| dc.description.abstract | Objectives: This review aims to analyze the studies on cleaning practices and the efficiency
of the cleaning carried out in environments that have a great risk of resistant microorganism
infection, such as intensive care units.
Methods: In this study, a retrospective literature review was undertaken of the relevant publications
between the years 2005 and 2020, using the keywords ‘‘Cross Infection, Infection
Control, Multidrug-Resistant Bacteria, Intensive Care, Room Cleaning, Environmental Cleaning,
Hospital-Associated Infection’’; using the international databases Pubmed, CINAHL and
EBSCO and domestic database ULAKBIM on search engines. Titles and abstracts of all relevant
articles found on electronic searches were reviewed by the researchers independently. The Preferred
Reporting Items for Systematic Review and Meta-Analysis Protocols guideline and Patient,
Intervention, Comparison, Outcomes, Study design model were used in analysing the studies.
Results: The selected studies were reviewed in four main categories: Materials used in cleaning,
the period between taking environmental samples, cleaning methods, and the efficiency
of cleaning. Among the studies included herein, eight were randomized controlled trials, three
were retrospective intervention studies, two were case-control studies and one was a retrospective
cohort study.
Conclusions: Today, the assessment of cleaning in environments can be evaluated by different
methods, but there are advantages and disadvantages of these methods. Therefore, in the
relevant literature, it is suggested that cleaning must be evaluated by several methods, not
only one. Also, training the staff that carries out the cleaning and rewarding correct behavior by
giving feedback are important approaches to increase the efficiency of cleaning. It is suggested
that cleaning must be carried out every day, regularly with effective methods and equipment; frequency of cleaning during epidemics must be increased, institutions must prepare cleaning
manuals according to evidence-based guidelines that are recognized at an international level. | tr |
