What is the difference between hospital hygiene and hospital cleanliness?

This guest post is by Prof Sally Bloomfield, Chairman, International Scientific Forum on Home Hygiene (IFH)

At Infection Prevention 2024 in September, I gave a presentation on this issue which I found challenging and thought-provoking to write. I started from the point that environmental hygiene and cleanliness in healthcare settings has 2 fundamentally different functions:

“Hygiene” through practices that reduce risk of exposure of patients, healthcare personnel and visitors to pathogenic microbes“Visual cleanliness” is vital to sustaining patient, visitor and staff perception that high quality care is being delivered
Physical removal and/or disinfection to reduce microbial contamination on environmental surfaces (and air) to an acceptable (safe) levelPhysical removal of dust, soil, etc by mechanical action with or without detergent, until visibly clean
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