Another technique is the use of invisible fluorescent markers placed on high-touch room surfaces before cleaning with UV light inspection following cleaning. All healthcare workers need to be aware of their individual responsibility for maintaining a safe care environment for patients and staff. Sign in or Register a new account to join the discussion. The authors hypothesise that even a small reduction in infections through the use of alcohol-based handrubs, would result in a cost saving (Storr and Bowler, 2002). Document typePolicy Directive Document numberPD2020_022 Publication date29 July 2020 Author branchClinical Excellence Commission Branch contact(02) 9269 5500 Journal of Hospital Infection; 47 (Supplement), S1-S-82. Am J Infect Control. One found no statistically significant differences between the four methods studied (Gustafson et al, 2000)and the other suggests that warm air drying, when the hands are not rubbed simultaneously, may be more effective at reducing the numbers of bacteria on the hands following hand washing than the use of paper towels (Yamaoto et al, 2005). NHS Estates (2000) Standards for Environmental Cleanliness in Hospitals. Descriptive characteristics will be abstracted from published studies and tabled. U.S. Department of Health & Human Services, Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAI), http://dx.doi.org/10.1186/1471-2334-14-187, http://dx.doi.org/10.1016/j.ajic.2012.06.014, http://dx.doi.org/10.1016/j.jhin.2010.08.006, http://dx.doi.org/10.1016/j.jhin.2009.02.013, USA.gov: The U.S. Government's Official Web Portal, ("clostridium difficile" OR "clostridium difficile infection" OR "methicillin resistant staphylococcus aureus" OR "methicillin resistant staphylococcus aureus infection" OR enterococcus OR "vancomycin resistant enterococcus" OR "enterococcal infection")/de, ("health care facility" OR hospital OR "hospital discharge")/de, ("disease carrier" OR fomite OR hospital bed" OR "hospital equipment" OR "surface property")/de, S4 AND (contaminat* OR infection* OR pathogen*):ti,ab, Combine sets (all infections and all surfaces), (cleaning OR disinfection OR "environmental sanitation" OR hygiene OR "hospital hygiene" OR "infection control")/de, ("disinfection system" OR "ultraviolet irradiation" OR vapor OR "water vapor")/de, (antimicrobial* OR copper OR coating* OR microbiocid*):ti, ("health care personnel" OR "hospital service")/de, Combine sets (all infections and cleaning methods / cleaning personnel). An evaluation of the efficacy of four methods for determining hospital cleanliness. A clinical crossover trial conducted over 11 months within a neonatal intensive care unit demonstrated no statistical difference between infection rates during the hand washing and handrub phases of the trial (Larson et al, 2005). Wendt, C. et al (2004) Differences in hand hygiene behaviour related to the contamination risk of healthcare activities in different groups of healthcare workers. Current evidence-based guidelines conclude that in outbreak situations contaminated hands are responsible for transmitting infections and that effective hand decontamination can significantly reduce infection rates in gastrointestinal infections and in high-risk areas, such as intensive care units (Pratt et al, 2001). • et al (2003). 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