---
title: Cleaning and Disinfection Works!
description: Cleaning and Disinfection Works!
---

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## Cleaning and Disinfection Works!

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568acc5fd63b5f292878d3/1498845317035//img.jpg.com/static/595689fc9de4bbc892200518/t/59568acc5fd63b5f292878d4/1498843852658/1000w/>

The fall tradeshow and conference season is in full  
 swing.  As I write this blog I am waiting  
 for the opening ceremonies of[ Exchange 2013](http://www.ahe.org/ahe/conference/2013/homepage.shtml) (Association for the Healthcare  
 Environment's ([AHE](http://www.ahe.org/)) annual conference).   
 Could there be a better place to learn about [cleaning](http://www.thefreedictionary.com/cleaning) and [disinfection](http://www.thefreedictionary.com/disinfection)  
 than a convention with delegates whose day to day responsibility is  
 environmental hygiene?

I am not certain what I find more concerning at  
 tradeshows; delegates running from booth to booth in search of a knight in  
 shining armour (aka the next [silver bullet](http://dictionary.reference.com/browse/silver-bullet)) or the noise permeating from  
 vendors as to why their product is the answer to every facilities  problems.   
 I wonder sometimes if in today's society where we see technological  
 advancements as the answer to everything if we forget that sometimes getting  
 back to basics can in fact improve outcomes as much (OR BETTER) than trying to  
 implement some new fangled gizmo.

For that I would like to applaud Curtis Donskey and his  
 research team for the study they published in ICHE titled "[An Environmental Disinfection Odyssey: Evaluation of Sequential Interventions to Improve Disinfection of Clostridium difficile Isolation Rooms](http://www.ncbi.nlm.nih.gov/pubmed/23571361)".

The research team conducted a prospective study that  
 included three interventions: 1) the use of fluorescent markers applied to  
 high-touch surfaces in patient rooms to provide monitoring and feedback on  
 thoroughness of cleaning; 2) utilization of an automated ultraviolet (UV)  
 radiation device as a complementary disinfection strategy used after cleaning;  
 and 3) an enhanced disinfection process composed of a dedicated daily  
 disinfection team and a process requiring supervisory assessment and clearance  
 of terminally-cleaned C. difficile infected rooms. The study was designed in  
 such a fashion that each strategy built on the previous one. 

In order to determine the effectiveness of the  
 interventions, environmental cultures were obtained from rooms contaminated  
 with C. difficile after cleaning and disinfection.  The first intervention using  fluorescent markers saw modest improvement in  
 the disinfection of high-touch surfaces over traditional cleaning practices (57  
 percent versus 67 percent).  When UV devices were introduced in the second  
 intervention there was a further reduction in the percentage of positive  
 cultures, but C. difficile still was present in 35 percent of rooms.   
 However, the impact from implementing an enhanced cleaning and disinfection  
 team dramatically improved the outcome by reducing positive cultures to 7  
 percent!

**What?!**  Did I just  
 read that*** improving cleaning worked better than implementing a new fangled  
 gizmo*** that we were hoping would be the answer to all of our environmental  
 hygiene problems? 

Yup!  As the study  
 concluded "*Ultimately, disinfection was dramatically improved through  
 formation of a dedicated daily disinfection team and implementation of a  
 standardized process for clearing CDI rooms.*"

I still look forward to walking the AHE Exhibitor hall  
 and picking up the materials on all of the latest and greatest products, but I  
 will certainly make sure I take the time to wade through the noise of what I  
 heard from the sales reps to make my own informed decision on what I think is  
 the latest and greatest advancement to environmental hygiene.   I hope for those of you reading this blog,  
 you'll go back and take a look at what your environmental services team is  
 doing.  Perhaps you already have your  
 knight in shining armour, he may need some polishing but perhaps you've had the  
 answer to your environmental hygiene problems under your roof the entire  
 time.   Let's go back to basics and  
 remember that cleaning and disinfection does and can work.  We just need to support our environmental  
 services staff and promote them for the heroes they really are!

*Bugging Off!*

Nicole

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