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A highly structured approach that involves educational, procedural, and administrative interventions with repeated performance feedback to EMS by monitoring the thoroughness of cleaning with either adenosine 5'-triphosphate (ATP) assays or fluorescent dyes has been shown to be successful in reduction of microbial contaminants in patient rooms [ 17, 18].
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Ease of cleaning.
Discuss methods of cleaning.
Learn methods of cleaning.
Think about ease of cleaning.
Use natural cleaning supplies instead of cleaning with chemicals.
PDC: Post-discharge cleaning; FM: Fluorescent marker; ATP: Adenosine triphosphate; ACC: Aerobic colony counts; RLU: Relative light units; TDC: Thoroughness of disinfection cleaning (score); CFU: Colony-forming units.
CI, confidence interval; ACC, aerobic colony count; CFU, colony-forming units; TDC, thoroughness of disinfection cleaning; ATP, adenosine triphosphate; RLU, relative light units.
Therefore, the absence of an overall protective effect of hand-washing in our population-based sample might perhaps be explained in part by inadequate thoroughness of the cleaning, but since this study only collected information about frequency and not about thoroughness, it does not provide the data needed to support or reject this speculation.
Most of the questions were based on the established scientific facts in OHE such as caries preventive effect of fluoride, etiological role of dental plaque in gingivitis, role of twice daily frequency and thoroughness of tooth cleaning in preventing gingivitis, cariogenecity of sugar and refined starches, and carcinogenic potential of tobacco and betel nuts [ 15- 17].
We compared the three non-microbiologic methods to assess effectiveness of PDC to each other and to a microbiologic comparator through three analyses: the thoroughness of disinfection cleaning (TDC) score, the concordance of clean/dirty test results with the microbiologic comparator, and test characteristics compared with the microbiologic comparator.
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