{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T03:45:13Z","timestamp":1768103113665,"version":"3.49.0"},"reference-count":26,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2020,5,9]],"date-time":"2020-05-09T00:00:00Z","timestamp":1588982400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>We aimed to evaluate the impact of an educational intervention on the surface cleaning and disinfection of an emergency room. This is an interventional, prospective, longitudinal, analytical and comparative study. Data collection consisted of three stages (Stage 1\u2014baseline, Stage 2\u2014intervention and immediate assessment, Stage 3\u2014long term assessment). For the statistical analysis, we used a significance level of \u03b1 = 0.05. The Wilcoxon and the Mann\u2013Whitney test tests were applied. We performed 192 assessments in each stage totaling 576 evaluations. Considering the ATP method, the percentage of approval increased after the educational intervention, as the approval rate for ATP was 25% (Stage 1), immediately after the intervention it went to 100% of the approval (Stage 2), and in the long run, 75% of the areas have been fully approved. Stage 1 showed the existence of significant differences between the relative light units (RLU) scores on only two surfaces assessed: dressing cart (p = 0.021) and women\u2019s toilet flush handle (p = 0.014); Stage 2 presented three results with significant differences for ATP: dressing cart (p = 0.014), women\u2019s restroom door handle (p = 0.014) and women\u2019s toilet flush handle (p = 0.014); in step III, there was no significant difference for the ATP method. Therefore, conclusively, the educational intervention had a positive result in the short term for ATP; however, the same rates are not observed with the colony-forming units (CFU), due to their high sensitivity and the visual inspection method since four surfaces had defects in their structure.<\/jats:p>","DOI":"10.3390\/ijerph17093313","type":"journal-article","created":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T10:01:18Z","timestamp":1589191278000},"page":"3313","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Impact of Educational Intervention on Cleaning and Disinfection of an Emergency Unit"],"prefix":"10.3390","volume":"17","author":[{"given":"Bruna Andrade dos Santos","family":"Oliveira","sequence":"first","affiliation":[{"name":"Campus Tr\u00eas Lagoas, University of Mato Grosso do Sul, Tr\u00eas Lagoas 79600-080, Brazil"}]},{"given":"Lucas de Oliveira","family":"Bernardes","sequence":"additional","affiliation":[{"name":"Campus Tr\u00eas Lagoas, University of Mato Grosso do Sul, Tr\u00eas Lagoas 79600-080, Brazil"}]},{"given":"Adriano Menis","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Campus Tr\u00eas Lagoas, University of Mato Grosso do Sul, Tr\u00eas Lagoas 79600-080, Brazil"}]},{"given":"Juliana Dias Reis","family":"Pessalacia","sequence":"additional","affiliation":[{"name":"Campus Tr\u00eas Lagoas, University of Mato Grosso do Sul, Tr\u00eas Lagoas 79600-080, Brazil"}]},{"given":"Mara Cristina Ribeiro","family":"Furlan","sequence":"additional","affiliation":[{"name":"Campus Tr\u00eas Lagoas, University of Mato Grosso do Sul, Tr\u00eas Lagoas 79600-080, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2710-2122","authenticated-orcid":false,"given":"\u00c1lvaro Francisco Lopes","family":"de Sousa","sequence":"additional","affiliation":[{"name":"Network in Exposome Human and Infectious Diseases (NEHID), School of Nursing of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 14040-902, Brazil"},{"name":"Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa, 1349-008 Lisbon, Portugal"}]},{"given":"Denise de","family":"Andrade","sequence":"additional","affiliation":[{"name":"Network in Exposome Human and Infectious Diseases (NEHID), School of Nursing of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 14040-902, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9912-4446","authenticated-orcid":false,"given":"Dulce Aparecida","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Paulista School of Nursing, Federal University of S\u00e3o Paulo, S\u00e3o Paulo 04023-062, Brazil"}]},{"given":"Luis Velez","family":"Lap\u00e3o","sequence":"additional","affiliation":[{"name":"Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa, 1349-008 Lisbon, Portugal"}]},{"given":"Aires Garcia dos","family":"Santos Junior","sequence":"additional","affiliation":[{"name":"Campus Tr\u00eas Lagoas, University of Mato Grosso do Sul, Tr\u00eas Lagoas 79600-080, Brazil"}]}],"member":"1968","published-online":{"date-parts":[[2020,5,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1080\/15459624.2018.1531131","article-title":"Modeling the role of fomites in a norovirus outbreak","volume":"16","author":"Canales","year":"2019","journal-title":"J. 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