Implementation of a steam terminal cleaning service in operating rooms

Authors

  • Sandra Terumi Yoshino Enfermeira; Especialista em Enfermagem em Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização pela Faculdade Israelita de Ciências da Saúde Albert Einstein (FICSAE), São Paulo, SP
  • Ana Cristina Cardoso Hering Enfermeira; Especialista em Enfermagem em Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização pela Faculdade Israelita de Ciências da Saúde Albert Einstein (FICSAE), São Paulo, SP
  • Rachel de Carvalho Enfermeira; Doutora em Enfermagem pela Escola de Enfermagem da Universidade de São Paulo; Docente dos Cursos de Graduação e Pós-Graduação da FICSAE; Docente e Membro da Diretoria Colegiada do Mestrado Profissional em Enfermagem da FICSAE, São Paulo, SP

DOI:

https://doi.org/10.5327/Z1414-4425201500020008

Keywords:

Serviço hospitalar de limpeza, Salas cirúrgicas, Desinfecção, Contaminação

Abstract

Objective: To report the experience of the first implementation of a steam terminal cleaning service in operating rooms at a private hospital in São Paulo, Brazil. Method: A descriptive and narrative study of a case report, through a review of the different types of hospital cleaning, with emphasis on steam cleaning of operating rooms. Results: The implementation of steam cleaning and disinfecting in operating rooms showed positive results, such as optimization and quality in the work process, occupational safety, reduced time of terminal cleaning and room working, procedure automation, environmental benefits (saving water and chemicals), and security by providing an environment free of important pathogens for the development of infections. Conclusion: Steam cleaning is an effective alternative to hospital hygiene combined with technology. The steam system is able to effectively reduce the microbial load on surfaces with higher quality and safety. Keywords: Housekeeping, Hospital. Operating rooms. Disinfection. Contamination.

References

Assad C, Reinehr E, Siliprandi EM, Costa G. Limpeza e desinfecção de superfícies. In: Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária (ANVISA). Segurança do paciente em serviços de saúde: limpeza e desinfecção de superfícies [Internet]. Brasília; 2010. [citado 15 nov 2014]. Disponível em: http://portal.anvisa.gov.br/wps/wcm/connect/4ec6a200474592fa9b32df3fbc4c6735/Manual+Limpeza+e+Desinfeccao+WEB.pdf?MOD=AJPERES

Andrade D, Angerami EL, Padovani CR. Condição microbiológica dos leitos hospitalares antes e depois de sua limpeza. Rev Saúde Pública [Internet]. 2000 [citado 18 dez 2014]; 34(2):163-9. Disponível em: http://www.scielo.br/ scielo.php?script=sci_arttext&pid=S00348910200000200010&lng=en&nrm=iso

Carling PC, Parry MF, Von Beheren SM. Identifying opportunities to enhance environmental cleaning in 23 acute care hospitals. Infect Control Hosp Epidemiol. 2008;29(1):1-7.

Andersen BM, Rasch M, Kvist J, Tollefsen T, Lukkassen R, Sandvik L, et al. Floor cleaning: effect on bacteria and organic materials in hospital rooms. J Hosp Infect. 2009;71(1):57-65.

Torres S, Lisboa TC. Gestão dos serviços: limpeza e desinfecção de superfícies e processamento de roupas em serviços de saúde. 4 ed. Rio de Janeiro (RJ): Sarvier; 2014.

Centers for Disease Control and Prevention (CDC). Guidelines for environmental infection control in health-care facilities: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). MMWR [Internet]. 2003 [cited 2014 Nov 15];52(10):1-48. Available from: http://www.cdc.gov/hicpac/pdf/guidelines/eic_in_HCF_03.pdf

Associação Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização (SOBECC). Práticas recomendadas SOBECC: centro de material e esterilização, centro cirúrgico, recuperação pós-anestésica. 6 ed. Barueri (SP): Manole/SOBECC; 2013.

Carvalho R. Conceitos básicos no bloco cirúrgico/classificação de áreas e artigos/classificação de cirurgias. In: Carvalho R, coordenadora. Enfermagem em centro de material, biossegurança e bioética. Barueri (SP): Manole; 2015. p. 35-57.

Kawagoe JY. Métodos de limpeza e desinfecção/tipos de limpeza de sala operatória. In: Carvalho R, coordenadora. Enfermagem em centro de material, biossegurança e bioética. Barueri (SP): Manole; 2015. p. 59-69.

Osprey Deep Clean Steam Cleaning Technology. Validation of the osprey deep clean steam cleaning technology in a healthcare environment. Osprey Deep Clean 2008. Osprey Deep Clean Nederland BV, Rotterdam [cited 22 Nov 2014]. Available from: http://www.ospreydc.com/sectors/#MainBenefits

Exner M. Divergent opinions on surface disinfection: myths or prevention? A review of the literature. GMS Krankenhaushyg Interdiszip [Internet]. 2007 [cited 2014 Nov 25];2(1):19. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831491/pdf/KHI-02-19.pdf

Associação Paulista de Epidemiologia e Controle de Infecção Relacionada à Assistência à Saúde (APECIH). Higiene, desinfecção ambiental e resíduos sólidos em serviços de saúde. 3 ed. São Paulo (SP): APECIH; 2013.

Cervo AL, Bervian PA, Silva R. Metodologia científica. 6 ed. São Paulo: Pearson Prentice Hall; 2007.

Gil AC. Métodos e técnicas de pesquisa social. 6 ed. São Paulo: Atlas; 2008.

Hospital Israelita Albert Einstein (HIAE). Sociedade Beneficente Israelita Brasileira. Instalações cirúrgicas [Internet]. [citado 27 nov 2014]. Disponível em: http://www.einstein.br/Hospital/cirurgia/Paginas/instalacoes.aspx

Sexton JD, Tanner BD, Maxwell SL, Gerba CP. Reduction in the microbial load on high-touch surfaces in hospital rooms by treatment with a portable saturated steam vapor disinfection system. Am J Infect Control. 2011;39:655-62.

Tanner BD. Reduction in infection risk through treatment of microbially contaminated surfaces with a novel, portable, saturated steam vapor disinfection system. Am J Infect Control. 2009;37:20-7.

Barreto RA, Rocha-Vilefort LO, Silva AC, Prado-Palos MA, Barbosa MA, Borges VP. Processo de limpeza da sala operatória: riscos à saúde do usuário e do trabalhador. Rev Eletron Enferm [Internet]. 2011 [citado 10 fev 2015];13(2):269-75. Disponível em: http://www.fen.ufg.br/revista/v13/n2/v13n2a13.htm

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Published

2015-06-01

How to Cite

Yoshino, S. T., Hering, A. C. C., & Carvalho, R. de. (2015). Implementation of a steam terminal cleaning service in operating rooms. Revista SOBECC, 20(2), 119–125. https://doi.org/10.5327/Z1414-4425201500020008

Issue

Vol. 20 No. 2 (2015)

Section

CASE REPORT

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