UV-visible marker confirms that environmental persistence of Clostridium difficile spores in toilets of patients with C. difficile-associated diarrhea is associated with lack of compliance with cleaning protocol.
2008

Using UV Markers to Check Toilet Cleaning for C. difficile

Sample size: 20 publication Evidence: moderate

Author Information

Author(s): Alfa Michelle J, Dueck Christine, Olson Nancy, DeGagne Pat, Papetti Selena, Wald Alana, Lo Evelyn, Harding Godfrey

Primary Institution: University of Manitoba

Hypothesis

Can a UV-visible marker be used to assess the cleaning compliance of housekeeping staff for toilets in a healthcare setting?

Conclusion

The study found that using a UV-visible marker effectively monitored cleaning compliance, revealing significant shortcomings in cleaning protocols for toilets used by patients with C. difficile.

Supporting Evidence

  • The average cleaning score for toilets of patients on isolation precautions was 1.23.
  • C. difficile was detected in 33% of samples from toilets of patients with CDAD.
  • 72% of the time, commodes were not cleaned properly.

Takeaway

This study used a special lotion that glows under UV light to see if toilets were cleaned properly. It showed that many toilets weren't cleaned well, especially for patients with a certain infection.

Methodology

The study applied a UV-visible marker to toilets and visually scored the cleaning compliance, while also testing for C. difficile presence using Rodac plates.

Potential Biases

Potential bias in reporting cleaning compliance due to observational nature of the study.

Limitations

The study had a small sample size and was limited to a specific healthcare setting.

Participant Demographics

Patients with diarrhea, some confirmed to have C. difficile and others not, in a healthcare setting.

Digital Object Identifier (DOI)

10.1186/1471-2334-8-64

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