醫院環境清潔確效方法之介紹與運用

Assessment of Environmental Cleaning in Healthcare Settings

醫療院所是一個具有多樣性微生物菌叢且充滿各種多重抗藥性菌的複雜環境，落實環境清潔是預防醫療照護相關感染，和減少抗藥性菌傳播的重要關鍵。醫療院所有必要進行醫療環境的清潔管理和適當監測，以維護良好的醫療品質。本文介紹3類共5種環境清潔確效方法及選用建議，透過客觀量化清潔成果及回饋清潔人員，可望看到醫院環境清潔品質的提昇，並對於建立醫院環境清潔認證制度政策提出建言。

Medical environments contain several types of pathogenic microorganisms. The link between environmental contamination and patient acquisition has been demonstrated. Therefore, improving hospital cleanliness is effective for reducing healthcare-associated infections in medical institutions. This review article discusses several objective methods that have been developed for assessing environmental cleanliness, including visual inspection, fluorescent markers, adenosine triphosphate (ATP) bioluminescence assays, aerobic colony counts (ACCs), and microbial swabs. We suggest that using combinations of different environmental cleaning monitoring methods and repeated performance feedback to environmental services staff may improve the thoroughness of environmental hygiene and also provide the government for policy making.