Effect of gloved hand disinfection on hand hygiene before infection-prone procedures on a stem cell ward.
Background: Hand hygiene compliance even before infection-prone procedures (indication 2, 'before aseptic tasks', according to the World Health Organization (WHO)) remains disappointing.Aim: To improve hand hygiene compliance by implementing gloved hand disinfection as a resource-neutral process opt...
| Publicado en: | Journal of Hospital Infection Vol. 103; no. 3; pp. 321 - 328 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
W B Saunders
Nov2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139217117&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139217117 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01956701 4C3 jtl: Journal of Hospital Infection issn: 01956701 maglogo: N pubinfo: dt: Nov2019 vid: 103 iid: 3 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 139217117 139217117 NLM31226271 139217117 10.1016/j.jhin.2019.06.004 NLM31226271 139217117 ppf: 321 ppct: 7 formats: tig: atl: Effect of gloved hand disinfection on hand hygiene before infection-prone procedures on a stem cell ward. aug: au: Fehling, P. Hasenkamp, J. Unkel, S. Thalmann, I. Hornig, S. Trümper, L. Scheithauer, S. affil: Institute of Infection Control and Infectious Diseases, University Medical Center, Georg August University Goettingen, Germany sug: subj: Stem Cells Transplantation Infection Control Methods Catheter-Related Infections Prevention and Control Cross Infection Prevention and Control Catheterization Adverse Effects Handwashing Methods Female Drug Resistance, Microbial Guideline Adherence Bacteria Male Bacteria Drug Effects Bacterial Infections Microbiology Bacterial Infections Epidemiology Incidence Female Male ab: Background: Hand hygiene compliance even before infection-prone procedures (indication 2, 'before aseptic tasks', according to the World Health Organization (WHO)) remains disappointing.Aim: To improve hand hygiene compliance by implementing gloved hand disinfection as a resource-neutral process optimization strategy.Methods: We performed a three-phase intervention study on a stem cell transplant ward. After baseline evaluation of hand hygiene compliance (phase 1) gloved hand disinfection was allowed (phase 2) and restricted (phase 3) to evaluate and differentiate intervention derived from learning and time effects. The incidence of severe infections as well as of hospital-acquired multidrug-resistant bacteria was recorded by active surveillance.Findings: Hand hygiene compliance improved significantly from 50% to 76% (P < 0.001) when gloved hand disinfection was allowed. The biggest increase was for infection-prone procedures (WHO 2) from 31% to 65%; P < 0.001. Severe infections decreased by trend (from 6.0 to 2.5 per 1000 patient-days) whereas transmission of multidrug-resistant organisms was not affected.Conclusion: Gloved hand disinfection significantly improved compliance with the hand hygiene, especially in activities relevant to infections and infection prevention. Thus, this process optimization may be an additional, easy implementable, resource-neutral tool for a highly vulnerable patient cohort. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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