3M Microbiology
3M™ Clean-Trace™ Hygiene Management Solution
Effective Hygiene
Monitoring
Management
© 3M Health Care Limited 2009. All rights reserved
3M Microbiology
What we’ll look at:
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ATP rapid hygiene testing: an introduction
HCAI Technology Innovation Programme & RRP status
3M™ Clean-Trace™ Hygiene Management Solution - benefits
Applications
Trial process
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3M Microbiology
ATP rapid hygiene testing: an introduction
• ATP rapid hygiene testing is based on the measurement of
adenosine triphosphate (ATP) - the energy molecule for all animal,
vegetable, bacteria, yeast and mould cells.
• A method to assess cleanliness of environmental surfaces in real
time.
• The technology detects the presence of organic residues, in
addition to microorganisms, which have been left on a surface
after inadequate cleaning and or sanitation.
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The Principle Behind ATP Bioluminescence
ATP:
Adenosine Triphosphate
The “energy currency” molecule of all living organisms
+
Luciferin/luciferase
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3M Microbiology
Simple Relationship
increase
increaseininlight
light(RLU)
(RLU)
increase
increaseininATP
ATPlevels
levels
increase
increaseininorganisms
organismsor
ororganic
organicresidues
residues
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3M Microbiology
Comparison of current methods for assessing hygiene
Results from a study undertaken in Beaumont Hospital in Ireland1
Method
ATP
Microbiological (ACC)
Presence of MRSA
Visual assessment
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Test points considered
acceptable or ‘clean’
71.5%
92.1%
95.0%
93.3%
3M Microbiology
The Benefits of Using ATP as a “Risk” Indicator
Organic residues
Microorganisms
DIRECT RISK
INDIRECT RISK
Contamination, infection
Encourage growth
of microorganisms
and possible cross contamination
Presence
Presenceof
ofATP
ATPindicates
indicatesdirect
directand
andindirect
indirectrisks
risks
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3M Microbiology
HCAI Technology Innovation Programme & RRP status
3M™ Clean-Trace™ Clinical ATP System
is the only ATP system to be awarded the
RRP Level 1 recommendation
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3M Microbiology
HCAI Technology Innovation Programme & RRP status
• Joint project between the UK Government Department of Health
and NHS Purchasing and Supply Agency
• Aims to speed up the development and introduction of new
technologies to help combat Healthcare Associated Infections
(HCAI) in our hospitals
• Six infection prevention products awarded Rapid Review Panel
Level 1 recommendation
• Evaluated in seven ‘Showcase Hospitals’ across England
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3M Microbiology
HCAI Technology Innovation Programme
– Showcase Hospitals Trial Report
• In each showcase hospital the product was used:
– June to October 2008
– On four wards
– Twenty test points per ward
– Seven days per week (over 53,000 readings)
Reductions in biocontamination levels were observed
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3M Microbiology
HCAI Technology Innovation Programme
– Showcase Hospitals Trial Report
• Strong evidence that RLU levels reduced over the time of the trials
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3M Microbiology
HCAI Technology Innovation Programme
– Showcase Hospitals Trial Report
• All seven hospitals experienced an overall decline in the level
of contamination from an average of 568 to 194 Relative Light
Units (RLU)
Example graph from The Royal Wolverhampton Hospitals NHS Trust
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3M Microbiology
HCAI Technology Innovation Programme
– Showcase Hospitals Trial Report
Cleaning managers were impressed with the results and the
improvements in their cleaning protocol:
“The Clean-Trace Clinical ATP system has been a great success;
staff are receiving feedback and becoming competitive”. At one
hospital it was also noted that the Clean-Trace Clinical ATP system
introduced a good spirit of competition among staff to ensure their
wards were the cleanest.”
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3M Microbiology
HCAI Technology Innovation Programme
– Showcase Hospitals Trial Report
For further information on the report ask for the Showcase
Hospitals Trial Report Summary from 3M Health Care.
To review the full report, please visit:
www.3m.co.uk/HospitalHygiene
or
www.showcasehospitals.com
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3M Microbiology
3M™ Clean-Trace™ Hygiene Management Solution
The Clean-Trace hygiene management solution represents a
major step forward in hygiene monitoring, bringing all of the
recognised benefits of using the Clean-Trace Clinical ATP
system with the added convenience of automated trend analysis
and online report generation.
The Clean-Trace hygiene management solution represents a
cost-effective solution which supports the focus on improved
quality of hospital cleanliness and hygiene management.
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3M Microbiology
3M™ Clean-Trace™ Hygiene Management Solution
Innovative solution that provides hospital-wide control, allowing the:
• Measurement, monitoring, improvement and control of the hospital
cleaning process
• Easy comparison of hygiene performance between different areas in a
hospital
• Demonstration with data of the trends in cleaning effectiveness
• Flexibility to scale up the solution across the hospital or Trust
• Easy management of data reporting with automated reports to all
stakeholders
• Continual improvement of hygiene standards
• Use of objective data to support compliance to DH hygiene standards
• Improvement of patient experience and hospital image
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3M Microbiology
3M™ Clean-Trace™ Hygiene Management Solution
The solution offers a comprehensive approach to ATP rapid
hygiene monitoring with the flexibility to scale up as hygiene
plans evolve. The solution includes:
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•
•
•
•
3M™ Clean-Trace™ Clinical ATP Swabs
3M™ Clean-Trace™ NGi Luminometer & Docking Station
3M™ Clean-Trace™ Online Reporting System
3M service and support
3M technical consultancy
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3M Microbiology
3M™ Clean-Trace™ Hygiene Management Solution
- How the solution works:
• Swab a surface using the 3M™ Clean-Trace™ Clinical ATP Swab
• Read the swab using the 3M™ Clean-Trace™ NGi Luminometer
– result provided in RLU and stored on the luminometer
• Upload results from the Clean-Trace NGi luminometer to the
3M™ Clean-Trace™ Online Reporting System
– via web browser simply requiring username and password
• Storage and auto-analysis of data, auto-generation and delivery
of reports by the Clean-Trace online reporting system
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3M Microbiology
3M™ Clean-Trace™ Hygiene Management Solution
- How the solution works:
• Reports automatically generated and emailed in PDF format to
the identified stakeholder at the scheduled frequency
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3M Microbiology
3M™ Clean-Trace™ Hygiene Management Solution
- Example reports:
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3M Microbiology
3M™ Clean-Trace™ Hygiene Management Solution
- Example reports:
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3M Microbiology
3M™ Clean-Trace™ Hygiene Management Solution
- Example reports:
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3M Microbiology
3M™ Clean-Trace™ Hygiene Management Solution
- Example reports:
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3M Microbiology
Benefits
• Easy to use:
– The simplicity of tests reduces variability from user to user ensuring
accurate and consistent results
– Minimal training required
– Easy integration into existing daily cleaning checks
• Rapid results:
– Results available in less than 30 seconds
– Allows assessment of the hygienic status of facilities in real time
– Enables immediate corrective actions and proactive cleaning
schedules
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3M Microbiology
Benefits
• Quantitative monitoring:
– Provides quantitative test scores in proportion to the amount of
organic matter present on the surface tested
– Enables the identification of potential high-risk areas
• Simple to interpret:
– Results are presented as Relative Light Units (RLU) that directly
relate to the degree of contamination on equipment or surfaces
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Benefits
• Reliable and accurate:
– Can be combined with subjective visual assessments to provide a more
accurate assessment of hygiene status.
– Superior repeatability2,3 and excellent sensitivity3
• Improved cleaning quality assurance:
– Enables potential adjustment of cleaning frequency, chemicals and
contact time
– May enable cost savings on cleaning materials and labour requirements
– Provides an excellent training tool – enabling personnel to see a clear
and immediate link between good hygiene practice and the hygiene test
result
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Benefits
• The NEW Online reporting system:
– Secure capture and storage of hygiene data
– Automated online report generation to help comply with audit
requirements
– Minimises administration time of preparing hygiene reports
– Reports provide easy identification of priority areas for targeted testing
– Clear identification of re-test results alongside original results showing
remedial actions and demonstrating due diligence
– Flexibility to choose the auto-generated report type, the target audience
and frequency of distribution
– Reports emailed to all identified stakeholders at scheduled frequency
– Automated alerts for hygiene non-conformance
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Applications
• Routine ward hygiene management
• Monitoring of mobile equipment
• Monitoring of equipment impacting tissue viability
• Outbreak & discharge deep cleans
• Confirmation of decontamination effectiveness
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Trial process
• Set up trial agreement
• Pre-trial training
• Trial
– support from 3M as required
• Trial de-brief and submission of evaluation forms
• 3M trial report
– based on results & evaluation forms
• Business case
– 3M has developed a business case template to assist in the adoption
process following the success of a trial
© 3M Health Care Limited 2009
3M Microbiology
Independent studies / references
1.
Is it really clean? An evaluation of the efficacy of four methods for determining
hospital cleanliness. Sherlock O et al, Journal of Hospital Infection, 2009.
2.
The repeatability of hygiene test systems in measurement of low levels of ATP.
W.J. Simpson, C.G. Giles, H.A. Flockhart. Cara Technology Limited, Leatherhead
Enterprise Centre, UK Report 30606, 27 July 2006.
3.
Protocol for assessing the sensitivity of hygiene test systems for live
microorganisms and food residue. W.J. Simpson, J.L. Archibald, C.J. Giles. Cara
Technology Limited, Leatherhead Enterprise Centre, UK Report 120906, 27 July
2006.
© 3M Health Care Limited 2009
3M Microbiology
Thank you for your time.
www.3m.co.uk/HospitalHygiene
3M and Clean-Trace are trademarks of 3M and Biotrace International PLC, a 3M company, and are used under license in Canada.
© 3M Health Care Limited 2009 3M Micro-C008A.001.Aug09