Health Care Settings , 3rd Edition

1 best practices for environmental Cleaning for Prevention and Control of Infections in All Health care Settings , 3rd Edition April 2018 Public Health Ontario Public Health Ontario is a Crown corporation dedicated to protecting and promoting the Health of all Ontarians and reducing inequities in Health . Public Health Ontario links public Health practitioners, frontline Health workers and researchers to the best scientific intelligence and knowledge from around the world. Public Health Ontario provides expert scientific and technical support to government, local public Health units and Health care providers relating to the following: communicable and infectious diseases infection prevention and control environmental and occupational Health emergency preparedness Health promotion, chronic disease and injury prevention public Health laboratory servicesPublic Health Ontario's work also includes surveillance, epidemiology, research, professional development and knowledge services.

2 For more information, visit How to cite this document: Ontario Agency for Health Protection and Promotion (Public Health Ontario), Provincial Infectious Diseases Advisory Committee. best practices for environmental cleaning for prevention and control of infections in all Health care Settings . 3rd ed. Toronto, ON: Queen s Printer for Ontario; 2018. Public Health Ontario acknowledges the financial support of the Ontario Government. Queen s Printer for Ontario, 2018 Publication history: 1st Edition : December 2009 2nd Edition : May 2012 3rd Edition : April 2018 PIDAC: best practices for environmental Cleaning for Prevention and Control of Infections | April 2018 i About PIDAC-IPC The Provincial Infectious Diseases Advisory Committee on Infection Prevention and Control (PIDAC-IPC) is a multidisciplinary scientific advisory body that provides evidence-based advice to Public Health Ontario (PHO) regarding multiple aspects of infectious disease identification, prevention and control.

3 Provincial Infectious Diseases Advisory Committee (PIDAC) Tel: 647-260-7100 Email: Disclaimer This document was developed by the Provincial Infectious Diseases Advisory Committee on Infection Prevention and Control (PIDAC-IPC). PIDAC-IPC is a multidisciplinary scientific advisory body that provides evidence-based advice to Public Health Ontario (PHO) regarding multiple aspects of infectious disease identification, prevention and control. PIDAC-IPC s work is guided by the current best available evidence at the time of publication and updated as required. best Practice documents and resources produced by PIDAC-IPC reflect consensus positions on what the committee deems prudent practice and are made available as a resource to public Health and Health care providers.

4 The application and use of this document is the responsibility of the user. PHO assumes no liability resulting from any such application or use. This document may be reproduced without permission for non-commercial purposes only and provided that appropriate credit is given to PIDAC-IPC and PHO. No changes and/or modifications can be made to this document without express written permission from PHO. PIDAC: best practices for environmental Cleaning for Prevention and Control of Infections | April 2018 ii Authors/Contributors Public Health Ontario would like to acknowledge the contribution and expertise of the following individuals who participated in the development of this document: PIDAC-IPC MEMBERS Dr.

5 Matthew Muller, chair Medical Director, Infection Prevention and Control St. Michael s Hospital, Toronto Chingiz Amirov Director, Infection Prevention and Control Baycrest Health Sciences, Toronto Dr. Irene Armstrong (up to June 2016) Associate Medical Officer of Health Toronto Public Health , Toronto Anne Bialachowski (up to June 2017) Manager, Infection Prevention and Control St. Joseph s Health Centre, Hamilton Sandra Callery (up to June 2016) Director (former), I nfection Prevention and Control Sunnybrook Health Sciences Centre, Toronto Dr. William Ciccotelli Infectious Disease and Medical Microbiology Grand River Hospital, KitchenerJudy Dennis Manager, Infection Prevention and Control Children s Hospital of Eastern Ontario, Ottawa Dr.

6 Susy Hota Medical Director, Infection Prevention and Control University Health Network, Toronto General Hospital, Toronto Dr. Allison McGeer Director, Infection Control Mount Sinai Hospital, Toronto Vydia Nankoosingh Manager, Infection Prevention and Control The Scarborough Hospital, Toronto Catherine Richard (up to December 2016) Manager, Occupational Health & Safety Program Champlain Community care Access Centre Dr. Herveen Sachdeva (from October 2016) Associate Medical Officer of Health Toronto Public Health , Toronto EX-OFFICIO MEMBERS Erika Bontovics (up to April 2016) Manager (former), Infectious Diseases Policy and Programs Ministry of Health and Long-Term care , Toronto Dr.

7 Gary Garber Chief, Infection Prevention and Control Public Health Ontario, Ottawa Dr. Leon Genesove (up to December 2016) Chief Physician, Health care Unit Occupational Health and Safety Branch Ministry of Labour, Toronto Melissa Helferty (from May 2017) Manager, Infectious Diseases Policy and Programs Unit Ministry of Health and Long-Term care , Toronto Caroline Marshall (from October 2016 to April 2017) Senior Policy and Program Advisor, Infectious Diseases Policy and Programs Unit Ministry of Health and Long-Term care , Toronto Dr. Deborah Parachin (January and February 2017) Senior Medical Consultant, Health care Unit Occupational Health and Safety Branch Ministry of Labour, Toronto Dr.

8 Nikhil Rajaram (from March 2017) Medical Consultant, Health care Unit Occupational Health and Safety Branch Ministry of Labour, Toronto PIDAC: best practices for environmental Cleaning for Prevention and Control of Infections | April 2018 iii PUBLIC Health ONTARIO STAFF Sandra Callery (from June 2016) Director, Infection Prevention and Control Dr. Maureen Cividino Infection Prevention and Control Physician Tim Cronsberry Director (Acting), Infection Prevention and Control Cathy Egan (up to December 2015) Director (former), Infection Prevention and Control Dr. Jennie Johnstone Infection Prevention and Control Physician Dr.

9 Kevin Katz Infection Prevention and Control Physician Mabel Lim Program Infection Prevention and Control Specialist/Technical Writer Colin MacDougall Research Coordinator/Technical Writer Francine Paquette Regional Infection Prevention and Control Specialist Dr. Samir Patel Clinical Microbiologist Public Health Ontario Laboratory Dr. Jennifer Robertson Manager, Infection Prevention and Control Barbara Shea (up to November 2016) Network Coordinator Jeff Smith Research Coordinator Dr. Mary Vearncombe, former chair (up to April 2017) Infection Prevention and Control Physician EXTERNAL CONSULTANTS Additionally, PIDAC-IPC would like to thank the following individuals for their time and commitment in supporting PIDAC-IPC in its review and update of this PIDAC best practice document: Keith Sopha environmental Services Consultant and Founder of CleanLearning Barbara Paul Education Chair, Ontario Healthcare Housekeepers Association Inc.

10 (OHHA) PIDAC: best practices for environmental Cleaning for Prevention and Control of Infections | April 2018 iv In addition, PIDAC-IPC is grateful to the following individuals who contributed to the development and production of the 2012 Edition of this document: PIDAC-IPC MEMBERS Dr. Mary Vearncombe, Chair Medical Director Infection Prevention and control, Microbiology Sunnybrook Health Sciences Centre, Toronto Dr. Irene Armstrong Associate Medical Officer of Health Toronto Public Health , Toronto Donna Baker Manager, Infection Prevention and Control Bruy re Continuing care , Ottawa Anne Bialachowski Manager, Infection Prevention and Control St.