2020年03月於美國醫學會期刊(JAMA)所發表的最新研究顯示，新冠肺炎輕症患者之病房內，87%之採檢點呈現新冠病毒陽性反應(15/18)*。表示當病人入住後，病房內絕大部分的環境表面將受到這些高風險微生物所汙染。
根據統計，若一位病人所入住之病房並未經過適當的清消流程，此病人有50%的風險機率，會遭受到與前一位病人相同之病原所感染*。包含床欄、床旁桌、電燈開關、按鈕、以及各類移動式設備，都可能藏有病原，進而造成病人之間、甚至是醫護人員之間的交叉感染。
因此若欲打斷環境中致病原之傳染鏈，除了有適當的手部衛生之外，也需搭配有效的環境表面清潔/消毒作業及品質監測流程。
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*參考文獻：
JAMA. 2020 Mar 4. doi: 10.1001/jama.2020.3227
Am J Infect Control. 2013 May;41(5 Suppl): S6-11
醫療院所環境清潔監測與管理–來自國際指引的建議
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國際各大學會，皆針對MRSA及C. difficile等危險致病原，或是開刀房等高風險區域，提出了如何預防醫療照護相關感染(HAI)之相關措施，包含了環境例行清潔監測相關建議。而美國疾病管制與預防中心(CDC)，也鼓勵醫療院所設立一套環境清潔與監測計劃來提升高接觸區域之環境清潔成效，以及確保品質管制與改善。
* 資料來源：
1. Society for Healthcare Epidemiology of America (SHEA) 美國健康照護流行病學學會
Infection Control and Hospital Epidemiology July 2014, Vol. 35, No. 72. Association for Professionals in Infection Control (APIC) 美國感染管制學會
The Implementation Guide for Prevention of Clostridium difficile
Free publication: www.apic.org/Professional-Practice/Implementation-guides3.Association for Operating Room Nurses (AORN) 美國手術全期護理學會
Online toolkit: https://www.aorn.org/guidelines/clinical-resources/tool-kits/environmental-cleaning-tool-kit?utm_source=email&utm_medium=promotional&utm_content=2020_03&utm_campaign=benefit_engagement以下與您分享如何運用3M™ Clean-Trace™ ATP清潔監測系統來完成環境表面的例行性監測
該如何從標準作業指南轉變為院內例行品質監測計畫?
3M™ Clean-Trace™ ATP清潔監測系統有以下五項功能設定，可幫助您進行例行環境清潔監測計畫：
讓3M專家們協助您提升醫療照護設施的清潔品質，特別針對高風險區域做好清潔管控。歡迎與我們聯繫，進一步了解3MTM Clean-TraceTM ATP清潔監測系統的最佳實務應用。
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參考文獻：
1. Sehulster LM, Chinn RYW, Arduino MJ, Carpenter J, Donlan R, Ashford D, Besser R, Fields B, McNeil MM, Whitney C, Wong S, Juranek D, Cleveland J. Guidelines for environmental infection control in health-care facilities. Recommendations from CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). Chicago IL; American Society for Healthcare Engineering/American Hospital Association; 2004.
2. Siegel JD, Rhinehart E, Jackson M, Chiarello L. Healthcare Infection Control Practices Advisory Committee. Management of multi-drug-resistant organisms in healthcare settings. 2006. http://www.cdc.gov/ncidod/dhqp/pdf/ar/mdroGuideline2006.pdf.
3. Guh, A., Carling, P.C. and E nvironmental Evaluation Workgroup. December 2010. Options for Evaluating Environmental Cleaning. http://www.cdc.gov/HAI/toolkits/Evaluating-Environmental-Cleaning.html.
4. Boyce et al. Monitoring the Effectiveness of Hospital Cleaning Practices by Use of an Adenosine Triphosphate Bioluminescence Assay Infection Control and Hospital Epidemiology July 2009. 30: 678-684.
5. Lewis et al. A modified ATP benchmark for evaluation of the cleaning efficacy of some hospital environmental surfaces. Journal of Hospital Infection. Journal of Hospital Infection 2008. Volume 69, p.156-163.
6. Sitzlar B, Deshpande A, Fertelli D, et al. An environmental disinfection odyssey: Evaluation of sequential interventions to improve disinfection of Clostridium difficile isolation rooms. The role of the environment in Infection Prevention May 2013. Infection Control and Hospital Epidemiology 34(4):459-465.
3M™ Clean-Trace™ ATP 清潔監測系統產品
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與我們聯繫
讓3M專家們協助您提升醫療照護設施的清潔品質，特別針對高風險區域做好清潔管控。歡迎與我們聯繫，進一步了解3M™ Clean-Trace™ ATP清潔監測系統的最佳實務應用。
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