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What	is	the	difference	between	cleaning,	sanitizing,	and	
disinfecting?		
Cleaning	is	done	with	water,	a	cleaning	product,	and	
scrubbing.	Cleaning	does	not	kill	bacteria,	viruses,	or	fungi,	
which	are	generally	referred	to	as	“germs.”	Cleaning	
products	are	used	to	remove	germs,	dirt,	and	other	organic	
material	by	washing	them	down	the	drain.		
	
Sanitizing	and	disinfecting	products	are	chemicals	that	work	
by	killing	germs.	These	chemicals	are	also	called	
antimicrobial	pesticides.	They	are	regulated	by	the	U.S.	
Environmental	Protection	Agency	(EPA).	Disinfectants	kill	
more	germs	than	sanitizers.	In	most	cases,	a	cleaning	product	
is	used	first.	Then	the	surface	is	either	sanitized	or	
disinfected.		
	
Infectious	diseases	are	caused	by	germs	(also	called	microbes	
or	microorganisms)	that	get	into	our	bodies	and	reproduce,	
causing	symptoms	that	make	us	feel	sick.	They	can	spread	
from	one	person	(or	animal)	to	another	when	germs	leave	
one	body	and	get	into	another.	Sometimes	infectious	
diseases	are	also	called	communicable	or	contagious	
diseases.	Microbes	that	cause	disease	are	called	pathogens.
There	are	different	kinds	of	germs		
	
Viruses	are	the	most	common	cause	of	illness.	They	are	
very	small.	Viruses	can’t	live	on	surfaces	for	very	long.	
The	common	cold	is	a	group	of	symptoms	caused	by	200	
different	viruses.	This	is	why	young	children	get	8–10	
colds	a	year.	There	are	always	more	cold	viruses	that	
they	haven’t	had	yet!	Viruses	also	cause	intestinal	and	
respiratory	flu.	Antibiotics	kill	bacteria	but	cannot	kill	
viruses!	They	should	not	be	used	to	treat	illnesses	
caused	by	viruses.	Luckily,	we	get	better	from	most	viral	
illnesses	without	medical	treatment.		
	
Bacteria	are	more	complex	than	viruses.	They	can	live	
and	reproduce	independently.	Some	can	survive	on	
surfaces	for	a	long	time,	feeding	off		dirt	or	food	and	
water.	Most	are	harmless	or	even	beneficial	to	us.	They	
help	us	to	digest	food	as	well	as	prevent	infections	
caused	by	harmful	bacteria.	Common	bacterial	infections	
include	some	ear	infections,	some	cases	of	diarrhea,	
strep	throat,	and	urinary	tract	infections.	Bacteria	can	
also	cause	more	serious	infections	such	as	tuberculosis,	
whooping	cough,	staph	infections,	bacterial	pneumonia,	
and	bacterial	meningitis..
Some	bacteria	–	for	example,	methicillin-resistant	
Staphylococcus	aureus	(MRSA)	–	have	developed	ways	to	
resist	antibiotics	and	can	cause	serious	infectious	diseases	
that	are	hard	to	treat.	Bacteria	often	attach	to	surfaces,	
especially	moist	ones,	and	form	dense	mats	called	biofilm.	
Bacteria	in	biofilms	are	much	harder	to	kill.	Keeping	surfaces	
clean	and	dry	prevents	biofilms	from	developing.		
	
When	we	kill	germs	on	a	surface	with	a	chemical	
disinfectant,	it	is	important	to	think	of	this	as	temporary.	
The	surface	will	be	home	to	new	germs	as	soon	as	it	is	
touched	by	hands,	or	sneezed	or	coughed	on.	Bacteria	can	
grow	and	divide	very	fast.	They	can	double	in	number	in	10	
minutes	when	they	have	food	and	water.		
	
Fungi,	including	yeasts	and	molds,	are	every-	where.	They	
can	survive	on	surfaces	for	long	periods.	Fungi	can	cause	
common	skin	infections	such	as:	diaper	rash;		thrush	in	
babies'	mouths;	ringworm;	athlete's	foot;	scalp	infections,	
such	as	tinea	capitis;	and	nail	infections.
These	infections	are	bothersome	and	can	sometimes	
take	months	to	go	away,	but	they	don’t	cause	serious	
illness	in	children	with	healthy	immune	systems.	They	
also	don’t	spread	and	cause	infection	in	the	rest	of	the	
body	in	healthy	people.		
	
Mold	can	be	found	anywhere	there	is	constant	
moisture,	like	bathrooms	and	kitchens.	You	cannot	
“catch”	mold	from	another	person.	Mold	can	cause	
irritations	of	the	eye,	skin,	nose,	throat,	and	lungs,	and	
can	trigger	asthma.	It	can	produce	an	allergic	reaction	
in	some	people.	The	best	way	to	control	mold	indoors	
is	to	get	rid	of	moisture	and	leaks.
Nano	silver	particles	surround	all	germs	and	penetrate	its	
plasma	(the	outer	membrane)	bonding	to	its	DNA	and	
destroying	it.	The	silver	nano	molecules	also	attack	the	
germs	membrane	by	exploding	the	critical	critical	proteins	
on	top	of	its	membrane;	effectively	and	safely	killing	all	
strains	and	mutations	of	harmful	organisms.	The	presence	
of	nano	copper	molecules	in	NanoSpa	makes	the	nano	
silver	molecules	act	that	much	quicker-"activating"	it-
resulting	in	much	shorter	time	necessary	to	kill	all	germs.
All	hospitals	should	provide	a	written	specification	of	
cleaning	services	and	their	delivery	for	all	areas	of	the	
hospital,	whether	provided	by	in-house	or	externally	
contracted	staff	These	should	be	reviewed	on	a	regular	
basis	by	cleaning	supervisors,	hospital	managers,	and	
structural	facilities	and	infection	control	personnel.	Recent	
recommendations	on	innovation	and	research	in	infection	
control	support	the	opportunity	for	hospitals	to	test	new	
cleaning	and	decontamination	technologies	and	publish	
their	findings.	
Near-patient	hand	touch	sites	constitute	the	bulk	of	critical	
surfaces	in	a	ward.	Routine	decontamination	is	usually	
included	within	institutional	cleaning	policies,	including	
designated	tasks	for	a	range	of	staff.	This	can	vary	between	
occupied	and	non-occupied	beds,	electrical	and	
nonelectrical	items,	and	clinical	and	nonclinical	equipment,	
all	of	which	illustrates	cleaning	complexities	and	the	
potential	for	fragmented	responsibility	between	
housekeeping,	nursing,	and	other	clinical	staff.	Daily	
attention	with	detergent	wipes	may	be	sufficient	to	control	
bio-burden	on	an	acute-care	ward,	but	high-risk	sites	in	
intensive	care	units	may	require	more	frequent	attention.	
Two	studies	have	clearly	shown	how	MRSA	rapidly	re-
contaminates	high-touch	sites	in	the	ICU	setting	after	
cleaning.
All	clinical	equipment	should	be	cleaned	and/or	
decontaminated	before	and	after	use	for	all	patients	
regardless	of	how	often	it	is	used,	where	it	is	used,	or	
what	it	is.	An	item	intended	for	patient	use	should	be	
inspected	carefully	before	it	is	employed,	and	if	prior	
cleaning	is	not	evident	by	either	notification	or	obvious	
soiling,	then	it	should	be	immediately	cleaned	
according	to	local	policies.	Many	hospitals	now	ask	staff	
to	flag	specific	pieces	of	equipment	to	show	that	they	
were	appropriately	cleaned	and/or	decontaminated	
after	use.	This	is	especially	important	for	items	such	as	
commodes	and	other	non-disposable	apparatus	used	
for	toileting	and	therefore	at	high	risk	of	
contamination.	There	are	other	utensils	that	might	
come	into	contact	with	blood	and/or	body	fluids,	e.g.,	
pulse	oximeters,	thermometers,	blood	sugar	test	kits,	
saturation	probes,	etc.,	and	these	should	also	be	
subjected	to	stringent	cleaning	and	disinfection	before	
and	after	use.	Doctors'	stethoscopes	have	long	been	
the	subject	of	cleaning	audits	and	remain	a	likely	source	
of	contamination	for	a	range	of	microbial	flora.	Wiping	
with	alcohol	is	effective	for	decontaminating	
stethoscopes,	but	it	appears	that	even	this	simple	
procedure	is	abandoned,	ignored,	or	forgotten	when	
staff	are	overworked.
There	are	alternative	ways	of	assessing	the	health	care	
environment,	notably	monitoring	the	efforts	of	cleaning	staff	
rather	than	measuring	residual	bi-oburden	on	surfaces.	Most	
environmental	failures	are	likely	due	to	personnel	themselves,	
not	products	or	practices.	Assessment	of	the	cleaning	process	
can	be	introduced	by	using	educational	strategies,	direct	and	
indirect	cleaning	inspections,	observation,	scientific	
monitoring,	and	feedback	to	staff.	that	the	use	of	fluorescent	
markers	is	linked	with	decreased	transmission	of	hospital	
pathogens.

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