2020 Volume 53 Issue 6 Pages 323-327
Dialysis therapy is administered in an environment in which patients and healthcare workers are at high risk of being exposed to blood, droplet-based horizontal direct contact transmission, and contact transmission (because many patients enter and leave the room). Recently, wiping and disinfection have been emphasized as ways to prevent contact transmission. At our hospital, quaternary ammonium compounds (QUAT) have been used for wiping and disinfection in our dialysis room, but given the existence of blood-borne viruses, chlorine compounds are considered to be more suitable. In this study, we introduced a multipurpose disinfectant cleaning agent (RST), containing a potassium peroxymonosulfate compound, which is recommended in the guidelines, and compared its cost and the number of cloths required per dialysis treatment with those of QUAT-based cleaning. After healthcare workers were educated about the proper usage of RST, the number of cloths used per dialysis treatment decreased, and the cleaning cost remained stable. In a re-verification study performed one year after the introduction of RST, the number of cloths used and the cleaning cost remained at their initial levels. When comparing products for disinfecting dialysis rooms, analyzing the product‘s unit price and its cost-effectiveness after educating healthcare workers regarding its use are important.
