대한의료관련감염관리학회 Korean Society for Healthcare-associated infection Control and Prevention.

pISSN 0705-3797. eISSN 2586-1298.

Environmental management system by types of hospital N=191

Items Total Types of hospital (n [%])
Tertiary hospital General hospital Hospital/long-term care hospital χ2 (P)
Guidelines/policies for environmental cleaning and disinfection
Yes 191 (100.0) 28 (100.0) 77 (100.0) 86 (100.0)
No 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0)
Periodic revision of environmental cleaning and disinfection*
Yes 139 (72.8) 25 (89.3) 62 (80.5) 52 (60.5) 12.76 (.002)
No 52 (27.2) 3 (10.7) 15 (19.5) 34 (39.5)
Contents included in the guidelines/policies for environmental cleaning and disinfection
Including frequently contacted environments Yes 149 (78.0) 23 (82.1) 59 (76.6) 67 (77.9) 0.37 (.840)
No 42 (22.0) 5 (17.9) 18 (23.4) 19 (22.1)
General room environment Yes 182 (95.3) 27 (96.4) 71 (92.2) 84 (97.7) 2.57 (.257)
No 9 (4.7) 1 (3.6) 6 (7.8) 2 (2.3)
Discharge room Yes 180 (94.2) 28 (100.0) 75 (97.4) 77 (89.5) 5.56 (.042)
No 11 (5.8) 0 (0.0) 2 (2.6) 9 (10.5)
Patient room with spore-forming bacteria Yes 156 (81.7) 28 (100.0) 71 (92.2) 57 (66.3) 25.61 (<.001)
No 35 (18.3) 0 (0.0) 6 (7.8) 29 (33.7)
Contact precaution patient’s room Yes 188 (98.4) 28 (100.0) 75 (97.4) 85 (98.8) 0.81 (.754)
No 3 (1.6) 0 (0.0) 2 (2.6) 1 (1.2)
Environmental cleaning/disinfection staff (departments) and their roles Yes 151 (79.1) 20 (71.4) 58 (75.3) 73 (84.9) 3.40 (.183)
No 40 (20.9) 8 (28.6) 19 (24.7) 13 (15.1)
Education for staff in charge of environmental cleaning and disinfection
Yes 180 (94.2) 28 (100.0) 74 (96.1) 78 (90.7) 3.44 (.158)
No 11 (5.8) 0 (0.0) 3 (3.9) 8 (9.3)
Adequacy monitoring for environmental cleaning and disinfection*
None 43 (22.5) 4 (14.3) 16 (20.8) 23 (26.7) 3.66 (.459)
Regular 73 (38.2) 14 (50.0) 27 (35.1) 32 (37.2)
Irregular 75 (39.3) 10 (35.7) 34 (44.2) 31 (36.0)
Monitoring for general patient's rooms*
After routine cleaning and disinfection Yes 85 (57.4) 10 (41.7) 25 (41.0) 50 (79.4) 21.59 (<.001)
No 63 (42.6) 14 (58.3) 36 (59.0) 13 (20.6)
After terminal cleaning and disinfection Yes 81 (54.7) 16 (66.7) 32 (52.5) 33 (52.4) 1.65 (.444)
No 67 (45.3) 8 (33.3) 29 (47.5) 30 (47.6)
Monitoring for multidrug resistant organisms isolated patient's room*
After routine cleaning and disinfection Yes 56 (37.8) 11 (45.8) 17 (27.9) 28 (44.4) 4.40 (.116)
No 92 (62.2) 13 (54.2) 44 (72.1) 35 (55.6)
After terminal cleaning and disinfection Yes 95 (64.2) 22 (91.7) 46 (75.4) 27 (42.9) 23.70 (<.001)
No 53 (35.8) 2 (8.3) 15 (24.6) 36 (57.1)
Monitoring method for environmental cleaning and disinfection*
Direct practice observation Yes 119 (80.4) 19 (79.2) 42 (68.9) 58 (92.1) 10.63 (.004)
No 29 (19.6) 5 (20.8) 19 (31.1) 5 (7.9)
Culture Yes 45 (30.4) 14 (58.3) 19 (31.1) 12 (19.0) 12.70 (.002)
No 103 (69.6) 10 (41.7) 42 (68.9) 51 (81.0)
Fluorescent marker systems Yes 15 (10.1) 7 (29.2) 6 (9.8) 2 (3.2) 11.00 (.002)
No 133 (89.9) 17 (70.8) 55 (90.2) 61 (96.8)
ATP bioluminescence assays Yes 67 (45.3) 19 (79.2) 48 (78.7) 0 (0.0) 90.74 (<.001)
No 81 (54.7) 5 (20.8) 13 (21.3) 63 (100.0)
Provision of monitoring feedback for environmental cleaning and disinfection*
Yes 148 (100.0) 24 (100.0) 61 (100.0) 63 (100.0)
No 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0)

*Non-response was excluded from the item analysis. †Statistical analysis is not possible.

Abbreviation: ATP, adenosine triphosphate.

Korean J healthc assoc Infect Control Prev 2022;27:141~152 https://doi.org/10.14192/kjicp.2022.27.2.141
© Korean J healthc assoc Infect Control Prev