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Westphal T.,Abteilung Infektiologie und Hygiene des Gesundheitsamtes Frankfurt Am Main | Voigt K.,Abteilung Infektiologie und Hygiene des Gesundheitsamtes Frankfurt Am Main | Heudorf U.,Abteilung Infektiologie und Hygiene des Gesundheitsamtes Frankfurt Am Main
Umweltmedizin in Forschung und Praxis | Year: 2014

According to the Infection Prevention Act, public health departments are obliged to supervise the quality of water for swimming and bathing in facilities for non-private use. This duty also encompasses the supervision of commercial facilities for "floating", which is increasingly offered for wellness purpose. Because the construction of these floating offers do not correspond to the standards of the DIN 19643 "Reprocessing of water in swimming and bathing pools", the supervision of these facilities are a special challenge to the public health department. In this paper, technique and operation of 8 floating constructions in 4 facilities in Frankfurt am Main, as well as the methods and results of the control investigations are presented. In facilities with water reprocessed by H2O2/ultraviolet radiation, turbidity exceeded the standards of the DIN 19643, and ammonium and total organic carbon increased steadily. In constructions reprocessed with Cl2, limits for fixed chlorine and trihalogenmethane were exceeded in nearly all tests. Microbiological parameters, however, were only to be objected on rare occasions, due to handling errors or technical defaults. Complaints of the users about hygiene problems or undesired health effects were not reported to the public health department. © ecomed Medizin, Verlagsgruppe Hüthig Jehle Rehm GmbH, Landsberg.


Hausemann A.,Abteilung Infektiologie und Hygiene des Gesundheitsamtes Frankfurt Am Main | Hofmann H.,Abteilung Infektiologie und Hygiene des Gesundheitsamtes Frankfurt Am Main | Heudorf U.,Abteilung Infektiologie und Hygiene des Gesundheitsamtes Frankfurt Am Main
Umweltmedizin in Forschung und Praxis | Year: 2014

Background: The monitoring of infection control practices in medical institutions is a central and important duty of local health offices (§ 23 Protection against Infection Act [IfSG]). In 2003 and in 2013, all offices of non-medical practioners in Frankfurt am Main performing invasive procedures for diagnosis or therapy had been monitored (2003: 76 offices, 2013: 48 offices). Methods: All non-medical practioners performing invasive procedures according to their own statements were visited and monitored using a checklist by staff of the health authority. Results: In 48 (76) offices invasive procedures were applied (figures from 2003 in parantheses): 34 (70) acupuncture, 20 (32) cupping therapy, 27 (19) injections/infusions, 2 (10) ozone-therapy, 1 (8) Baunscheidt-therapy and 4 (6) colon-hydrotherapy. 96% (47%) of the offices had a cleaning- and disinfection plan and 73% (9%) had a hygiene plan. Dispensers for soap, towels and disinfectants were available at the hand wash basins in 100%, 98% and 94% (92%, 87% and 33%) of the offices. VAHlisted hand- and skin disinfectants were present in 98% (94%), VAH listed surface disinfectants in 94% (88%) of the offices. A (manual) disinfection of semicritical instuments was performed in 48% (49%) of the offices, the disinfectant used for instruments was in 87% (49%) VAH-listed in these practices. Critical instruments were not processed in 2013, while in 2003 26% of offices had processed such instruments, partly with significant procedural errors.Discussion: In the year 2013 non-medical practioners apply less invasive procedures than in the year 2003. The requirements for an adherence to infection control practices - equipment with disinfectants, disinfection procedures - were considerably better in 2013 compared to 2003. The identified problems with various oxygenation procedures and with the processing of critical medical devices were not observed in 2013, partly because these methods were not applied any more or only single-use devices were utilized. © ecomed Medizin, Verlagsgruppe Hüthig Jehle Rehm GmbH, Landsberg.

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