Trials | |
A randomised controlled trial investigating the effect of improving the cleaning and disinfection of shared medical equipment on healthcare-associated infections: the CLEaning and Enhanced disiNfection (CLEEN) study | |
Study Protocol | |
Katrina Browne1  Peta Tehan2  Brett G. Mitchell3  Martin Kiernan4  Kirsty Graham5  Maham Amin5  Jennie King6  Philip L Russo7  Allen C. Cheng8  Andrew J. Stewardson8  Gabrielle O’Kane9  Nicole White1,10  David Brain1,10  | |
[1] Avondale University, Cooranbong, Australia;Avondale University, Cooranbong, Australia;Monash University, Melbourne, Australia;Avondale University, Cooranbong, Australia;Monash University, Melbourne, Australia;Central Coast Local Health District, Gosford, Australia;University of Newcastle, Newcastle, Australia;Avondale University, Cooranbong, Australia;University of West London, London, UK;Central Coast Local Health District, Gosford, Australia;Central Coast Local Health District, Gosford, Australia;University of Newcastle, Newcastle, Australia;Monash University, Melbourne, Australia;Cabrini Health, Melbourne, Australia;Monash University, Melbourne, Australia;Monash Health, Melbourne, Australia;NSW Health Pathology, Gosford, Australia;Queensland University of Technology, Brisbane, Australia; | |
关键词: Hospitals; Cleaning; Cross-infection; Cost-effectiveness; Shared medical equipment; Infection control; Health services; Disinfection; | |
DOI : 10.1186/s13063-023-07144-z | |
received in 2022-12-18, accepted in 2023-02-07, 发布年份 2023 | |
来源: Springer | |
【 摘 要 】
BackgroundHealthcare-associated infections (HAIs) are a common, costly, yet largely preventable complication impacting patients in healthcare settings globally. Improving routine cleaning and disinfection of the hospital environment has been shown to reduce the risk of HAI. Contaminated shared medical equipment presents a primary transmission route for infectious pathogens, yet is rarely studied. The CLEEN study will assess how enhanced cleaning and disinfection of shared medical equipment affects the rate of HAIs in a tertiary hospital setting. The initiative is an evidence-based approach combining staff training, auditing and feedback to environmental services staff to enhance cleaning and disinfection practices.MethodsThe CLEEN study will use a stepped wedge randomised controlled design in 10 wards of one large Australian hospital over 36 weeks. The intervention will consist of 3 additional hours per weekday for the dedicated cleaning and disinfection of shared medical equipment on each ward. The primary outcome is to demonstrate the effectiveness of improving the quality and frequency of cleaning shared medical equipment in reducing HAIs, as measured by a HAI point prevalence study (PPS). The secondary outcomes include the thoroughness of equipment cleaning assessed using fluorescent marker technology and the cost-effectiveness of the intervention.DiscussionEvidence from the CLEEN study will contribute to future policy and practice guidelines about the cleaning and disinfection of shared medical equipment. It will be used by healthcare leaders and clinicians to inform decision-making and implementation of best-practice infection prevention strategies to reduce HAIs in healthcare facilities.Trial registrationAustralia New Zealand Clinical Trial Registry ACTRN12622001143718.
【 授权许可】
CC BY
© The Author(s) 2023
【 预 览 】
Files | Size | Format | View |
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RO202305154767570ZK.pdf | 1054KB | download | |
MediaObjects/13046_2018_1010_MOESM1_ESM.tif | 32227KB | Other | download |
Fig. 3 | 640KB | Image | download |
【 图 表 】
Fig. 3
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