Each hospital should have an infection control team aiming to evaluate the risk factors involved in healthcare infection occurrences with a multidisciplinary and dynamic approach. Epidemiological infection control in hospital may detect all of the critical points of the healthcare procedures performed by nurses, healthcare workers, physicians, students, and external staff. This evaluation may also include the sanitization process and its management. An appropriate evaluation of the whole sanitization process, including the reprocessing of cleaning materials, would be the best practice.
These organisms belong to a group of carbapenem-resistant, gram-negative bacteria of national and international concern because of their implication as an emerging cause of severe healthcare-associated infections. In , the World Health Organization published the first global guidelines for the prevention and control of CRE-CRAB-CRPsA in healthcare facilities, which include environmental cleaning and disinfection as a key recommendation.
The cleaning procedure is not only dependent on the chemicals used but also on the personnel performing it. As reported by Toffollutti et al., there are differences between housekeeping and outsourcing cleaning staff in ensuring adequate levels of hygiene; outsourcing cleaning services was associated with a greater incidence of meticillin-resistant Staphylococcus aureus (MRSA) and worse patient perceptions of cleanliness [
The UV-C disinfection robot (Mediland Enterprise Corporation, Taoyuan City, Taiwan) uses amalgam lamps (UV lamp NNI / XL Niederdruck VUV Strahler) and protective reflector technology to generate high-energy, broad-spectrum ultraviolet light (UV-C nm). The manufacturer of the lamps declares in the technical data sheet that the lamps have a filter that blocks radiation between nm, eliminating the possibility of producing ozone as a by-product of UV-C radiation. The UV-C device uses min disinfection cycles and multiple positions with minimal distances from high-touch surfaces. Due to the use of high-intensity UV-C radiation, the device must operate in unoccupied rooms. There are multi-motion sensors that shut off the device if any movement is detected inside the room being disinfected or if the door is accidentally opened. When the robot operates in accordance with these procedures, the manufacturer declares that the amalgam lamps produce no ozone gas and leave no toxic residues.
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