NeoCLEAN: a multimodal strategy to enhance environmental cleaning in a resource-limited neonatal unit

Table 2 Impact of the neoCLEAN multimodal intervention on the adequacy of routine environmental cleaning

Metric to assess the adequacy of routine cleaning	Phase of the neoCLEAN multimodal intervention			p value
Metric to assess the adequacy of routine cleaning	P1 (baseline) (%)	P2 (early intervention) (%)	P3 (late intervention) (%)	p value
Proportion of swabs^a with no bacterial growth	49	66	69	p = 0.007
Proportion of swabs^a yielding potential pathogens	22	19	14	p = 0.336
Proportion of UV gel markers removed	23	71	74	p < 0.001
Proportion of ATP swab readings < 200 relative light units (RLU)	40	54	65	p = 0.002

^aSwabs from surface and equipment items evaluated (n = 100) included: stethoscopes (n = 4); flat surfaces of tables and workbenches (n = 8); computer keyboards (n = 2); telephones (n = 2); sinks (n = 4); medication trolley (n = 1); cots (n = 5); mecas (n = 5); incubators (n = 10); incubator/cot mattresses (n = 5); medical notes folders (n = 5); baby scale (n = 1); intravenous fluid infusion pumps (n = 5); saturation monitors (n = 5); bedside trolleys (n = 5); CPAP machines (n = 2); nasal cannula oxygen humidifier water (n = 7); suction tubing/bottles (n = 4); laryngoscope blade (n = 1); haemoglobinometer (n = 1); glucometer (n = 1); thermometers (n = 2); scissors (n = 2); milk fridges (n = 2); paper towel dispensers (n = 4); staff mobile phones (n = 5)

ISSN: 2047-2994