Environmental decontamination 3: auditing cleaning and disinfection

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This article has been double-blind peer reviewedIn this article…• Different methods used to audit cleaning and disinfection• How audits of cleaning and disinfection should be performed• Using audit data to drive improvementAuthorsJonathan Otter is epidemiologist (infection prevention and control), Imperial College Healthcare Trust and honorary senior lecturer, National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Imperial College London; Tracey Galletly is lead nurse for infection prevention and control at Imperial College Healthcare Trust.The final article in our three-part series about the importance of environmental decontamination in healthcare settings explores how to audit cleaning and disinfection in order to maximise patient safety. It outlines different auditing methods and describes how they can be applied in practice to improve the quality of decontamination and patient outcomes.CitationOtter J, Galletly T (2018) Environmental decontamination 3: auditing cleaning and disinfection. Nursing Times; 114: 9, 25-28.Key pointsMeasuring the effectiveness of cleaning and disinfection is an integral part of the decontamination processThe aim of auditing cleaning and disinfection is to improve and sustain performanceVisual assessment measures the appearance of an item or surface, which may not correlate with microbial contaminationMicrobiological surface cultures can be used to monitor the levels of microbes and are usually used in outbreak investigationsFluorescent markers and adenosine triphosphate bioluminescence can be used for process evaluation

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