Category Archives: Disinfection

Your Mobile Phone is Dirtier than You Think! by Patrick Boshell, DebGroup.

Your Mobile Phone Is Dirtier Than You Think

Posted by Patrick Boshell on Wed, Jul 17, 2013
“It’s a well-known fact that cell phones are dirty objects, but just how unclean are they? Fun fact: each square inch of your cell phone contains roughly 25,000 germs, making it one of the filthiest things you come in contact with on a daily basis. That’s something to think about the next time you press your face to your phone.

Ever wonder what objects are actually cleaner than your phone? Surprisingly, toilet seats make the list because they’re usually sanitized often. Watch the video to see how an average cell phone’s bacterial count stacks up compared to other household items,” as reported by Mashables.

Menshealth recently interviewed Dr. Charles Gerba, a professor of microbiology at the University of Arizona who says this is not surprising.   “Nobody ever cleans or disinfects their phone, so the germs and bacteria just keep building up,” he explains. What types of germs? E. coli, as well as influenza and MRSA, a germ that causes rashes and skin infections, Gerba adds.

Bacteria on your phone

As we use our phones frequently it remains warm, creating the ideal breeding ground for bacteria.   “With the advent of touch-screen phones, the same part of the phone you touch with your fingertips is pressed right up against your face and mouth, upping your chances of infection,” Gerba adds.

A recent article explored some of those terrifying germs and summarized details from a study involving 200 phones as published in the “Annals of Clinical Microbiology and Antimicrobials.”  

 “The researchers found that 94.5 percent of the phones were contaminated with some kind of bacteria, many of which were resistant to multiple antibiotics. By also testing the participants’ hands, the researchers were able to show that a significant number of germs were transferred from their hands to their phones, and vice versa. In fact, about 30 percent of the bacteria on the phones ended up on the owner’s hands.

Much of the disease-causing bacteria they found are transferred from person to person through touch, which means that once this bacteria is on your hands, you only have to then touch your eyes or nose for the bacteria to find an easy route into your body. This is especially frightening when you consider how often your phone hangs out only millimeters away from your face.

The wide spread use of mobile phones by healthcare workers has become a question of concern.  A recent study study on mobile phones and Nosocomial infections reported, “HCWs’ mobile phones may serve as reservoirs for microorganisms that could facilitate the transmission of bacterial isolates from one patient to another in different hospital wards.  Whereas strict attention is paid to changing clothes, removing jewelry, undertaking hand hygiene measures (WHO 5 Moments), and storing personal objects in changing rooms to reduce the transfer of microorganisms from the external clinical environment into the operating environment, most expensive mobile phones often accompany staff into the operating environment as currently no local policy restricting the use of mobile phones in clinically sensitive areas is in place. This lack of attention may be indicative of little awareness about potential risks posed by mobile phone microbial contamination and their role as vehicle for transmission of infections.”

Mobile Phones in Healthcare

The report went on to recommend, “Restriction of mobile phone use in clinically sensitive areas, such as operating environment and ICU as a start point, is recommended. Moreover, screening of HCWs’ mobile phones inside the hospital should be done while doing environmental screening.”  This would be supported by, “A major educational campaign to raise awareness” and recommendation that “mobile phones could be produced with protective material against contamination.”

A new Practice Guideline was issued by the Community and Hospital Infection Control Association (CHICA-Canada) to address the issues of electronic devices in healthcare settings. Recommendations coming out of that guideline include the following:

  1. Hand hygiene should be performed between patient contact and before and after accessing a device.
  2. Manufacturer’s guidelines for use, cleaning/disinfection and maintenance should be reviewed to ensure these guidelines meet the standards for cleaning and low-level disinfection that are necessary for exposure to Multi-Drug-Resistant Organisms.
  3. Items that cannot be adequately cleaned should not be used, or should be designated as “clean” and not be accessed in patient rooms or be touched by patients.
  4. If an item cannot be cleaned with a hospital-grade disinfectant and is necessary for patient care, a risk assessment should be done with infection prevention and control to determine the best approach to mitigate the risk of transmission of microorganisms.
  5. All touch-surfaces of IT devices used at, or near, point-of-care must be cleaned and disinfected with a hospital-grade disinfectant if used or touched during the encounter with the patient.
  6. The surface of telephone components, pagers and computer ‘mice’ should be cleaned in a manner that prevents damage to internal systems from excessive fluid.
  7. If an item cannot be adequately cleaned and will be accessed in a patient room or touched by patients, it requires a cleanable cover.
  8. The user/owner of the device is responsible for routine cleaning and disinfection of the device and that  responsibility must be clearly communicated.

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How Clean is Your Clean? By Krysten Comperchio

How Clean Is Your Clean?

Did you know…

  • Infections are one of the main reasons people are admitted into hospitals?
  • Proper disinfection prevents 36% of healthcare acquired infections (HAI’s)?
  • The Centers for Disease Control (CDC) states ATP Monitoring Systems are an objective method for evaluating cleaning methods and recommends having a critical “Touch Point” cleaning program?

Touch Point Clean ATP

It is estimated that HAI’s are on the rise and are costing healthcare facilities $7 billion dollars each year (Per Centers for Disease Control – CDC). Every aspect of healthcare is scrutinized in an effort to reduce the risk of healthcare associated infections (HAI’s). No one can truly know if a surface is clean just by looking at it. ATP (Adenosine Triphosphate) is an enzyme that is present in all living cells, and can detect the amount of organic matter that remains after cleaning an environmental surface. ATP Monitoring Systems provide real-time, accurate and reliable results allowing users to assess and measure surface cleanliness, validate efficacy of cleaning procedures and with implemented cleaning procedures and protocols, immediately address critical “touch points” in healthcare facilities, i.e., long term care. “Touch Points” are referred to as:

  • Floors and Hallways
  • Organisms survive up to 5 months on floors
  • Chairs and Arms of Chairs
  • Over 90% are rarely cleaned where millions of micro-organisms “live”
  • Door Knobs
  • Viruses, like H1N1 can survive up to 24 to 48 hours on these surfaces
  • Bed Rails
  • VRE can survive up to 7 days on bed rails
  • Sinks and Faucets
  • 75%  of all sinks contain extremely high levels of micro-organisms
  • Toilet Seats
  • Norovirus survives on toilet surfaces for 12 hours

A clean environment and proper hand hygiene programs are important factors in reducing the risk of cross contamination and transmitting disease contributing to HAI’s. In the US, the Centers for Disease Control (CDC) guidelines for multiple drug-resistant organisms, i.e., CRE, VRE and MRSA, recommend that healthcare facilities “monitor cleaning performance to ensure consistent cleaning and disinfection of surfaces in close proximity to the patients”. Most healthcare facilities rely on visual inspection as a cleaning monitoring method. Although easy to implement, visual inspection has shown to be inadequate for ensuring that proper cleaning has been performed, especially on critical “Touch Points”. Proper cleaning procedures and policies need to be in place to monitor daily cleaning effectiveness using methods beyond visual assessment. With increased risk of hospital acquired infections, healthcare providers need real-time results in order to make good decisions regarding proper cleaning and disinfection of rooms before the next patient/resident rooms. Monitoring patient/resident rooms, as well as other departments within a healthcare facility, is a proactive approach with measureable results, helping reduce HAI’s and saving money due with better cleaning procedures.

Krysten Comperchio is the Product Manager for Skin Care and Education at the Betco Corporation. 

 

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Hard Surface Hygiene, Advice from the Experts!

HARD SURFACE HYGIENE

ADVICE FROM THE EXPERTS!

Clean homes. Clean workplaces. Clean schools. We’re all drawn to the clean we can “see.” But we also know that just because something looks clean, doesn’t mean it really is clean.

For decades, the American Cleaning Institute in the United States and the Canadian Consumer Specialty Products Association in Canada have been leaders in educating the public on the role of disinfecting and sanitizing in preventing the spread of illness- causing germs. You can’t see germs — like Salmonella,

E. coli, or Influenza. But “pathogenic,” or disease-causing, germs can be alive and thriving on surfaces all around you — at home, at work and at school. And as we continue to hear words
like “pandemic” more frequently in the news — the idea of disinfecting and sanitizing the surfaces we touch becomes even more top-of-mind.

WHERE THE GERMS ARE

Disinfecting and Sanitizing Products

Products formulated to kill germs on surfaces at home, at work and at school.

American Cleaning InstituteSM

Supporting Public Health for over 80 Years

The soap and detergent industry cares about safe and proper use of its products. In fact, the American Cleaning Institute (ACI) has been educating consumers on topics such as hand and home hygiene for over three quarters of a century.

This Fact Sheet explains the purposes and proper usage of disinfecting and sanitizing products. When used properly, these products play an important role in helping to ensure that our homes are clean and our families are healthy.

In the Kitchen

In the Bathroom

At the Office

In the Classroom

You’ve just finished cutting up your gourmet chicken, and it’s ready for herbs and spices worthy of your most important dinner guests. But as you’ve been working away, the discarded packaging — and the various kitchen tools you’ve used — have been dripping raw chicken juice all over your counter. These germs have the potential of being the dinner guests who “just won’t leave”! In fact, once they’ve settled on your kitchen countertops, they’ll stay to mingle with your salad and whatever else you’re preparing there. Ready to show them the door?

Bathroom germs: no one wants to even think about them. But in fact, studies show bathrooms top kitchens as the cleanest room in a house.1 Surprised? Maybe not. Moms with small children say they clean the family bathroom just about everyday, for reasons they don’t necessarily even want to discuss. Which room tops your “Most Cleaned List”?

Face it: your desk is a bacteria cafeteria. You work at it, eat at it, and may even feel like you live at it — but if you’re like most people, cleaning it is likely the last thing on your mind. But once germs make their way into an office, they can spread like the latest merger rumor. The “bad-guy” lineup starts with germs on telephones, followed by those inhabiting desks, water fountain handles, microwave door handles and computer keyboards. What germs are living on your mouse?

Ask any teacher and they’ll tell you: when one child comes to school sick, illness can spread through the classroom like wildfire. Germs
live on the surfaces the kids touch everyday: desktops, computer mice, the pencil sharpener, paper towel dispenser handles, faucet handles on classroom sinks and the doorknob to the classroom. Chances are that more than learning and new ideas are being shared at school!

Hand washing is the first step to staying healthy, but there is more that can be done. Germs are spread by touching surfaces, so while you can’t — or shouldn’t — try to control every germ in your environment, it makes good sense to defend against the germs that can make you sick.

1 P. Rusin, P. Orosz-Coughlin and C. Gerba. 1998. Reduction of fecal coliform, coliform and heterotrophic plate count bacteria in the household kitchen and bathroom by disinfection with hypochlorite cleaners. J. Applied Microbiology. 85:819-828.

www.cleaninginstitute.org 

What about Public Places?

When you’re not at home, you don’t have control over how often — or how well — surfaces have been cleaned. So try to avoid touching surfaces that could harbor large numbers of germs whenever possible . . . and take extra care in practicing diligent hand cleaning behaviors.

 

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Top Five Things To Consider In Infection Control, by Richard DiPaolo

Top Five Things To Consider In Infection Control

Are you looking in the right places to prevent disease outbreaks in your facility?

By Richard DiPaolo, editorial director, CMMOnline
Hot spot cleaning and high touch point cleaning are common phrases used in the professional cleaning industry.

This type of cleaning is universally understood by in-house cleaning departments and building service contractors (BSCs) as strategically identifying areas in a facility that building occupants often “touch” the most, including door knobs, faucets, levers and handles.

While targeting these areas with disinfection processes is a sound practice, cleaners, facility managers and BSCs should realize that more should be involved with hot spot cleaning.

Here are five things we have identified to consider:

  1. See colors with updated equipment. Color-coding equipment, cleaning tools and information is nothing new to the professional cleaning market. Color-coded tools can help workers easily identify where and how to use products and equipment. Red, for instance, is universally used for disinfection or cleaning high-risk areas. Implementing a color-coded system with modern cleaning equipment, such as microfiber cloths, can help all workers, even those with language barriers, from spreading infection from one area to another.
  2. Develop a system to keep dirt, bacteria and germs out of the facility. Especially in an era where doing more with less is the workplace mantra, you must continually assure sick workers and building occupants that it is ideal and in everyone’s best interest for these workers to stay home and heal when sick. In addition, a high performance matting system that consists of 15 feet of matting inside and outside the facility is an effective way to enhance your infection control strategies.
  3. Focus on the floor and other hot spots. Ask people outside this industry where a facility’s most contaminated spots are and many will mention the toilet, urinal or garbage areas. And, while these areas can in fact harbor disease-causing microorganisms, our research shows that cell phones, keyboards, computer mice and desks are in the running to top that list as well. The floor can also be a key contributor to cross-contamination. One would be surprised to learn how many times people have direct and indirect contact with a floor that can continue the chain of cross-contamination.
  4. Use signage and effective hand-washing steps. The Centers for Disease Control and Prevention (CDC) still cites effective hand-washing as the number one defense against cross-contamination. Use proper hand-washing techniques, train workers in this area and post signage for building occupants to follow while in wash areas. “A proper hand-washing protocol is necessary to be followed in every location in a facility,” notes Felicia Roy trade advisor for Cascades Tissue Group. “Some obstacles can keep employees from adopting proper hand-washing habits; [for example,] tools are unavailable or inconveniently located; no clear signage or reinforcement exist; the schedule includes high turnover rates; [and] health risks are not understood or recognized by employees due to lack of education. A lot of obstacles can, therefore, be simply addressed by employers.”
  5. Train workers. Our industry has evolved from simply mops, buckets and brooms and, as a result, cleaning workers’ level of education and technical know-how needs to keep pace. There are many training options available in the industry to invest in. Effective cleaning and advanced equipment and products teamed with educated workers will help to lower your facility’s infection risk.

“And, consider the use of newer or more advanced cleaning technologies that are proving to be more effective at removing germs and bacteria from surfaces that can harm human health,” adds John Richter, technical director for Kaivac Inc. “For instance, floor care studies by Dr. Jay Glasel concluded that ‘spray-and-vac’ [no-touch] cleaning methods were 60 times more effective at removing contaminants from floors than traditional or microfiber mops.”*

* Cleaning Methods for Ceramic Tile Floors, published on “Controlled Environments,” April 2008.

 

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Cleaning for Health and Safety

Question: What are the top SIX activities in cleaning that will have the greatest impact on safety and health?
Answer: Here is my list of the top SIX activities necessary to impact the health and safety of our public.

  1. Train and re-train housekeepers (custodial staff) that their role is NOT cleaning for appearance sake, but for “health’s sake.”  For too long we have judged the cleanliness of surfaces based on a shiny floor, smudge-free glass, spot-free carpet and a clean nice smelling rest room.  The indoor environmental surfaces can be clean, but unhealthy or unsanitary.  BUT, if those same surfaces are healthy and sanitary, THEY ARE CLEAN! There is a science to cleaning and disinfecting.  The Environmental Services (ES) staff performs both the a.) Clinical function of removing and inactivating/killing HAI producing microbes, and, b.) The practical function of cleaning by restoring the room to order after soil removal activities are completed.
  2. The time has come to turn cleaning professionals into Hygiene Specialists (trade marked by UMF PerfectClean).  Moreover, infection prevention will only become a reality when the hygiene specialist is properly regarded, educated and equipped.  The hygiene specialist must be: a) Well trained and coached; b) Equipped with the necessary tools to clean, sanitize and/or disinfect; c) Allotted time to do the necessary tasks; d) Provided the tools to enable scientific measurement of “clean”; e) Educated about the prevention and transmission of disease.
  3. Train those who clean that there is a pattern for cleaning; Clean the room from top, down and from the cleanest part of the room to the dirtiest; leave the rest room for last. When cleaning the “patient zone” (the area 3′ [1 meter] around the patient’s bed, including the bed rails); use a fresh, clean cloth for the patient’s zone.
  4. Never double dip a cleaning cloth. Set up a bucket of properly diluted disinfectant at the beginning of the shift; add 10-15 microfiber cloths to the bucket. Reach into the bucket for a clean, disinfectant-charged cloth; NEVER return (double dip) a soiled cloth into the solution bucket. The analogy I like to use is this; when you pull a disposable disinfectant wipe from a container and use it to wipe a soiled surface, do you return it to the container? No, it is disposed of. The same should be true for soiled microfiber cleaning cloths…they are put into a bag to be laundered daily.
  5. Using a quaternary ammonium disinfectant with “retired” cotton cleaning cloths (i.e., surgical towels, terry cloth towels and washcloths) and mops is counterproductive. Unfortunately, this combination is used in most hospitals and hotels. The cotton in these retired cloths inactivates quat disinfectants by binding the active ingredients to the cotton rather than releasing them to the surface. This happens within 5 minutes of introducing cotton to the bucket of quat disinfectant. In fact, you might as well be using water after 5 minutes because the ppm of active ingredients is out of specification for EPA registration. At that point, you are using the product “in a manner inconsistent with the manufacturer’s label” and are in violation of US federal law.
  6. Regardless of whether or not a “One-Step” disinfect (manufacturer claims surfaces do not need to be pre-cleaned) or a “Two-Step” disinfectant (must be applied to pre-cleaned surfaces) is being used, the surface SHOULD be cleaned with a general purpose cleaner and a high denier microfiber cloth for soil removal and followed by the disinfectant of choice.  The AOAC testing that is done on disinfectants before submitting them to the US EPA for registration is “in the presence of 5% blood serum.”  If surface soil is greater than 5%, the disinfectant is most likely over challenged (ineffective due to the soil load).  For a surface to have greater than a 5% soil load, the soil most likely is NOT VISIBLE.  If 90-95% of the soil (and micro-soil) can be removed with a general-purpose cleaner and superior microfiber cloth, most of the food and moisture necessary for microorganisms to survive on a surface are removed.  Then, the disinfectant that is applied has a much better chance of killing the remaining microorganisms.

Reference: Darrel Hicks, April 16, 2013; Infection Prevention Q&A Part 3, Darrelhicks.com

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