Report Finds Gaps in Evidence for Best Ways to Clean Hospital Rooms
Cleaning of hard surfaces in hospital rooms is a critical step to reduce the risk of healthcare-associated infections (HAIs), but there is little evidence about what cleaning methods work best, according to a new AHRQ-funded report.
The report, Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs), includes a review of 80 clinical studies from the last 25 years that address environmental cleaning of high-touch surfaces in hospital rooms to reduce Clostridium difficile, MRSA, and VRE.
The researchers found limited studies that directly compare disinfection methods, monitoring strategies or implementation efforts. To advance research in this area, recommendations for future areas of study include: the examination and comparison of emerging strategies; the inclusion of patient colonization and infection rates as outcomes; and the identification of surfaces posing the greatest risk of pathogen transmission.
A summary of the report was published in August 10 in the Annals of Internal Medicine. The report can be found atwww.effectivehealthcare.ahrq.