title: Applying ATP bioluminescence to design and evaluate a successful new intensive care unit cleaning programme.
abstract: This was a two-phase prospective intervention study in the cardiology intensive care unit (CICU) and medical intensive care unit (MICU) and of a public 1800-bed medical centre in Taiwan. In phase I, cleaning efficacy was monitored by ATP bioluminescence after daily morning cleaning, and only 43.9% of 221 tested surfaces passed. The baseline data were used to define an intervention consisting of a new cleaning protocol as well as a new education/training programme. In phase II, following the intervention, 88.1% of 270 surfaces were found to be clean. The combined infection rate in the CICU and MICU showed a statistically significant decrease of 49.7%.
authors.affiliation: Infection Control Office, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: M-C
authors.initials: MC
authors.lastname: Chan
authors.affiliation: Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: T-Y
authors.initials: TY
authors.lastname: Lin
authors.affiliation: Infection Control Office, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Y-H
authors.initials: YH
authors.lastname: Chiu
authors.affiliation: Infection Control Office, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: T-F
authors.initials: TF
authors.lastname: Huang
authors.affiliation: Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: S-K
authors.initials: SK
authors.lastname: Chiu
authors.affiliation: Graduate Institute of Medical Science, Taipei Medical University, Taipei, Taiwan.
authors.forename: T-L
authors.initials: TL
authors.lastname: Liu
authors.affiliation: Department of Nursing, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: P-S
authors.initials: PS
authors.lastname: Hung
authors.affiliation: Infection Control Office, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: C-M
authors.initials: CM
authors.lastname: Chang
authors.affiliation: Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address: linjungchung1@yahoo.com.tw.
authors.forename: J-C
authors.initials: JC
authors.lastname: Lin
mesh_terms: D000046:Academic Medical Centers; D016507:Cardiology Service, Hospital; D003428:Cross Infection / Q000453:epidemiology* / Q000517:prevention & control*; D004203:Disinfection / Q000379:methods*; D004209:Disposable Equipment; D004866:Equipment Contamination / Q000517:prevention & control*; D004865:Equipment and Supplies, Hospital / Q000382:microbiology; D006282:Health Personnel / Q000193:education; D006797:Housekeeping, Hospital / Q000379:methods*; D006801:Humans; D007362:Intensive Care Units; D008163:Luminescent Measurements; D011446:Prospective Studies; D013624:Taiwan / Q000453:epidemiology
keywords: ATP bioluminescence; Environmental surveillance; Healthcare-associated infection