed with a disinfectant clean - using a chlorine releasing product/sodium hypochlorite or a chlorine dioxide solution. Thorough cleaning with neutral detergent and water is commonly used. Routine cleaning of the environment should be undertaken at least daily. Cleaning and disinfection of the environment Routine General Cleaning? Some chlorine dioxide solutions do not need to be rinsed off. Hypochlorite solutions are corrosive and it is recommended that the solution is rinsed off commodes, mattresses and stainless steel surfaces with warm water at the end of the process. The hypochlorite or chlorine dioxide solution will kill both bacteria and viruses provided it is used as per manufactures’ instructions.
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The specific disinfectant to be used will be specified in the local cleaning/disinfection policy or procedure. Warm water and detergent should be used to clean hard surfaces followed by disinfection with 1000ppm (0.1%) chlorine releasing agent/hypochlorite solution or chlorine dioxide solution (diluted, and with a contact time, as per manufactures’ instructions). It is only effective if surfaces and equipment have been cleaned thoroughly with detergent and water beforehand.
Disinfectionĭisinfection is a process that reduces the number of microorganisms to a level at which they do not present a risk to patients or clients. during an outbreak, increased incidence of infection or in the case of Clostridium difficile infection, surfaces and equipment require both cleaning and disinfection. CleaningĬleaning with warm water and detergent is a process that removes visual dirt and contamination and in most cases is effective for decontaminating both equipment and the environment. COSHH regulations should always be adhered to and staff should use appropriate personal protective equipment (PPE) to protect themselves at all times. Staff undertaking cleaning should follow agreed protocols and have access to adequate resources and equipment to achieve the required standard of cleaning. Every healthcare facility should have written protocols to guide routine general cleaning and ensure that all areas of the environment are regularly cleaned to a satisfactory standard.