{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:36:24Z","timestamp":1787240184847,"version":"build-2736575974"},"reference-count":25,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2018,3,26]],"date-time":"2018-03-26T00:00:00Z","timestamp":1522022400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/legalcode"}],"content-domain":{"domain":["opennursingjournal.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["TONURSJ"],"published-print":{"date-parts":[[2018,3,26]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Failures in the processes of cleaning and disinfecting health service surfaces may result in the spread and transfer of pathogens that are often associated with healthcare-related infections and outbreaks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>To assess the effectiveness of environmental surface cleaning and disinfection in a hospital clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      The study was conducted in a nursing ward with 45 beds. A total of 80 samples from five high-touch surfaces were evaluated before and after cleaning and disinfection, using the following methods: visual inspection, adenosine triphosphate bioluminescence assay, aerobic colony count,\n                      <jats:italic>Staphylococcus aureus<\/jats:italic>\n                      colony count, and evaluation of resistance to methicillin. The data analysis used nonparametric comparative and correlative tests to observe any differences in the pre- and post- cleaning and disinfection results for the surfaces assessed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Effective cleaning and disinfection had a significant effect on only two surfaces when measured for the presence of adenosine triphosphate, the inner bathroom door handle (\n                      <jats:italic>p<\/jats:italic>\n                      =0.007) and the toilet bowl (\n                      <jats:italic>p<\/jats:italic>\n                      =0.01). When evaluated for\n                      <jats:italic>Staphylococcus aureus<\/jats:italic>\n                      colony count, the toilet flush handle also demonstrated a significant effect (\n                      <jats:italic>p<\/jats:italic>\n                      =0.04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The effectiveness of cleaning and disinfection of the surfaces tested was not satisfactory. An educational intervention is recommended for the cleaning and disinfection staff and the nursing team at the healthcare facility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice:<\/jats:title>\n                    <jats:p>The data in the study revealed that daily hospital cleaning and disinfection in the sampled sites are not sufficient in medical and surgical wards. Hospital cleanliness must be reevaluated from the point of view of materials, such as an adequate supply of clean cloths, in addition to establishing more precise cleanliness protocols and accurate monitoring systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2174\/1874434601812010036","type":"journal-article","created":{"date-parts":[[2018,3,29]],"date-time":"2018-03-29T01:09:23Z","timestamp":1522285763000},"page":"36-44","update-policy":"https:\/\/doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Effectiveness of Surface Cleaning and Disinfection in a Brazilian Healthcare Facility"],"prefix":"10.2174","volume":"12","author":[{"given":"Aires G.","family":"Santos-Junior","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriano M.","family":"Ferreira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oleci P.","family":"Frota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo A.","family":"Rigotti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa da S.","family":"Barcelos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvaro Francisco","family":"Lopes de Sousa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"de Andrade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odanir G.","family":"Guerra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara C.","family":"R. 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Infect."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"466","DOI":"10.1590\/0104-1169.0094.2577","volume":"23","author":"Ferreira A.M.","year":"2015","unstructured":"Ferreira AM, de Andrade D, Rigotti MA, de Almeida MTG, Guerra OG, dos Santos Junior AG. \n                    Assessment of disinfection of hospital surfaces using different monitoring methods. \n                    Rev Lat Am Enfermagem  \n                    2015; \n                    23\n                    (3)\n                    : 466-74.","journal-title":"Rev. Lat. Am. Enfermagem"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1016\/j.jhin.2011.07.007","volume":"80","author":"Vickery K.","year":"2012","unstructured":"Vickery K, Deva A, Jacombs A, Allan J, Valente P, Gosbell IB. \n                    Presence of biofilm containing viable multiresistant organisms despite terminal cleaning on clinical surfaces in an intensive care unit. \n                    J Hosp Infect  \n                    2012; \n                    80\n                    (1)\n                    : 52-5.","journal-title":"J. Hosp. Infect."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1097\/QCO.0b013e3283630f04","volume":"26","author":"Weber D.J.","year":"2013","unstructured":"Weber DJ, Anderson D, Rutala WA. \n                    The role of the surface environment in healthcare-associated infections. \n                    Curr Opin Infect Dis  \n                    2013; \n                    26\n                    (4)\n                    : 338-44.","journal-title":"Curr. Opin. Infect. Dis."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1067\/mic.2003.34","volume":"31","author":"Malik R.E.","year":"2003","unstructured":"Malik RE, Cooper RA, Griffith CJ. \n                    Use of audit tools to evaluate the efficacy of cleaning systems in hospitals. \n                    Am J Infect Control  \n                    2003; \n                    31\n                    (3)\n                    : 181-7.","journal-title":"Am. J. Infect. Control"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1080\/09603120802102465","volume":"18","author":"Dancer S.J.","year":"2008","unstructured":"Dancer SJ, White L, Robertson C. \n                    Monitoring environmental cleanliness on two surgical wards. \n                    Int J Environ Health Res  \n                    2008; \n                    18\n                    (5)\n                    : 357-64.","journal-title":"Int. J. Environ. Health Res."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1016\/j.jhin.2008.03.013","volume":"69","author":"Lewis T.","year":"2008","unstructured":"Lewis T, Griffith C, Gallo M, Weinbren M. \n                    A modified ATP benchmark for evaluating the cleaning of some hospital environmental surfaces. \n                    J Hosp Infect  \n                    2008; \n                    69\n                    (2)\n                    : 156-63.","journal-title":"J. Hosp. Infect."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"678","DOI":"10.1086\/598243","volume":"30","author":"Boyce J.M.","year":"2009","unstructured":"Boyce JM, Havill NL, Dumigan DG, Golebiewski M, Balogun O, Rizvani R. \n                    Monitoring the effectiveness of hospital cleaning practices by use of an adenosine triphosphate bioluminescence assay. \n                    Infect Control Hosp Epidemiol  \n                    2009; \n                    30\n                    (7)\n                    : 678-84.","journal-title":"Infect. Control Hosp. Epidemiol."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1086\/524331","volume":"29","author":"Hayden M.K.","year":"2008","unstructured":"Hayden MK, Blom DW, Lyle EA, Moore CG, Weinstein RA. \n                    Risk of hand or glove contamination after contact with patients colonized with vancomycin-resistant enterococcus or the colonized patients\u2019 environment. \n                    Infect Control Hosp Epidemiol  \n                    2008; \n                    29\n                    (2)\n                    : 149-54.","journal-title":"Infect. Control Hosp. Epidemiol."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1016\/j.jhin.2015.06.011","volume":"91","author":"Knape L.","year":"2015","unstructured":"Knape L, Hambraeus A, Lytsy B. \n                    The adenosine triphosphate method as a quality control tool to assess \u2018cleanliness\u2019 of frequently touched hospital surfaces. \n                    J Hosp Infect  \n                    2015; \n                    91\n                    (2)\n                    : 166-70.","journal-title":"J. Hosp. Infect."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1071\/HI12063","volume":"18","author":"Bogusz A.","year":"2013","unstructured":"Bogusz A, Stewart M, Hunter J, Yip B, Reid D, Robertson C, et al. \n                    How quickly do hospital surfaces become contaminated after detergent cleaning? \n                    Healthc Infect  \n                    2013; \n                    18\n                    (1)\n                    : 3-9.","journal-title":"Healthc. Infect."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1002","DOI":"10.1016\/j.ajic.2014.04.025","volume":"42","author":"Cloutman-Green E.","year":"2014","unstructured":"Cloutman-Green E, D\u2019Arcy N, Spratt DA, Hartley JC, Klein N. \n                    How clean is clean--is a new microbiology standard required? \n                    Am J Infect Control  \n                    2014; \n                    42\n                    (9)\n                    : 1002-3.","journal-title":"Am. J. Infect. Control"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1186\/s12879-017-2562-y","volume":"17","author":"Arroyo M.G.","year":"2017","unstructured":"Arroyo MG, Ferreira AM, Frota OP, et al. \n                    Effectiveness of ATP bioluminescence assay for presumptive identification of microorganisms in hospital water sources. \n                    BMC Infect Dis  \n                    2017; \n                    17\n                    (1)\n                    : 458.","journal-title":"BMC Infect. Dis."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1590\/S0104-11692011000300015","volume":"19","author":"Ferreira A.M.","year":"2011","unstructured":"Ferreira AM, Andrade D, Rigotti MA, Ferreira MVF. \n                    Condition of cleanliness of surfaces close to patients in an intensive care unit. Rev. Latino-Am. \n                    Enfermagem  \n                    2011; \n                    19\n                    (3)\n                    : 557-64.","journal-title":"Enfermagem."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"675","DOI":"10.1016\/j.bjid.2014.06.008","volume":"18","author":"Zambrano A.A.","year":"2014","unstructured":"Zambrano AA, Jones A, Otero P, Ajenjo MC, Labarca JA. \n                    Assessment of hospital daily cleaning practices using ATP bioluminescence in a developing country. \n                    Braz J Infect Dis  \n                    2014; \n                    18\n                    (6)\n                    : 675-7.","journal-title":"Braz. J. Infect. Dis."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1016\/j.jhin.2009.02.013","volume":"72","author":"Sherlock O.","year":"2009","unstructured":"Sherlock O, O\u2019Connell N, Creamer E, Humphreys H. \n                    Is it really clean? An evaluation of the efficacy of four methods for determining hospital cleanliness. \n                    J Hosp Infect  \n                    2009; \n                    72\n                    (2)\n                    : 140-6.","journal-title":"J. Hosp. Infect."},{"key":"ref18","first-page":"1","volume":"52","author":"Sehulster L.","year":"2003","unstructured":"Sehulster L, Chinn RY. \n                    Guidelines for environmental infection control in health-care facilities. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). \n                    MMWR Recomm Rep  \n                    2003; \n                    52\n                    (RR-10)\n                    : 1-42.\n                    \n                    http:\/\/ www.cdc.gov\/ncidod\/hip\/enviro\/guide.htm\n                    \n                    \n                 [Internet].","journal-title":"MMWR Recomm. Rep."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1016\/j.ajic.2012.09.019","volume":"41","author":"Luick L.","year":"2013","unstructured":"Luick L, Thompson PA, Loock MH, Vetter SL, Cook J, Guerrero DM. \n                    Diagnostic assessment of different environmental cleaning monitoring methods. \n                    Am J Infect Control  \n                    2013; \n                    41\n                    (8)\n                    : 751-2.","journal-title":"Am. J. Infect. Control"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"908","DOI":"10.1016\/j.ajic.2013.01.017","volume":"41","author":"Engelbrecht K.","year":"2013","unstructured":"Engelbrecht K, Ambrose D, Sifuentes L, Gerba C, Weart I, Koenig D. \n                    Decreased activity of commercially available disinfectants containing quaternary ammonium compounds when exposed to cotton towels. \n                    Am J Infect Control  \n                    2013; \n                    41\n                    (10)\n                    : 908-11.","journal-title":"Am. J. Infect. Control"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/j.jhin.2010.08.006","volume":"77","author":"Mulvey D.","year":"2011","unstructured":"Mulvey D, Redding P, Robertson C, et al. \n                    Finding a benchmark for monitoring hospital cleanliness. \n                    J Hosp Infect  \n                    2011; \n                    77\n                    (1)\n                    : 25-30.","journal-title":"J. Hosp. Infect."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"D23","DOI":"10.1080\/15459624.2013.852281","volume":"11","author":"Amodio E.","year":"2014","unstructured":"Amodio E, Cannova L, Villafrate MR, Merendino AM, Aprea L, Calamusa G. \n                    Analytical performance issues: comparison of ATP bioluminescence and aerobic bacterial count for evaluating surface cleanliness in an Italian hospital. \n                    J Occup Environ Hyg  \n                    2014; \n                    11\n                    (2)\n                    : D23-7.","journal-title":"J. Occup. Environ. Hyg."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1053\/jhin.1999.0717","volume":"45","author":"Griffith C.J.","year":"2000","unstructured":"Griffith CJ, Cooper RA, Gilmore J, Davies C, Lewis M. \n                    An evaluation of hospital cleaning regimes and standards. \n                    J Hosp Infect  \n                    2000; \n                    45\n                    (1)\n                    : 19-28.","journal-title":"J. Hosp. Infect."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1071\/HI13001","volume":"18","author":"Smith P.W.","year":"2013","unstructured":"Smith PW, Sayles H, Hewlett A, Cavalieri RJ, Gibbs SG, Rupp ME. \n                    A study of three methods for assessment of hospital environmental cleaning. \n                    Healthc Infect  \n                    2013; \n                    18\n                    : 80-5.","journal-title":"Healthc. Infect."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"1187","DOI":"10.1086\/662626","volume":"32","author":"Boyce J.M.","year":"2011","unstructured":"Boyce JM, Havill NL, Havill HL, Mangione E, Dumigan DG, Moore BA. \n                    Comparison of fluorescent marker systems with 2 quantitative methods of assessing terminal cleaning practices. \n                    Infect Control Hosp Epidemiol  \n                    2011; \n                    32\n                    (12)\n                    : 1187-93.","journal-title":"Infect. Control Hosp. Epidemiol."}],"container-title":["The Open Nursing Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/opennursingjournal.com\/contents\/volumes\/V12\/TONURSJ-12-36\/TONURSJ-12-36.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/opennursingjournal.com\/contents\/volumes\/V12\/TONURSJ-12-36\/TONURSJ-12-36.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/opennursingjournal.com\/contents\/volumes\/V12\/TONURSJ-12-36\/TONURSJ-12-36.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T01:20:19Z","timestamp":1555291219000},"score":1,"resource":{"primary":{"URL":"https:\/\/opennursingjournal.com\/VOLUME\/12\/PAGE\/36\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,26]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,3,26]]}},"alternative-id":["TONURSJ-12-36"],"URL":"https:\/\/doi.org\/10.2174\/1874434601812010036","relation":{},"ISSN":["1874-4346"],"issn-type":[{"value":"1874-4346","type":"print"}],"subject":[],"published":{"date-parts":[[2018,3,26]]},"assertion":[{"value":"Peer Reviewed","order":0,"name":"review_status","label":"Review Status","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Single blind","order":1,"name":"review_process","label":"Review Process","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Checked with iThenticate","order":0,"name":"screening_status","label":"Screening Status","group":{"name":"plagiarism_screening","label":"Plagiarism Screening"}},{"value":"2017-12-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-01-24","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-02-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-03-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}