Introduction
Enviromental bioburdon is a potential source of healthcare associated infections (HAI) but there has been no evidence based science to authenticate this. Cleaning practices in healthcare environments is often set in place by the environmental service workers (with minimal exposure to medical concepts) and continued. Standard guidelines of cleaning process are lacking, and as there is no scientific standard to measure the effect of the process and the bioburden, it is often not addressed by medical community. Monitoring of cleanliness is by visual audit (outdated, inadequate and scientifically obsolete) which is a purely aesthetic parameter and subjective. We put in protocols for the cleaning of patient zone and high touch surfaces for the ICU after we had an outbreak of Acinetobacter baumanni infections. We added also an indigenous (detergent) mat at the entrance of the o ICU to decrease the biobuden.