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Environmental hygiene


challenge to disinfection, there is evidence that some wipes can effectively disinfect sensitive surfaces without causing harmful and costly damage.12 If care is taken when selecting a cleaning and disinfection wipe, it is possible to have antimicrobial efficacy without damaging sensitive surfaces and costly equipment. The key question which should be asked for every surface material and chemical used is: “Can the surface or device be cleaned and disinfected with the standard disinfectants used in this healthcare environment, without causing damage?” Answering this question in the affirmative will be a welcome step in driving improvement in environmental hygiene practices.


wiping in decontamination of high-touch environmental surfaces: review of current status and directions for the future. Am J Infect Control. 2013;41:S97–104


9. Sandle T, Cleaning and disinfection of dental practice surfaces, 2017, Dental Nursing, 13, 86- 87


10. Sandle T, Robust Infection Prevention, Dental Nursing, 2020, 16:7, 356-357


11. MHRA, Managing Medical Devices - Guidance for health and social care organisations January 2021


CSJ


*Acknowledgement: The authors would like to thank the Director General of Health Malaysia for his permission to publish this article.


References 1. Peters A, Schmid MN, Parneix P, Lebowitz D, de Kraker M, Sauser J, Zingg W, Pittet D. Impact of environmental hygiene interventions on healthcare-associated infections and patient colonization: a systematic review. Antimicrob Resist Infect Control. 2022 Feb 19;11(1):38.


2. Song, X., Vossebein, L. & Zille, A. Efficacy of disinfectant-impregnated wipes used for surface disinfection in hospitals: a review. Antimicrob Resist Infect Control 8, 139 (2019).


3. Medicines and Healthcare Products Regulatory Agency (2013) Detergent and disinfectant wipes used on reusable medical devices with plastic surfaces – risk of degrading plastic surfaces MDA/2013/019


4. CKS NICE, 2023, https://cks.nice.org.uk/topics/ healthcare-associated-infections/ accessed 20th October 2023


5. Rutala WA, Weber DJ. Monitoring and improving the effectiveness of surface cleaning and disinfection. Am J Infect Control. 2016;44(5 Suppl):e69-e76. doi:10.1016/j.ajic.2015.10.039


6. Boyce JM. Environmental contamination makes an important contribution to hospital infection. J Hosp Infect. 2007 Jun;65 Suppl 2:50-4. doi: 10.1016/S0195-6701(07)60015-2. PMID: 17540242.


7. Department of Health & Social Care, Health and Social Care Act 2008 https://www.gov.uk/government/ publications/the-health-and-social-care-act- 2008-code-of-practice-on-the-prevention-and- control-of-infections-and-related-guidance/ health-and-social-care-act-2008-code-of- practice-on-the-prevention-and-control-of- infections-and-related-guidance updated 2022 8. Sattar SA, Maillard JY. The crucial role of


12. Del Re D, Ikeno C, Smid K, Swift D. Effects of disinfectant wipes on sensitive healthcare surfaces. Antimicrob Resist Infect Control. 2015;4(Suppl 1):P40. Published 2015 Jun 16. doi:10.1186/2047-2994-4-S1-P40


13. Healthcare Surfaces Institute (HSI), 2021, Surface disinfection incompatibility with medical devices creates potential patient risks, https://www.healthcaresurfacesinstitute.


About the authors


An Associate Professor, Dr. Yew-Fong (Pamela) Lee is a distinguished healthcare professional with an impressive academic background, including a Ph.D. in Biomedical Sciences with a Global Health focus from Geneva University (2020) and a Public Health Certificate from the Swiss Schools of Public Health. Her expertise extends to a Master of Health Management from the University of New South Wales, Sydney (2014), and an M.B.B.S from Manipal Academy of Higher Education (2007) Currently, Dr. Lee holds diverse roles including Deputy Hospital Director (Medical) at Sarawak General Hospital MoH Malaysia, an Adjunct Associate Professor at the School and Medical and Life Sciences. Sunway University (Malaysia), and involvement in the World Health Organization’s hand hygiene and Infection Prevention and Control Research


Dr. Thomas Oh is the Asia Pacific manager for Medical & Scientific Affairs, at schülke & Mayr (Asia). He is an expert in antiseptic product, and Medical Affairs management within the region, with key expertise in infection prevention control. With more than 12 years in both research and Medical Affairs, coupled with experience with collaboration within and out of the region, he combines deep understanding and knowhow to establish collaborations and knowledge transfer to end-users for a greater patient reach and to fulfil the overall mission of schülke on the promise that, “We protect lives worldwide”.


December 2023 I www.clinicalservicesjournal.com 41


org/case-studies/surface-disinfection- incompatibility-with-medical-devices-creates- potential-patient-risks/ accessed 20th October 2023


14. Ustünsöz B. Hospital infections in radiology clinics. Diagn Interv Radiol. 2005;11(1):5-9.


15. Giacometti M, Gualano MR, Bert F, et al. Microbiological contamination of radiological equipment.Acta Radiol. 2014;55(9):1099-1103.


16. Levin PD, Shatz O, Sviri S, et al. Contamination of portable radiograph equipment with resistant bacteria in the ICU.Chest. 2009;136(2):426-432.


17. Lawson SR, Sauer R, Loritsch MB. Bacterial survival on radiographic cassettes. Radiol Technol. 2002;73(6):507-510.


18. Mollura DJ, Palmore TN, Folio LR, Bluemke DA. Radiology preparedness in ebola virus disease: guidelines and challenges for disinfection of medical imaging equipment for the protection of staff and patients. Radiology. 2015;275(2):538-544.


Technical Advisory Group. She plays a pivotal role in patient safety, infection control, and public health initiatives. Dr. Lee’s extensive engagement in various organisations and committees demonstrates her commitment to healthcare improvement, including work with the Malaysian Red Crescent Society, Society of Healthcare Epidemiology of America (SHEA), and the development of patient safety curricula.


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