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Consistent surface disinfection with suitable products reduces hospital germs by as much as 99.999 %

So far, disinfection is the only effective measure against hospital germs!

In recent years, nosocomial infections in medical facilities, foster and nursing homes have increased alarmingly. Not only does this cause life threatening effects on the health of patients, it also increases treatment and maintenance costs.

 
 

Important hospital germs and measures

Pathogens Description Transfer Cleaning and disinfection of surfaces

Noro

Noro

Noro viruses are the main cause
for non-bacterial gastro-intestinal
infections.


These viruses are particularly resistant and can remain contagious on surfaces for more than a week. Over the last six years, the number of outbreaks increased 20 fold and, in Germany, has now reached
200,000 infections per year.


The virus is transmitted
faecal-orally, after the viruses have been excreted via stool or vomit.

Routine disinfection of surfaces close to patients; if necessary, disinfect further surfaces. Preferably use preparations with proven efficacy (FCV and MNV).


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Clostridium difficile

C. difficile

Clostridium difficile is a spore
forming bacterium that causes
different forms of diarrhoea and
intestinal inflammations with
serious effects. It is the fifth most commonly transmitted hospital infection.
Recently, there have been severe outbreaks where the mortality rate of the reported 88 cases in Germany in 2007 was 54 %.

It has been proven that
transfer can occur via direct or indirect contact of the hands
with contaminated objects (faeces, or rather faecal contamination of toilets bed linens, bed frames, blankets, phones, etc).

Disinfection of all surfaces in patients’ rooms in order to get rid of spores through careful cleaning. For disinfection, preferably use preparations based on oxidising active ingredients. RKI-listed products with a
confirmed sporicide are also suitable.

Final disinfection
Following a period of isolation:
thorough cleaning disinfection with sporicidal surface disinfectants.

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MRSA

MRSA


MRSA (methicillin-resistant
Staphylococcus aureus) is a
form of bacteria that is resistant
to otherwise highly effective
antibiotics, thus making it hard
to treat.

In Germany, about 50,000 people become infected with MRSA every year, about 1,500 of whom die.

From skin to skin, especially in case of frequent and intense contact. Transfer is also possible via contaminated surfaces (door knobs, etc).

Disinfect (wipe disinfection) surfaces in the vicinity of patients (bed frame, bed table, wet area, door knobs etc.) at least once a day; if necessary, disinfect other
contaminated surfaces, as well.

Wipe-disinfect all contact surfaces of equipment used on patients (e.g. buttons of ultrasonic devices, ECG-electrodes and ECG cables) after use, as well as
before removing them from the room.

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TB

TB

Tuberculosis is a bacterial infection that mainly attacks the lung.
More than 2 million people worldwide die of tuberculosis every year.

Infection with tuberculosis usually happens via droplet
infection. Mycobacteria do not only remain infectious in the air
for hours, but also on hands, skin, surfaces and surgical instruments.

Routine disinfection of surfaces close to patients; if necessary, disinfect further surfaces.

Daily cleaning disinfection of floors and surfaces whilst the patient is considered contagious.1

After discharge, disinfect room with aldehyde containing disinfectants with tuberculosis effective agents using the rubbing-wiping method.

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VRE (Vancomycinresistente Enterokokken)

VRE

VRE usually populate the lower
gastro-intestinal tract. Apart from patient-related risk factors (e.g. immunosuppression), the resistance against antibiotics plays a major role.

VRE can be found in high concentrations in faeces. Hands are a major factor in the transfer and spread of contamination.

Continuous disinfection:
Clean and disinfect contact surfaces, furniture, care, treatment and examination devices (e.g. stethoscope,
thermometer, washbowls) at least once a day.

Final disinfection:
Disinfect the room, using the scrubbing-wiping method,
after the patient has been released from isolation or has been discharged. Do not reassign room before end of contact time (1 hour)! Discard all laundry (e.g. operation shirt, molleton) and patient related medication from within the immediate vicinity of the patient‘s bed (1 m).

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ESBL(extended spectrum ß-lactamases)

ESBL

ESBL is an enzyme that can be formed by numerous gram negatives bacteria and which is resistant to a broad spectrum of antibiotics. Currently, more than 340 mutations are known.

Transfer via direct and
indirect contact with faeces, infected wounds and pathogen-containing
secretion.

Continuous disinfection:
Clean and disinfect contact surfaces, furniture, care, treatment and examination devices (e.g. stethoscope,
thermometer, washbowls) at least once a day.

Final disinfection:
Disinfect the room, using the scrubbing-wiping method,
after the patient has been released from isolation or has been discharged. Do not reassign room before end of contact time (1 hour)! Discard all laundry (e.g. operation shirt, molleton) and patient related medication from within the immediate vicinity of the patient‘s bed (1 m).


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TB: Source: according to Hyg Med volume 31. 2006, p. 84 – 92 (N. Wischnewski and M. Mielke)
Pictures VRE and ESBL: Copyright Dennis Kunkel Microscopy, Inc.